{"reporting_entity_name": "GIIC_TPA","reporting_entity_type": "GIIC_Geisinger Indemnity Insurance Company","last_updated_on": "2026-10-07","version": "2.0","provider_references": [                                                                                                                                                    
{"provider_group_id":922939189,"network_name":[],"provider_groups":[{"npi":[1669530069],"tin":{"type":"ein","value":"231352204","business_name":"Reading Hospital"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease_ chronic hepatitis C virus (HCV) infection_ six biochemical assays (ALT_ A2-macroglobulin_ apolipoprotein A-1_ total bilirubin_ GGT_ and haptoglobin) utiliz","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001M","description":"Infectious disease_ chronic hepatitis C virus (HCV) infection_ six biochemical assays (ALT_ A2-macroglobulin_ apolipoprotein A-1_ total bilirubin_ GGT_ and haptoglobin) utiliz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 2ND DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0002A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 2ND DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart failure composite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001F","description":"Heart failure composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc (colorectal)_ quant assess of three urine metabolites  by liq chromatography w tandem mass spectro (LC-MS/MS) using multireaction monitoring acquisition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0002U","description":"Onc (colorectal)_ quant assess of three urine metabolites  by liq chromatography w tandem mass spectro (LC-MS/MS) using multireaction monitoring acquisition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups_ utilizing whole blood_ common RBC alleles reported","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001U","description":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups_ utilizing whole blood_ common RBC alleles reported","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 3RD DOSE PFIZER","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0003A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 3RD DOSE PFIZER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nash fibrosure(tm)_ labcorp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0003M","description":"Nash fibrosure(tm)_ labcorp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ash fibrosure (tm)_ labcorp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0002M","description":"Ash fibrosure (tm)_ labcorp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 30MCG/0.3 ML BST","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0004A","description":"ADM SARSCOV2 30MCG/0.3 ML BST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc (ovarian) biocheml assays of five proteins (apolipoprotein A-1_ CA 125 II_ follicle stimulating hormone_ human epididymis protein 4_ transferrin)_ utilizing serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0003U","description":"Onc (ovarian) biocheml assays of five proteins (apolipoprotein A-1_ CA 125 II_ follicle stimulating hormone_ human epididymis protein 4_ transferrin)_ utilizing serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scoliosis dna alys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0004M","description":"Scoliosis dna alys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis composite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0005F","description":"Osteoarthritis composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infect disease (bact)_ DNA_ 27 resistance genes_ PCR amplification and probe hybridization in microarray format (molecular detection and identification of AmpC_ carbapenemas)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0004U","description":"Infect disease (bact)_ DNA_ 27 resistance genes_ PCR amplification and probe hybridization in microarray format (molecular detection and identification of AmpC_ carbapenemas)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc hep gene risk classifier","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0006M","description":"Onc hep gene risk classifier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG_ PCA3_ and SPDEF)_ urine_ algorithm reported as risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0005U","description":"Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG_ PCA3_ and SPDEF)_ urine_ algorithm reported as risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ 120 or more drugs and substances_ definitive tandem mass spectrometry with chromatography_ urine_ qualitative report of presence (including quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0006U","description":"Prescription drug monitoring_ 120 or more drugs and substances_ definitive tandem mass spectrometry with chromatography_ urine_ qualitative report of presence (including quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc gastro 51 gene nomogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0007M","description":"Onc gastro 51 gene nomogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy trisom risk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0009M","description":"Fetal aneuploidy trisom risk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ with definitive confirmation of positive results_ any number of drug classes_ urine_ includes specimen verification including DNA authentication in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0007U","description":"Drug test(s)_ presumptive_ with definitive confirmation of positive results_ any number of drug classes_ urine_ includes specimen verification including DNA authentication in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00103","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00103","description":"CPT-00103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00102","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00102","description":"CPT-00102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00100","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00100","description":"CPT-00100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Helicobacter pylori detection and antibiotic resistance_ DNA_ 16S and 23S rRNA_ gyrA_ pbp1_ rdxA and rpoB_ next generation sequencing_ formalin-fixed paraffin embedded or fres","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0008U","description":"Helicobacter pylori detection and antibiotic resistance_ DNA_ 16S and 23S rRNA_ gyrA_ pbp1_ rdxA and rpoB_ next generation sequencing_ formalin-fixed paraffin embedded or fres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00104","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00104","description":"CPT-00104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ phylogenetic-based report of strain relatedness_ per submitted isolate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0010U","description":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ phylogenetic-based report of strain relatedness_ per submitted isolate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc prostate prob score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0010M","description":"Onc prostate prob score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ using oral fluid_ reported as a comparison to an estimated steady-state range_ per date of service inclu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0011U","description":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ using oral fluid_ reported as a comparison to an estimated steady-state range_ per date of service inclu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ prostate cancer_ mRNA expression assay of 12 genes (10 content and 2 housekeeping)_ RT-PCR test utilizing blood plasma and/or urine_ algorithms to predict high-grade","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0011M","description":"Oncology_ prostate cancer_ mRNA expression assay of 12 genes (10 content and 2 housekeeping)_ RT-PCR test utilizing blood plasma and/or urine_ algorithms to predict high-grade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0011A","description":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00124","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00124","description":"CPT-00124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00120","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00120","description":"CPT-00120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00126","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00126","description":"CPT-00126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cap bacterial assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0012F","description":"Cap bacterial assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast cancer)_ ERBB2 (HER2) copy number by FISH_ tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0009U","description":"Oncology (breast cancer)_ ERBB2 (HER2) copy number by FISH_ tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC MRNA 5 genes ur alg rish urothelial cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0012M","description":"ONC MRNA 5 genes ur alg rish urothelial cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 2ND DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0012A","description":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 2ND DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Germline disorders_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ whole blood_ report of specific gene rearrangement(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0012U","description":"Germline disorders_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ whole blood_ report of specific gene rearrangement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 3RD DOSE MODERNA","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0013A","description":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 3RD DOSE MODERNA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC MRNA 5 genes alg risk recr urothelial cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0013M","description":"ONC MRNA 5 genes alg risk recr urothelial cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00144","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00144","description":"CPT-00144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00140","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00140","description":"CPT-00140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00142","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00142","description":"CPT-00142","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ fresh or frozen tissue or cells_ report of specific gene rearra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0013U","description":"Oncology (solid organ neoplasia)_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ fresh or frozen tissue or cells_ report of specific gene rearra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc breast risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0008M","description":"Onc breast risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00147","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00147","description":"CPT-00147","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00145","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00145","description":"CPT-00145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fee covid-19 vac 2 res","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0014A","description":"Fee covid-19 vac 2 res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00148","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00148","description":"CPT-00148","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp preop assess cat surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0014F","description":"Comp preop assess cat surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver disease_ analysis of 3 biomarkers (hyaluronic acid [ha]_ procollagen iii amino terminal peptide [piiinp]_ tissue inhibitor of metalloproteinase 1 [timp-1])_ using immuno","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0014M","description":"Liver disease_ analysis of 3 biomarkers (hyaluronic acid [ha]_ procollagen iii amino terminal peptide [piiinp]_ tissue inhibitor of metalloproteinase 1 [timp-1])_ using immuno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (hematolymphoid neoplasia)_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ whole blood or bone marrow_ report of specific gene rearra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0014U","description":"Hematology (hematolymphoid neoplasia)_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ whole blood or bone marrow_ report of specific gene rearra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Melan follow-up complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0015F","description":"Melan follow-up complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adrenal cortical tumor_ biochemical assay of 25 steroid markers_ utilizing 24-hour urine specimen and clinical parameters_ prognostic algorithm reported as a clinical risk and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0015M","description":"Adrenal cortical tumor_ biochemical assay of 25 steroid markers_ utilizing 24-hour urine specimen and clinical parameters_ prognostic algorithm reported as a clinical risk and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions)_ DNA_ 22 drug metabolism and transporter genes_ real-time PCR_ blood or buccal swab_ genotype and metabolizer status for therapeutic d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0015U","description":"Drug metabolism (adverse drug reactions)_ DNA_ 22 drug metabolism and transporter genes_ real-time PCR_ blood or buccal swab_ genotype and metabolizer status for therapeutic d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00160","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00160","description":"CPT-00160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00172","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00172","description":"CPT-00172","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00162","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00162","description":"CPT-00162","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasia)_ RNA_ BCR/ABL1 major and minor breakpoint fusion transcripts_ quantitative PCR amplification_ blood or bone marrow_ report of fusion not de","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0016U","description":"Oncology (hematolymphoid neoplasia)_ RNA_ BCR/ABL1 major and minor breakpoint fusion transcripts_ quantitative PCR amplification_ blood or bone marrow_ report of fusion not de","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00170","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00170","description":"CPT-00170","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00164","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00164","description":"CPT-00164","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00176","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00176","description":"CPT-00176","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00174","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00174","description":"CPT-00174","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Diffuse Large B-Cell Lymphoma [Dlbcl])_ Mrna_ Gene Expression Profiling By Fluorescent Probe Hybridization Of 20 Genes_ Formalin-Fixed Paraffin-Embedded Tissue_ Algo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0017M","description":"Oncology (Diffuse Large B-Cell Lymphoma [Dlbcl])_ Mrna_ Gene Expression Profiling By Fluorescent Probe Hybridization Of 20 Genes_ Formalin-Fixed Paraffin-Embedded Tissue_ Algo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation medicine (allograft rejection_ renal)_ measurement of donor and third-party-induced CD154+T-cytotoxic memory cells_ utilizing whole peripheral blood_ algorithm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0018M","description":"Transplantation medicine (allograft rejection_ renal)_ measurement of donor and third-party-induced CD154+T-cytotoxic memory cells_ utilizing whole peripheral blood_ algorithm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasia)_ JAK2 mutation_ DNA_ PCR amplification of exons 12-14 and sequence analysis_ blood or bone marrow_ report of JAK2 mutation not detected or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0017U","description":"Oncology (hematolymphoid neoplasia)_ JAK2 mutation_ DNA_ PCR amplification of exons 12-14 and sequence analysis_ blood or bone marrow_ report of JAK2 mutation not detected or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ mRNA_ microarray gene expression profiling of 209 genes_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as molecular subtype (lumina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0016M","description":"Oncology (bladder)_ mRNA_ microarray gene expression profiling of 209 genes_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as molecular subtype (lumina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (thyroid)_ microRNA profiling by RT-PCR of 10 microRNA sequences_ utilizing fine needle aspirate_ algorithm reported as a positive or negative result for moderate to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0018U","description":"Oncology (thyroid)_ microRNA profiling by RT-PCR of 10 microRNA sequences_ utilizing fine needle aspirate_ algorithm reported as a positive or negative result for moderate to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracorp shock wv tx ms nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0019T","description":"Extracorp shock wv tx ms nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00190","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00190","description":"CPT-00190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ RNA_ gene expression by whole transcriptome sequencing_ formalin-fixed paraffin embedded tissue or fresh frozen tissue_ predictive algorithm reported as potential ta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0019U","description":"Oncology_ RNA_ gene expression by whole transcriptome sequencing_ formalin-fixed paraffin embedded tissue or fresh frozen tissue_ predictive algorithm reported as potential ta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00192","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00192","description":"CPT-00192","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ with definitive confirmation of positive results_ any number of drug classes_ urine_ with specimen verification including DNA authentication in comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0020U","description":"Drug test(s)_ presumptive_ with definitive confirmation of positive results_ any number of drug classes_ urine_ with specimen verification including DNA authentication in comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00211","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00211","description":"CPT-00211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00210","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00210","description":"CPT-00210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular disease_ plasma_ analysis of protein biomarkers by aptamer-based microarray and algorithm reported as 4-year likelihood of coronary event in high-risk populatio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0019M","description":"Cardiovascular disease_ plasma_ analysis of protein biomarkers by aptamer-based microarray and algorithm reported as 4-year likelihood of coronary event in high-risk populatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (central nervous system)_ analysis of 30000 DNA methylation loci by methylation array_ utilizing DNA extracted from tumor tissue_ diagnostic algorithm reported as pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0020M","description":"Oncology (central nervous system)_ analysis of 30000 DNA methylation loci by methylation array_ utilizing DNA extracted from tumor tissue_ diagnostic algorithm reported as pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00212","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00212","description":"CPT-00212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00214","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00214","description":"CPT-00214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00216","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00216","description":"CPT-00216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00218","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00218","description":"CPT-00218","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00220","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00220","description":"CPT-00220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00215","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00215","description":"CPT-00215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramusc injection of  (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimp adenovirus Oxford 1 preserv free_ 0.5 ml dose_ 1st dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0021A","description":"Imm admin by intramusc injection of  (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimp adenovirus Oxford 1 preserv free_ 0.5 ml dose_ 1st dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00222","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00222","description":"CPT-00222","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fee covid-19 vac 3 booster","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0023A","description":"Fee covid-19 vac 3 booster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ detection of 8 autoantibodies (ARF 6_ NKX3-1_ 5_-UTR-BMI1_ CEP 164_ 3_-UTR-Ropporin_ Desmocollin_ AURKAIP-1_ CSNK2A2)_ multiplexed immunoassay and flow cy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0021U","description":"Oncology (prostate)_ detection of 8 autoantibodies (ARF 6_ NKX3-1_ 5_-UTR-BMI1_ CEP 164_ 3_-UTR-Ropporin_ Desmocollin_ AURKAIP-1_ CSNK2A2)_ multiplexed immunoassay and flow cy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramusc injection of  (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimp adenovirus Oxford 1 preserv free_ 0.5 ml dose_ 2nd dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0022A","description":"Imm admin by intramusc injection of  (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimp adenovirus Oxford 1 preserv free_ 0.5 ml dose_ 2nd dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ cholangiocarcinoma and non-small cell lung neoplasia_ DNA and RNA analysis_ 1-23 genes_ interrogation for sequence variants and rearr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0022U","description":"Targeted genomic sequence analysis panel_ cholangiocarcinoma and non-small cell lung neoplasia_ DNA and RNA analysis_ 1-23 genes_ interrogation for sequence variants and rearr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (acute myelogenous leukemia)_ DNA_ genotyping of internal tandem duplication_ p.D835_ p.I836_ using mononuclear cells_ reported as detection or non-detection of FLT3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0023U","description":"Oncology (acute myelogenous leukemia)_ DNA_ genotyping of internal tandem duplication_ p.D835_ p.I836_ using mononuclear cells_ reported as detection or non-detection of FLT3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glycosylated acute phase proteins (GlycA)_ nuclear magnetic resonance spectroscopy_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0024U","description":"Glycosylated acute phase proteins (GlycA)_ nuclear magnetic resonance spectroscopy_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tenofovir_ by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ urine_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0025U","description":"Tenofovir_ by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ urine_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (thyroid)_ DNA and mRNA of 112 genes_ next-generation sequencing_ fine needle aspirate of thyroid nodule_ algorithmic analysis reported as a categorical result (Posi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0026U","description":"Oncology (thyroid)_ DNA and mRNA of 112 genes_ next-generation sequencing_ fine needle aspirate of thyroid nodule_ algorithmic analysis reported as a categorical result (Posi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ copy number variants_ common variants with reflex to targeted sequence anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0028U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ copy number variants_ common variants with reflex to targeted sequence anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"JAK2 (Janus kinase 2) (eg_ myeloproliferative disorder) gene analysis_ targeted sequence analysis exons 12-15","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0027U","description":"JAK2 (Janus kinase 2) (eg_ myeloproliferative disorder) gene analysis_ targeted sequence analysis exons 12-15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00300","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00300","description":"CPT-00300","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response)_ targeted sequence analysis (ie_ CYP1A2_ CYP2C19_ CYP2C9_ CYP2D6_ CYP3A4_ CYP3A5_ CYP4F2_ SLCO1B1_ VKORC1 and rs1277","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0029U","description":"Drug metabolism (adverse drug reactions and drug response)_ targeted sequence analysis (ie_ CYP1A2_ CYP2C19_ CYP2C9_ CYP2D6_ CYP3A4_ CYP3A5_ CYP4F2_ SLCO1B1_ VKORC1 and rs1277","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (warfarin drug response)_ targeted sequence analysis (ie_ CYP2C9_ CYP4F2_ VKORC1_ rs12777823)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0030U","description":"Drug metabolism (warfarin drug response)_ targeted sequence analysis (ie_ CYP2C9_ CYP4F2_ VKORC1_ rs12777823)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Janssen Covid-19 Vaccine Administration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0031A","description":"Janssen Covid-19 Vaccine Administration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00322","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00322","description":"CPT-00322","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP1A2 (cytochrome P450 family 1_ subfamily A_ member 2)(eg_ drug metabolism) gene analysis_ common variants (ie_ *1F_ *1K_ *6_ *7)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0031U","description":"CYP1A2 (cytochrome P450 family 1_ subfamily A_ member 2)(eg_ drug metabolism) gene analysis_ common variants (ie_ *1F_ *1K_ *6_ *7)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00320","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00320","description":"CPT-00320","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00326","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00326","description":"CPT-00326","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"COMT (catechol-O-methyltransferase)(drug metabolism) gene analysis_ c.472G>A (rs4680) variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0032U","description":"COMT (catechol-O-methyltransferase)(drug metabolism) gene analysis_ c.472G>A (rs4680) variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 VAC AD26 .5ML B","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0034A","description":"ADM SARSCOV2 VAC AD26 .5ML B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HTR2A (5-hydroxytryptamine receptor 2A)_ HTR2C (5-hydroxytryptamine receptor 2C) (eg_ citalopram metabolism) gene analysis_ common variants (ie_ HTR2A rs7997012 [c.614-2211T>C","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0033U","description":"HTR2A (5-hydroxytryptamine receptor 2A)_ HTR2C (5-hydroxytryptamine receptor 2C) (eg_ citalopram metabolism) gene analysis_ common variants (ie_ HTR2A rs7997012 [c.614-2211T>C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00352","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00352","description":"CPT-00352","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00350","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00350","description":"CPT-00350","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TPMT (thiopurine S-methyltransferase)_ NUDT15 (nudix hydroxylase 15)(eg_ thiopurine metabolism)_ gene analysis_ common variants (ie_ TPMT *2_ *3A_ *3B_ *3C_ *4_ *5_ *6_ *8_ *1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0034U","description":"TPMT (thiopurine S-methyltransferase)_ NUDT15 (nudix hydroxylase 15)(eg_ thiopurine metabolism)_ gene analysis_ common variants (ie_ TPMT *2_ *3A_ *3B_ *3C_ *4_ *5_ *6_ *8_ *1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (prior disease)_ cerebrospinal fluid_ detection of prion protein by quaking-induced conf conversion_ qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0035U","description":"Neurology (prior disease)_ cerebrospinal fluid_ detection of prion protein by quaking-induced conf conversion_ qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exome (ie_ somatic mutations)_ paired formalin-fixed paraffin-embedded tumor tissue and normal specimen_ sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0036U","description":"Exome (ie_ somatic mutations)_ paired formalin-fixed paraffin-embedded tumor tissue and normal specimen_ sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin D_ 25 hydroxy D2 and D3_ by LC-MS/MS_ serum microsample_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0038U","description":"Vitamin D_ 25 hydroxy D2 and D3_ by LC-MS/MS_ serum microsample_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deoxyribonucleic acid (DNA) antibody_ double stranded_ high avidity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0039U","description":"Deoxyribonucleic acid (DNA) antibody_ double stranded_ high avidity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00400","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00400","description":"CPT-00400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00402","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00402","description":"CPT-00402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis_ solid organ neoplasm_ DNA analysis of 324 genes_ interrogation for sequence variants_ gene copy number amplifications_ gene rearrangements_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0037U","description":"Targeted genomic sequence analysis_ solid organ neoplasm_ DNA analysis of 324 genes_ interrogation for sequence variants_ gene copy number amplifications_ gene rearrangements_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00404","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00404","description":"CPT-00404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BCR/ABL1 (t(9;22)) (eg_ chronic myelogenous leukemia) translocation analysis_ major breakpoint_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0040U","description":"BCR/ABL1 (t(9;22)) (eg_ chronic myelogenous leukemia) translocation analysis_ major breakpoint_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00406","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00406","description":"CPT-00406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00410","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00410","description":"CPT-00410","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct perfusion w/contrast cbf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0042T","description":"Ct perfusion w/contrast cbf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0041A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Borrelia burgdorferi_ antibody detection of 5 recombinant protein groups_ by immunoblot_ IgM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0041U","description":"Borrelia burgdorferi_ antibody detection of 5 recombinant protein groups_ by immunoblot_ IgM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Borrelia burgdorferi_ antibody detection of 12 recombinant protein groups_ by immunoblot_ IgG","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0042U","description":"Borrelia burgdorferi_ antibody detection of 12 recombinant protein groups_ by immunoblot_ IgG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tick-borne relapsing fever Borrelia group_ antibody detection to 4 recombinant protein groups_ by immunoblot_ IgM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0043U","description":"Tick-borne relapsing fever Borrelia group_ antibody detection to 4 recombinant protein groups_ by immunoblot_ IgM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0042A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tick-borne relapsing fever Borrelia group_ antibody detection to 4 recombinant protein groups_ by immunoblot_ IgG","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0044U","description":"Tick-borne relapsing fever Borrelia group_ antibody detection to 4 recombinant protein groups_ by immunoblot_ IgG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0044A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00450","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00450","description":"CPT-00450","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00454","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00454","description":"CPT-00454","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FLT3 (fms-related tyrosine kinase 3) (eg_ acute myeloid leukemia) internal tandem duplication (ITD) variants_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0046U","description":"FLT3 (fms-related tyrosine kinase 3) (eg_ acute myeloid leukemia) internal tandem duplication (ITD) variants_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00472","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00472","description":"CPT-00472","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast ductal carcinoma in situ)_ mRNA_ gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping)_ utilizing formalin-fixed paraffin-e","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0045U","description":"Oncology (breast ductal carcinoma in situ)_ mRNA_ gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping)_ utilizing formalin-fixed paraffin-e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00474","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00474","description":"CPT-00474","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ mRNA_ gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algori","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0047U","description":"Oncology (prostate)_ mRNA_ gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algori","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ DNA_ targeted sequencing of protein-coding exons of 468 cancer-associated genes_ including interrogation for somatic mutations and microsatel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0048U","description":"Oncology (solid organ neoplasia)_ DNA_ targeted sequencing of protein-coding exons of 468 cancer-associated genes_ including interrogation for somatic mutations and microsatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NPM1 (nucleophosmin) (eg_ acute myeloid leukemia) gene analysis_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0049U","description":"NPM1 (nucleophosmin) (eg_ acute myeloid leukemia) gene analysis_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00500","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00500","description":"CPT-00500","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ acute myelogenous leukemia_ DNA analysis_ 194 genes_ interrogation for sequence variants_ copy number variants or rearrangements","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0050U","description":"Targeted genomic sequence analysis panel_ acute myelogenous leukemia_ DNA analysis_ 194 genes_ interrogation for sequence variants_ copy number variants or rearrangements","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization admin by intramuscular injection of s (SARS-CoV-2)  vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3 mL dosage_ tris-sucrose form first dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0051A","description":"Immunization admin by intramuscular injection of s (SARS-CoV-2)  vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3 mL dosage_ tris-sucrose form first dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant total heart system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0051T","description":"Implant total heart system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00520","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00520","description":"CPT-00520","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ urine_ 31 drug panel_ reported as quantitative results_ detected or not detected_ per date of service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0051U","description":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ urine_ 31 drug panel_ reported as quantitative results_ detected or not detected_ per date of service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00524","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00524","description":"CPT-00524","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00522","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00522","description":"CPT-00522","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00528","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00528","description":"CPT-00528","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00529","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00529","description":"CPT-00529","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramuscular injection of (SARS-CoV-2) ([COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3 mL dosage_ tris-sucrose formula_ second dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0052A","description":"Imm admin by intramuscular injection of (SARS-CoV-2) ([COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3 mL dosage_ tris-sucrose formula_ second dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00534","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00534","description":"CPT-00534","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace thrc unit hrt syst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0052T","description":"Replace thrc unit hrt syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipoprotein_ blood_ high resolution fractionation and quantitation of lipoproteins_ including all five major lipoprotein classes and subclasses of HDL_ LDL_ and VLDL by vertic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0052U","description":"Lipoprotein_ blood_ high resolution fractionation and quantitation of lipoproteins_ including all five major lipoprotein classes and subclasses of HDL_ LDL_ and VLDL by vertic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00530","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00530","description":"CPT-00530","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00537","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00537","description":"CPT-00537","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00539","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00539","description":"CPT-00539","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00532","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00532","description":"CPT-00532","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00541","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00541","description":"CPT-00541","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization admin by intramuscular injection of s (SARS-CoV-2) ([COVID-19]) vacc_ mRNA-LNP_ spike protein_ presev free_ 30mcg/0.3 mL dosage_ tris-sucrose formula; third dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0053A","description":"Immunization admin by intramuscular injection of s (SARS-CoV-2) ([COVID-19]) vacc_ mRNA-LNP_ spike protein_ presev free_ 30mcg/0.3 mL dosage_ tris-sucrose formula; third dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00540","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00540","description":"CPT-00540","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate cancer)_ FISH analysis of 4 genes (ASAP1_ HDAC9_ CHD1 and PTEN)_ needle biopsy specimen_ algorithm reported as probability of higher tumor grade","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0053U","description":"Oncology (prostate cancer)_ FISH analysis of 4 genes (ASAP1_ HDAC9_ CHD1 and PTEN)_ needle biopsy specimen_ algorithm reported as probability of higher tumor grade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace implantable hrt syst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0053T","description":"Replace implantable hrt syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00546","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00546","description":"CPT-00546","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00548","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00548","description":"CPT-00548","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00542","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00542","description":"CPT-00542","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone srgry cmptr fluor image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0054T","description":"Bone srgry cmptr fluor image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramusc inj of (SARS-CoV-2) (coronavirus disease [COVID-19]) vacc_ mRNA-LNP_ spike protein_ preserv free_ 30mcg/0.3 mL dose_ tris-sucrose formula_ booster dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0054A","description":"Imm admin by intramusc inj of (SARS-CoV-2) (coronavirus disease [COVID-19]) vacc_ mRNA-LNP_ spike protein_ preserv free_ 30mcg/0.3 mL dose_ tris-sucrose formula_ booster dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ 14 or more classes of drugs and substances_ definitive tandem mass spectrometry with chromatography_ capillary blood_ quantitative report with th","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0054U","description":"Prescription drug monitoring_ 14 or more classes of drugs and substances_ definitive tandem mass spectrometry with chromatography_ capillary blood_ quantitative report with th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00550","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00550","description":"CPT-00550","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone srgry cmptr CT/MRI imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0055T","description":"Bone srgry cmptr CT/MRI imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (heart transplant)_ cell-free DNA_ PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets)_ plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0055U","description":"Cardiology (heart transplant)_ cell-free DNA_ PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets)_ plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00561","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00561","description":"CPT-00561","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00560","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00560","description":"CPT-00560","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00563","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00563","description":"CPT-00563","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00562","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00562","description":"CPT-00562","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00567","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00567","description":"CPT-00567","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00566","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00566","description":"CPT-00566","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (acute myelogenous leukemia)_ DNA_ whole genome next-generation sequencing to detect gene rearrangement(s)_ blood or bone marrow_ report of specific gene rearrangem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0056U","description":"Hematology (acute myelogenous leukemia)_ DNA_ whole genome next-generation sequencing to detect gene rearrangement(s)_ blood or bone marrow_ report of specific gene rearrangem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00580","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00580","description":"CPT-00580","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ mRNA_ gene expression profiling by massively parallel sequencing for analysis of 51 genes_ utilizing formalin-fixed paraffin-embedded tissue_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0057U","description":"Oncology (solid organ neoplasia)_ mRNA_ gene expression profiling by massively parallel sequencing for analysis of 51 genes_ utilizing formalin-fixed paraffin-embedded tissue_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreservation ovary tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0058T","description":"Cryopreservation ovary tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00470","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00470","description":"CPT-00470","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Merkel cell carcinoma)_ detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen)_ serum_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0058U","description":"Oncology (Merkel cell carcinoma)_ detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen)_ serum_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Merkel cell carcinoma)_ detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1)_ serum_ reported as positive or negative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0059U","description":"Oncology (Merkel cell carcinoma)_ detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1)_ serum_ reported as positive or negative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00604","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00604","description":"CPT-00604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00600","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00600","description":"CPT-00600","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Twin zygosity_ genomic targeted sequence analysis of chromosome 2_ using circulating cell-free fetal DNA in maternal blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0060U","description":"Twin zygosity_ genomic targeted sequence analysis of chromosome 2_ using circulating cell-free fetal DNA in maternal blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00620","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00620","description":"CPT-00620","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00625","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00625","description":"CPT-00625","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00630","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00630","description":"CPT-00630","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous measurement of five biomarkers (tissue oxygenation [StO2]_ oxyhemoglobin [ctHbO2]_ deoxyhemoglobin [ctHbR]_ papillary and reticular dermal hemoglobin concentrat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0061U","description":"Transcutaneous measurement of five biomarkers (tissue oxygenation [StO2]_ oxyhemoglobin [ctHbO2]_ deoxyhemoglobin [ctHbR]_ papillary and reticular dermal hemoglobin concentrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune (systemic lupus erythematosus)_ IgG and IgM analysis of 80 biomarkers_ utilizing serum_ algorithm reported with a risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0062U","description":"Autoimmune (systemic lupus erythematosus)_ IgG and IgM analysis of 80 biomarkers_ utilizing serum_ algorithm reported with a risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00626","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00626","description":"CPT-00626","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00635","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00635","description":"CPT-00635","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00640","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00640","description":"CPT-00640","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00632","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00632","description":"CPT-00632","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 50MCG/0.25MLBST","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0064A","description":"ADM SARSCOV2 50MCG/0.25MLBST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology autism_ 32 amines by LC-MS/MS_ using plasma_ algorithm reported as metabolic signature associated with autism spectrum disorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0063U","description":"Neurology autism_ 32 amines by LC-MS/MS_ using plasma_ algorithm reported as metabolic signature associated with autism spectrum disorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibody_ Treponema pallidum_ total and rapid plasma reagin (RPR)_ immunoassay_ qualitativ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0064U","description":"Antibody_ Treponema pallidum_ total and rapid plasma reagin (RPR)_ immunoassay_ qualitativ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ immunohistochemistry_ protein expression profiling of 4 biomarkers (matrix metalloproteinase-1 [MMP-1]_ carcinoembryonic antigen-related cell","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0067U","description":"Oncology (breast)_ immunohistochemistry_ protein expression profiling of 4 biomarkers (matrix metalloproteinase-1 [MMP-1]_ carcinoembryonic antigen-related cell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syphilis test_ non-treponemal antibody_ immunoassay_ qualitative (RPR)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0065U","description":"Syphilis test_ non-treponemal antibody_ immunoassay_ qualitative (RPR)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00670","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00670","description":"CPT-00670","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placental alpha-micro globulin-1 (PAMG-1)_ immunoassay with direct optical observation_ cervico-vaginal fluid_ each specimen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0066U","description":"Placental alpha-micro globulin-1 (PAMG-1)_ immunoassay with direct optical observation_ cervico-vaginal fluid_ each specimen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00700","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00700","description":"CPT-00700","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Candida species panel (C. albicans_ C. glabrata_ C. parapsilosis_ C. kruseii_ C tropicalis_ and C. auris)_ amplified probe technique with qualitative report of the presence or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0068U","description":"Candida species panel (C. albicans_ C. glabrata_ C. parapsilosis_ C. kruseii_ C tropicalis_ and C. auris)_ amplified probe technique with qualitative report of the presence or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal)_ microRNA_ RT-PCR expression profiling of miR-31-3p_ formalin-fixed paraffin-embedded tissue_ algorithm reported as an expression score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0069U","description":"Oncology (colorectal)_ microRNA_ RT-PCR expression profiling of miR-31-3p_ formalin-fixed paraffin-embedded tissue_ algorithm reported as an expression score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00702","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00702","description":"CPT-00702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCV2 10MCG TRS-SUCR 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0071A","description":"ADM SARSCV2 10MCG TRS-SUCR 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ common and select rare variants (ie_ *2_ *3_ *4_ *4N_ *5_ *6_ *7_ *8_ *9_ *","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0070U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ common and select rare variants (ie_ *2_ *3_ *4_ *4N_ *5_ *6_ *7_ *8_ *9_ *","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us leiomyomata ablate <200","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0071T","description":"Us leiomyomata ablate <200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCV2 10MCG TRS-SUCR 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0072A","description":"ADM SARSCV2 10MCG TRS-SUCR 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ full gene sequence (List separately in addition to code for primary procedu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0071U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ full gene sequence (List separately in addition to code for primary procedu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us leiomyomata ablate >200","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0072T","description":"Us leiomyomata ablate >200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ CYP2D6-2D7 hybrid gene) (List separately in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0072U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ CYP2D6-2D7 hybrid gene) (List separately in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00730","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00730","description":"CPT-00730","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00731","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731","description":"CPT-00731","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00732","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00732","description":"CPT-00732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ CYP2D7-2D6 hybrid gene) (List separately in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0073U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ CYP2D7-2D6 hybrid gene) (List separately in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00740","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00740","description":"CPT-00740","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0073A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00750","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00750","description":"CPT-00750","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramuscular inj of  (SARS[1]CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNALNP_ spike protein_ pres free_ 10 mcg/0.2 mL dosage; booster dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0074A","description":"Imm admin by intramuscular inj of  (SARS[1]CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNALNP_ spike protein_ pres free_ 10 mcg/0.2 mL dosage; booster dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00752","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00752","description":"CPT-00752","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ non-duplicated gene when duplication/multip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0074U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ non-duplicated gene when duplication/multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00754","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00754","description":"CPT-00754","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"S&i stent/chest vert art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0076T","description":"S&i stent/chest vert art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00756","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00756","description":"CPT-00756","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 5_ gene duplication/multiplication) (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0075U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 5_ gene duplication/multiplication) (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00770","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00770","description":"CPT-00770","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 3_ gene duplication/multiplication) (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0076U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 3_ gene duplication/multiplication) (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoglobulin paraprotein (M-protein)_ qualitative_ immunoprecipitation and mass spectrometry_ blood or urine_ including isotype","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0077U","description":"Immunoglobulin paraprotein (M-protein)_ qualitative_ immunoprecipitation and mass spectrometry_ blood or urine_ including isotype","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00792","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00792","description":"CPT-00792","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00790","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00790","description":"CPT-00790","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pain management (opioid-use disorder) genotyping panel_ 16 common variants (ie_ ABCB1_ COMT_ DAT1_ DBH_ DOR_ DRD1_ DRD2_ DRD4_ GABA_ GAL_ HTR2A_ HTTLPR_ MTHFR_ MUOR_ OPRK1_ OP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0078U","description":"Pain management (opioid-use disorder) genotyping panel_ 16 common variants (ie_ ABCB1_ COMT_ DAT1_ DBH_ DOR_ DRD1_ DRD2_ DRD4_ GABA_ GAL_ HTR2A_ HTTLPR_ MTHFR_ MUOR_ OPRK1_ OP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00794","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00794","description":"CPT-00794","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00796","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00796","description":"CPT-00796","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00797","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00797","description":"CPT-00797","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00800","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00800","description":"CPT-00800","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00802","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00802","description":"CPT-00802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00810","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00810","description":"CPT-00810","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00813","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813","description":"CPT-00813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00812","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812","description":"CPT-00812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq stent/chest vert art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0075T","description":"Perq stent/chest vert art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comparative DNA analysis using multiple selected single-nucleotide polymorphisms (SNPs)_ urine and buccal DNA_ for specimen identity verification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0079U","description":"Comparative DNA analysis using multiple selected single-nucleotide polymorphisms (SNPs)_ urine and buccal DNA_ for specimen identity verification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc Lung 5 Clinical Risk Factors Alg Prblty Mal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0080U","description":"Onc Lung 5 Clinical Risk Factors Alg Prblty Mal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00811","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811","description":"CPT-00811","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00820","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00820","description":"CPT-00820","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCV2 3MCG TRS-SUCR 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0081A","description":"ADM SARSCV2 3MCG TRS-SUCR 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rx tst def 09+ rx/sbsts ur reprt pres/abs ea rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0082U","description":"Rx tst def 09+ rx/sbsts ur reprt pres/abs ea rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc Uveal MLNMA MRNA gen xprs prfl 15 gene alg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0081U","description":"Onc Uveal MLNMA MRNA gen xprs prfl 15 gene alg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00832","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00832","description":"CPT-00832","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCV2 3MCG TRS-SUCR 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0082A","description":"ADM SARSCV2 3MCG TRS-SUCR 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00834","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00834","description":"CPT-00834","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00830","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00830","description":"CPT-00830","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc rspse chmotx rx motility cntrst tomography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0083U","description":"Onc rspse chmotx rx motility cntrst tomography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00836","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00836","description":"CPT-00836","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00840","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00840","description":"CPT-00840","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization adm by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vac_ mRNA\u0002LNP_ spike_ third dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0083A","description":"Immunization adm by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vac_ mRNA\u0002LNP_ spike_ third dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00842","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00842","description":"CPT-00842","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00846","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00846","description":"CPT-00846","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00844","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00844","description":"CPT-00844","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00848","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00848","description":"CPT-00848","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ genotyping of 10 blood groups with phenotype prediction of 37 red blood cell antigens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0084U","description":"Red blood cell antigen typing_ DNA_ genotyping of 10 blood groups with phenotype prediction of 37 red blood cell antigens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00851","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00851","description":"CPT-00851","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breath test heart reject","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0085T","description":"Breath test heart reject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie_ ELISA)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0085U","description":"Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie_ ELISA)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00860","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00860","description":"CPT-00860","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00862","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00862","description":"CPT-00862","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00868","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00868","description":"CPT-00868","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00864","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00864","description":"CPT-00864","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00865","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00865","description":"CPT-00865","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00866","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00866","description":"CPT-00866","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial and fungal)_ organism identification_ blood culture_ using rRNA FISH_ 6 or more organism targets_ reported as positive or negative with phenotypi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0086U","description":"Infectious disease (bacterial and fungal)_ organism identification_ blood culture_ using rRNA FISH_ 6 or more organism targets_ reported as positive or negative with phenotypi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00872","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00872","description":"CPT-00872","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00870","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00870","description":"CPT-00870","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00873","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00873","description":"CPT-00873","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00880","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00880","description":"CPT-00880","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (heart transplant)_ mRNA gene expression profiling by microarray of 1283 genes_  transplant biopsy tissue_ allograft rejection and injury algorithm reported as a pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0087U","description":"Cardiology (heart transplant)_ mRNA gene expression profiling by microarray of 1283 genes_  transplant biopsy tissue_ allograft rejection and injury algorithm reported as a pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00882","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00882","description":"CPT-00882","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation medicine (kidney allograft rejection)_ microarray gene expression profiling of 1494 genes_ utilizing transplant biopsy tissue_ algorithm reported as a probabil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0088U","description":"Transplantation medicine (kidney allograft rejection)_ microarray gene expression profiling of 1494 genes_ utilizing transplant biopsy tissue_ algorithm reported as a probabil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00902","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00902","description":"CPT-00902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (melanoma)_ gene expression profiling by RTqPCR_ <i>PRAME</i> and <i>LINC00518</i>_ superficial collection using adhesive patch(es)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0089U","description":"Oncology (melanoma)_ gene expression profiling by RTqPCR_ <i>PRAME</i> and <i>LINC00518</i>_ superficial collection using adhesive patch(es)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00904","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00904","description":"CPT-00904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00906","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00906","description":"CPT-00906","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00908","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00908","description":"CPT-00908","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00910","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00910","description":"CPT-00910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (cutaneous melanoma)_ mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0090U","description":"Oncology (cutaneous melanoma)_ mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00914","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00914","description":"CPT-00914","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00912","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00912","description":"CPT-00912","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00918","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00918","description":"CPT-00918","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00916","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00916","description":"CPT-00916","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00920","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00920","description":"CPT-00920","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00921","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00921","description":"CPT-00921","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ cell enumeration of circulating tumor cells_ utilizing whole blood_ algorithm_ for the presence of adenoma or cancer_ reported as a positive o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0091U","description":"Oncology (colorectal) screening_ cell enumeration of circulating tumor cells_ utilizing whole blood_ algorithm_ for the presence of adenoma or cancer_ reported as a positive o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00922","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00922","description":"CPT-00922","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0091A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00924","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00924","description":"CPT-00924","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00926","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00926","description":"CPT-00926","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00928","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00928","description":"CPT-00928","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0092A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ three protein biomarkers_ immunoassay using magnetic nanosensor technology_ plasma_ algorithm reported as risk score for likelihood of malignancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0092U","description":"Oncology (lung)_ three protein biomarkers_ immunoassay using magnetic nanosensor technology_ plasma_ algorithm reported as risk score for likelihood of malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00930","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00930","description":"CPT-00930","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00934","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00934","description":"CPT-00934","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00932","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00932","description":"CPT-00932","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00938","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00938","description":"CPT-00938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00936","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00936","description":"CPT-00936","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ evaluation of 65 common drugs by LC-MS/MS_ urine_ each drug reported detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0093U","description":"Prescription drug monitoring_ evaluation of 65 common drugs by LC-MS/MS_ urine_ each drug reported detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0093A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00940","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00940","description":"CPT-00940","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00942","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00942","description":"CPT-00942","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00950","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00950","description":"CPT-00950","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00944","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00944","description":"CPT-00944","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00948","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00948","description":"CPT-00948","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0094A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00952","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00952","description":"CPT-00952","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ rapid sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0094U","description":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ rapid sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl artific disc addl crvcl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0095T","description":"Rmvl artific disc addl crvcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inflamation (eosinophilic esophagitis)_ ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major basic protein (PRG2 [proteoglycan 2_ pro eosinophil major","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0095U","description":"Inflamation (eosinophilic esophagitis)_ ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major basic protein (PRG2 [proteoglycan 2_ pro eosinophil major","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human papillomavirus (HPV)_ high-risk types (ie_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 51_ 52_ 56_ 58_ 59_ 66_ 68)_ male urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0096U","description":"Human papillomavirus (HPV)_ high-risk types (ie_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 51_ 52_ 56_ 58_ 59_ 66_ 68)_ male urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 22 targets (Campylobacter [C. jejuni/C. coli/C.","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0097U","description":"Gastrointestinal pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 22 targets (Campylobacter [C. jejuni/C. coli/C.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rev artific disc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0098T","description":"Rev artific disc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 14 targets (adenovirus_ coronavirus_ human metapneum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0098U","description":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 14 targets (adenovirus_ coronavirus_ human metapneum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of intrastromal corneal ring segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0099T","description":"Implantation of intrastromal corneal ring segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 20 targets (adenovirus_ coronavirus 229E_ coronaviru","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0099U","description":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 20 targets (adenovirus_ coronavirus 229E_ coronaviru","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosth retina receive&gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0100T","description":"Prosth retina receive&gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracorp shockwv tx hi enrg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0101T","description":"Extracorp shockwv tx hi enrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary colon cancer disorders (eg_ Lynch syndrome_ <i>PTEN</i> hamartoma syndrome_ Cowden syndrome_ familial adenomatosis polyposis)_ genomic sequence analysis panel utili","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0101U","description":"Hereditary colon cancer disorders (eg_ Lynch syndrome_ <i>PTEN</i> hamartoma syndrome_ Cowden syndrome_ familial adenomatosis polyposis)_ genomic sequence analysis panel utili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracorp shockwv tx anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0102T","description":"Extracorp shockwv tx anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary breast cancer-related disorders (eg_ hereditary breast cancer_ hereditary ovarian cancer_ hereditary endometrial cancer)_ genomic sequence analysis panel utilizing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0102U","description":"Hereditary breast cancer-related disorders (eg_ hereditary breast cancer_ hereditary ovarian cancer_ hereditary endometrial cancer)_ genomic sequence analysis panel utilizing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 5MCG/.5ML AS03B","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0104A","description":"ADM SARSCOV2 5MCG/.5ML AS03B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Holotranscobalamin_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0103T","description":"Holotranscobalamin_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary ovarian cancer (eg_ hereditary ovarian cancer_ hereditary endometrial cancer)_ genomic sequence analysis panel utilizing a combination of NGS_ Sanger_ MLPA_ and arr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0103U","description":"Hereditary ovarian cancer (eg_ hereditary ovarian cancer_ hereditary endometrial cancer)_ genomic sequence analysis panel utilizing a combination of NGS_ Sanger_ MLPA_ and arr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary pan cancer (eg_ hereditary breast and ovarian cancer_ hereditary endometrial cancer_ hereditary colorectal cancer)_ genomic sequence analysis panel utilizing a comb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0104U","description":"Hereditary pan cancer (eg_ hereditary breast and ovarian cancer_ hereditary endometrial cancer_ hereditary colorectal cancer)_ genomic sequence analysis panel utilizing a comb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart failure assessed (includes assessment of all the following components) (CAD): Blood pressure measured (2000F) Level of activity assessed (1003F) Clinical symptoms of vol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0105U","description":"Heart failure assessed (includes assessment of all the following components) (CAD): Blood pressure measured (2000F) Level of activity assessed (1003F) Clinical symptoms of vol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Touch quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0106T","description":"Touch quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 21 targets (adenovirus_ coronavirus 229E_ coronaviru","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0100U","description":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 21 targets (adenovirus_ coronavirus 229E_ coronaviru","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0106U","description":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vibrate quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0107T","description":"Vibrate quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cool quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0108T","description":"Cool quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal)_ quantitative assessment of three urine metabolites","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0107U","description":"Oncology (colorectal)_ quantitative assessment of three urine metabolites","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0108U","description":"Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heat quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0109T","description":"Heat quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01112","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01112","description":"CPT-01112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis assessed (OA) Includes assessment of all the following compo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0109U","description":"Osteoarthritis assessed (OA) Includes assessment of all the following compo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nos quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0110T","description":"Nos quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hepatic)_ mRNA expression levels of 161 genes_ utilizing fresh he","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0110U","description":"Oncology (hepatic)_ mRNA expression levels of 161 genes_ utilizing fresh he","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 25MCG/0.25ML1ST","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0111A","description":"ADM SARSCOV2 25MCG/0.25ML1ST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc membranes fatty acids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0111T","description":"Rbc membranes fatty acids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ with definitive confirmation of positive results","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0111U","description":"Drug test(s)_ presumptive_ with definitive confirmation of positive results","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01120","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01120","description":"CPT-01120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 25MCG/0.25ML2ND","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0112A","description":"ADM SARSCOV2 25MCG/0.25ML2ND","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy (trisomy 21_ and 18) DNA sequence analysis of selected reg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0112U","description":"Fetal aneuploidy (trisomy 21_ and 18) DNA sequence analysis of selected reg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01130","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01130","description":"CPT-01130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severeacute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA\u0002LNP_ spike","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0113A","description":"Immunization administration by intramuscular injection of severeacute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA\u0002LNP_ spike","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01140","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01140","description":"CPT-01140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01150","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01150","description":"CPT-01150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on salivary glands_ including biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0113U","description":"Anesthesia for procedures on salivary glands_ including biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for reconstructive procedures of eyelid (eg_ blepharoplasty_ pto","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0114U","description":"Anesthesia for reconstructive procedures of eyelid (eg_ blepharoplasty_ pto","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0115U","description":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01160","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01160","description":"CPT-01160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01170","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01170","description":"CPT-01170","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ usin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0116U","description":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ usin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on external_ middle_ and inner ear including biop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0117U","description":"Anesthesia for procedures on external_ middle_ and inner ear including biop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01173","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01173","description":"CPT-01173","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01180","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01180","description":"CPT-01180","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Community-acquired bacterial pneumonia assessment (includes all of the foll","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0118U","description":"Community-acquired bacterial pneumonia assessment (includes all of the foll","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01200","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01200","description":"CPT-01200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01190","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01190","description":"CPT-01190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial)_ mRNA_ gene expression profiling by real-time quantit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0119U","description":"Oncology (urothelial)_ mRNA_ gene expression profiling by real-time quantit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01202","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01202","description":"CPT-01202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ gene rearrangement detection by whole gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0120U","description":"Oncology (solid organ neoplasia)_ gene rearrangement detection by whole gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01210","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01210","description":"CPT-01210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01214","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01214","description":"CPT-01214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01215","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01215","description":"CPT-01215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01212","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01212","description":"CPT-01212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0121A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on eye; iridectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0121U","description":"Anesthesia for procedures on eye; iridectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01220","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01220","description":"CPT-01220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive preoperative assessment performed for cataract surgery with i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0122U","description":"Comprehensive preoperative assessment performed for cataract surgery with i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01232","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01232","description":"CPT-01232","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fistulization of sclera for glaucoma_ through ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0123T","description":"Fistulization of sclera for glaucoma_ through ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01234","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01234","description":"CPT-01234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01230","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01230","description":"CPT-01230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0124A","description":"IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on nose and accessory sinuses; radical surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0123U","description":"Anesthesia for procedures on nose and accessory sinuses; radical surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intraoral procedures_ including biopsy; not otherwise specif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0125U","description":"Anesthesia for intraoral procedures_ including biopsy; not otherwise specif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01250","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01250","description":"CPT-01250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on nose and accessory sinuses; biopsy_ soft tissu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0124U","description":"Anesthesia for procedures on nose and accessory sinuses; biopsy_ soft tissu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01260","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01260","description":"CPT-01260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chd risk imt study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0126T","description":"Chd risk imt study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01270","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01270","description":"CPT-01270","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intraoral procedures_ including biopsy; radical surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0126U","description":"Anesthesia for intraoral procedures_ including biopsy; radical surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01272","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01272","description":"CPT-01272","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01274","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01274","description":"CPT-01274","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ RNA_ gene expression by whole transcriptome sequencing_ formalin-","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0128U","description":"Oncology_ RNA_ gene expression by whole transcriptome sequencing_ formalin-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on facial bones or skull; radical surgery (includ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0127U","description":"Anesthesia for procedures on facial bones or skull; radical surgery (includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; not otherwise specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0129U","description":"Anesthesia for intracranial procedures; not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01320","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01320","description":"CPT-01320","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; craniotomy or craniectomy for evacu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0130U","description":"Anesthesia for intracranial procedures; craniotomy or craniectomy for evacu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; subdural taps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0131U","description":"Anesthesia for intracranial procedures; subdural taps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; cranioplasty or elevation of depres","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0132U","description":"Anesthesia for intracranial procedures; cranioplasty or elevation of depres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; vascular procedures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0133U","description":"Anesthesia for intracranial procedures; vascular procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01340","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01340","description":"CPT-01340","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0134A","description":"IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ detection of 8 autoantibodies (ARF 6_ NKX3-1_ 5_-UTR-B","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0134U","description":"Oncology (prostate)_ detection of 8 autoantibodies (ARF 6_ NKX3-1_ 5_-UTR-B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; cerebrospinal fluid shunting proced","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0135U","description":"Anesthesia for intracranial procedures; cerebrospinal fluid shunting proced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01360","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01360","description":"CPT-01360","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ non-small cell lung neoplasia_ DN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0136U","description":"Targeted genomic sequence analysis panel_ non-small cell lung neoplasia_ DN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (acute myelogenous leukemia)_ DNA_ genotyping of internal tandem d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0137U","description":"Oncology (acute myelogenous leukemia)_ DNA_ genotyping of internal tandem d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01380","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01380","description":"CPT-01380","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01382","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01382","description":"CPT-01382","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01390","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01390","description":"CPT-01390","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 6 central carbon metabolites (ie_ a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ and succ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0139U","description":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 6 central carbon metabolites (ie_ a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ and succ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (thyroid)_ DNA and mRNA of 112 genes_ next-generation sequencing_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0138U","description":"Oncology (thyroid)_ DNA and mRNA of 112 genes_ next-generation sequencing_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01392","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01392","description":"CPT-01392","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01400","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01400","description":"CPT-01400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01402","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01402","description":"CPT-01402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0141A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (fungi)_ fungal pathogen identification_ DNA (15 fungal targets)_ blood culture_ amplified probe technique_ each target reported as detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0140U","description":"Infectious disease (fungi)_ fungal pathogen identification_ DNA (15 fungal targets)_ blood culture_ amplified probe technique_ each target reported as detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacteria and fungi)_ gram-positive organism identification and drug resistance element detection_ DNA (20 gram-positive bacterial targets_ 4 resistance gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0141U","description":"Infectious disease (bacteria and fungi)_ gram-positive organism identification and drug resistance element detection_ DNA (20 gram-positive bacterial targets_ 4 resistance gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0142A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01420","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01420","description":"CPT-01420","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacteria and fungi)_ gram-negative bacterial identification and drug resistance element detection_ DNA (21 gram-negative bacterial targets_ 6 resistance ge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0142U","description":"Infectious disease (bacteria and fungi)_ gram-negative bacterial identification and drug resistance element detection_ DNA (21 gram-negative bacterial targets_ 6 resistance ge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01430","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01430","description":"CPT-01430","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01442","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01442","description":"CPT-01442","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01444","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01444","description":"CPT-01444","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 120 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0143U","description":"Drug assay_ definitive_ 120 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0144A","description":"IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01432","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01432","description":"CPT-01432","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01440","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01440","description":"CPT-01440","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 160 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0144U","description":"Drug assay_ definitive_ 160 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01462","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01462","description":"CPT-01462","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 65 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0145U","description":"Drug assay_ definitive_ 65 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01464","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01464","description":"CPT-01464","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01470","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01470","description":"CPT-01470","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 80 or more drugs or metabolites_ urine_ by quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitori","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0146U","description":"Drug assay_ definitive_ 80 or more drugs or metabolites_ urine_ by quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitori","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01472","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01472","description":"CPT-01472","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33504","description":"Coronary artery graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-66683","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66683","description":"CPT-66683","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mattress foam rubber","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0272","description":"Mattress foam rubber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alpha 1 proteinase inhibitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0256","description":"Alpha 1 proteinase inhibitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLW","description":"HIPPS-1CGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hg a1c level 7.0-9.0%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3045F","description":"Hg a1c level 7.0-9.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lt compres band >=5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6450","description":"Lt compres band >=5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Saliva test_ hormone level;","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3650","description":"Saliva test_ hormone level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q9996","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9996","description":"HCPCS-Q9996","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8D","description":"HIPPS-RMB8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No xray/ct/ et al ordd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3320F","description":"No xray/ct/ et al ordd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB60","description":"HIPPS-RLB60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Silvr oxide batt glucose mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4236","description":"Silvr oxide batt glucose mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES12D","description":"HIPPS-ES12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01486","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01486","description":"CPT-01486","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topotecan oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8705","description":"Topotecan oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colchicine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0760","description":"Colchicine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81414","description":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB134","description":"HIPPS-BB134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0618U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0618U","description":"CPT-0618U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74290","description":"Contrast x-ray gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Weight record","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2001F","description":"Weight record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; first physician or other qualified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0820T","description":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; first physician or other qualified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inflamation (eosinophilic esophagitis)_ ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major basic protein (PRG2 [proteoglycan 2_ pro eosinophil major","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0095U","description":"Inflamation (eosinophilic esophagitis)_ ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major basic protein (PRG2 [proteoglycan 2_ pro eosinophil major","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB25C","description":"HIPPS-LB25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gene test alpha-thalassemia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3845","description":"Gene test alpha-thalassemia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36590","description":"Removal tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not screened for unhealthy alcohol use using a systematic screening method_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2199","description":"Patient not screened for unhealthy alcohol use using a systematic screening method_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln cmplt max lab","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5750","description":"Denture reln cmplt max lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/dye_ spinal canal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8931","description":"Mra_ w/dye_ spinal canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0264U","description":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped caloric dense>/=0.7kc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4160","description":"Ef ped caloric dense>/=0.7kc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maple syrup urine disease monitoring by patient-collected blood card sample_ quantitative measurement of allo-isoleucine_ leucine_ isoleucine_ and valine_ liquid chromatograph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0381U","description":"Maple syrup urine disease monitoring by patient-collected blood card sample_ quantitative measurement of allo-isoleucine_ leucine_ isoleucine_ and valine_ liquid chromatograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ elotuzumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9176","description":"Injection_ elotuzumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27654","description":"Repair of achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00730","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00730","description":"CPT-00730","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0704","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0704","description":"CDT-D0704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Expandable controller_ initl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2377","description":"Expandable controller_ initl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HER2/neu positive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9830","description":"HER2/neu positive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval on foot documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8410","description":"Eval on foot documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB145","description":"HIPPS-LB145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01404","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01404","description":"CPT-01404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25100","description":"Biopsy of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18I","description":"HIPPS-LD18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA24C","description":"HIPPS-BA24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald telephone amplifier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5268","description":"Ald telephone amplifier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise thigh tendon & fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27305","description":"Incise thigh tendon & fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise intestine lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44110","description":"Excise intestine lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anabolic steroid 3 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80328","description":"Anabolic steroid 3 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stationary liquid 02","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0439","description":"Stationary liquid 02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/read 2-8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88187","description":"Flowcytometry/read 2-8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ transpl pkg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2152","description":"Solid organ transpl pkg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst w/t/o & vag repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58263","description":"Vag hyst w/t/o & vag repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aor ane 5.5-5.9 cm max diam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9598","description":"Aor ane 5.5-5.9 cm max diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M.avium-intra dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87562","description":"M.avium-intra dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psych hlth fac svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2013","description":"Psych hlth fac svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0402","description":"HCPCS-A0402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt reas not rec hcv srn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9385","description":"Doc pt reas not rec hcv srn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excisional biopsy of minor salivary glands","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7284","description":"Excisional biopsy of minor salivary glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot plate molded stirrup at","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2250","description":"Foot plate molded stirrup at","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery for liver lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47300","description":"Surgery for liver lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8B","description":"HIPPS-RHA8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB15B","description":"HIPPS-HB15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB16","description":"HIPPS-RVB16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21268","description":"Revise eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE211","description":"HIPPS-LE211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implnt/abut fixed dent mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6115","description":"Implnt/abut fixed dent mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as a tobacco user received tobacco cessation intervention (counseling and/or pharmacotherapy)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9906","description":"Patient identified as a tobacco user received tobacco cessation intervention (counseling and/or pharmacotherapy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy thru skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47556","description":"Biliary endoscopy thru skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-op asst not doc_ rng","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9617","description":"Pre-op asst not doc_ rng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50650","description":"Removal of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00851","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00851","description":"CPT-00851","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore inner ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69806","description":"Explore inner ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ phenylephrine HCl (Immphentiv)_ 20 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2373","description":"Injection_ phenylephrine HCl (Immphentiv)_ 20 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of elbow or wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29260","description":"Strapping of elbow or wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem nonodonto cyst to 1.25cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7460","description":"Rem nonodonto cyst to 1.25cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX3D","description":"HIPPS-RMX3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL4A","description":"HIPPS-RUL4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immune globulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90399","description":"Immune globulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radium/radioisotope therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77799","description":"Radium/radioisotope therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32940","description":"Revision of lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48102","description":"Needle biopsy pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmoscopy/dynamometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92260","description":"Ophthalmoscopy/dynamometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise urethra stage 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53405","description":"Revise urethra stage 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko w adj flex/ext rotat mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1846","description":"Ko w adj flex/ext rotat mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-mgmt educ/train 2-4 pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98961","description":"Self-mgmt educ/train 2-4 pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL2","description":"HIPPS-3AFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9963","description":"Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant brain electrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61760","description":"Implant brain electrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mdd moderate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3089F","description":"Mdd moderate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suprv interfacilty transport","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99485","description":"Suprv interfacilty transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo w/o joint multi-axis an","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2038","description":"Kafo w/o joint multi-axis an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01730","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01730","description":"CPT-01730","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Door to punc time >2hr_ nrg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9582","description":"Door to punc time >2hr_ nrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLU","description":"HIPPS-3BFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDTB&VINCULIN IGG ANTB IA","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0176U","description":"CDTB&VINCULIN IGG ANTB IA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tint photochromatic lens/es","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2744","description":"Tint photochromatic lens/es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Md certification hha patient","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0180","description":"Md certification hha patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryosurgery penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54056","description":"Cryosurgery penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain w/ h noble m","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2750","description":"Crown porcelain w/ h noble m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB12C","description":"HIPPS-BB12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mouth piece","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4617","description":"Mouth piece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetric panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80055","description":"Obstetric panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee suction socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5647","description":"Below knee suction socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cocaine hydrochloride nasal solution for topical administration_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9046","description":"Cocaine hydrochloride nasal solution for topical administration_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skull base/brainstem surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61576","description":"Skull base/brainstem surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB20D","description":"HIPPS-LB20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA21C","description":"HIPPS-CA21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC1B","description":"HIPPS-RUC1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKS","description":"HIPPS-5BGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gen use back cush wdth <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2611","description":"Gen use back cush wdth <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1807","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1807","description":"HCPCS-E1807","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride skin at fx site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11010","description":"Debride skin at fx site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9616","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9616","description":"HCPCS-A9616","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo ak/hip knee extens assi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5850","description":"Endo ak/hip knee extens assi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Haberman feeder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8265","description":"Haberman feeder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28430","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc iliac repr w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34900","description":"Endovasc iliac repr w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1 pc ost pou w built-in conv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5057","description":"1 pc ost pou w built-in conv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastoidectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69502","description":"Mastoidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R & l heart cath congenital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93531","description":"R & l heart cath congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor <22.05._comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0207","description":"Traumatic brain injury with Motor <22.05._comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC23D","description":"HIPPS-CC23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anti-EGFR monoclonal antibody therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9839","description":"Anti-EGFR monoclonal antibody therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply intrcav radiat simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77761","description":"Apply intrcav radiat simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Language screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5363","description":"Language screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM1","description":"HIPPS-4CGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjust bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20693","description":"Adjust bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray frnt lat lordotc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71021","description":"Chest x-ray frnt lat lordotc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gadoxetate disodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9581","description":"Gadoxetate disodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC130","description":"HIPPS-HC130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ceftazidime and avibactam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0714","description":"Ceftazidime and avibactam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01474","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01474","description":"CPT-01474","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bivalirudin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0583","description":"Bivalirudin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0517T","description":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0631U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0631U","description":"CPT-0631U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01480","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01480","description":"CPT-01480","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 85 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0147U","description":"Drug assay_ definitive_ 85 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01482","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01482","description":"CPT-01482","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01486","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01486","description":"CPT-01486","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (Cuvitru)_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1555","description":"Injection_ immune globulin (Cuvitru)_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB124","description":"HIPPS-HB124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01484","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01484","description":"CPT-01484","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Segesterone acetate and ethinyl estradiol 0.15 mg_ 0.013 mgper 24 hours; yearly vaginal system_ ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7294","description":"Segesterone acetate and ethinyl estradiol 0.15 mg_ 0.013 mgper 24 hours; yearly vaginal system_ ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-25448","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25448","description":"CPT-25448","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA24D","description":"HIPPS-CA24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX05","description":"HIPPS-RVX05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria w/bypass add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33259","description":"Ablate atria w/bypass add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01490","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01490","description":"CPT-01490","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 100 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0148U","description":"Drug assay_ definitive_ 100 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 60 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0149U","description":"Drug assay_ definitive_ 60 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01502","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01502","description":"CPT-01502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01500","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01500","description":"CPT-01500","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 120 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0150U","description":"Drug assay_ definitive_ 120 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0151A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01520","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01520","description":"CPT-01520","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen specific nucleic acid (DNA or RNA)_ 33 targets_ real-time semi-quantitative PCR_ bronchoalveolar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0151U","description":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen specific nucleic acid (DNA or RNA)_ 33 targets_ real-time semi-quantitative PCR_ bronchoalveolar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure_ intestine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6021","description":"Unlisted procedure_ intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of histamine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83088","description":"Assay of histamine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01522","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01522","description":"CPT-01522","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0154A","description":"IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacteria_ fungi_ parasites_ and DNA viruses)_ DNA_ PCR and next-generation sequencing_ plasma_ detection of >1_000 potential microbial organisms for signif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0152U","description":"Infectious disease (bacteria_ fungi_ parasites_ and DNA viruses)_ DNA_ PCR and next-generation sequencing_ plasma_ detection of >1_000 potential microbial organisms for signif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ mRNA_ gene expression profiling by next-generation sequencing of 101 genes_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as a tripl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0153U","description":"Oncology (breast)_ mRNA_ gene expression profiling by next-generation sequencing of 101 genes_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as a tripl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogen_ semiquantitative identification_ DNA from 16 bacterial organisms and 1 fungal organism_ multip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0371U","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogen_ semiquantitative identification_ DNA from 16 bacterial organisms and 1 fungal organism_ multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial cancer)_ RNA_ analysis by real-time RT-PCR of the FGFR3 (fibroblast growth factor receptor 3) gene analysis (ie_ p.R248C [c.742C>T]_ p.S249C [c.746C>G]_ p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0154U","description":"Oncology (urothelial cancer)_ RNA_ analysis by real-time RT-PCR of the FGFR3 (fibroblast growth factor receptor 3) gene analysis (ie_ p.R248C [c.742C>T]_ p.S249C [c.746C>G]_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tongue removal neck surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41145","description":"Tongue removal neck surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Copy number (EG_ intellectual disability_ dysmorphology)_ sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0156U","description":"Copy number (EG_ intellectual disability_ dysmorphology)_ sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast cancer)_ DNA_ PIK3CA (phosphatidylinositol-4_5-bisphosphate 3-kinase_ catalytic subunit alpha) (eg_ breast cancer) gene analysis (ie_ p.C420R_ p.E542K_ p.E545","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0155U","description":"Oncology (breast cancer)_ DNA_ PIK3CA (phosphatidylinositol-4_5-bisphosphate 3-kinase_ catalytic subunit alpha) (eg_ breast cancer) gene analysis (ie_ p.C420R_ p.E542K_ p.E545","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computer-aided detection_ including computer algorithm analysis of MRI image data for lesion detection/characterization_ pharmacokinetic analysis_ with further physician revie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0159T","description":"Computer-aided detection_ including computer algorithm analysis of MRI image data for lesion detection/characterization_ pharmacokinetic analysis_ with further physician revie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed fixd ht w/o mattres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0251","description":"Hosp bed fixd ht w/o mattres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MLH1 (mutL homolog 1) (eg_ hereditary non-polyposis colorectal cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0158U","description":"MLH1 (mutL homolog 1) (eg_ hereditary non-polyposis colorectal cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"APC (APC regulator of WNT signaling pathway)(EG_familial adenomatosis polyposis [FAP] MRNA sequence analysis (list seperately in addition to code for primary procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0157U","description":"APC (APC regulator of WNT signaling pathway)(EG_familial adenomatosis polyposis [FAP] MRNA sequence analysis (list seperately in addition to code for primary procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool Tub_ Walk-In_ Portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1003","description":"Whirlpool Tub_ Walk-In_ Portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD234","description":"HIPPS-PD234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ppps_ initial visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0438","description":"Ppps_ initial visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MSH6 (mutS homolog 6) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0160U","description":"MSH6 (mutS homolog 6) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01610","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01610","description":"CPT-01610","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01620","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01620","description":"CPT-01620","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ coated/cov w/del sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1874","description":"Stent_ coated/cov w/del sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MSH2 (mutS homolog 2) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0159U","description":"MSH2 (mutS homolog 2) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PMS2 (PMS1 homolog 2_ mismatch repair system component) (eg_ hereditary non-polyposis colorectal cancer_ Lynch syndrome) mRNA sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0161U","description":"PMS2 (PMS1 homolog 2_ mismatch repair system component) (eg_ hereditary non-polyposis colorectal cancer_ Lynch syndrome) mRNA sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01622","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01622","description":"CPT-01622","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary colon cancer (Lynch syndrome)_ targeted mRNA sequence analysis panel (MLH1_ MSH2_ MSH6_ PMS2)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0162U","description":"Hereditary colon cancer (Lynch syndrome)_ targeted mRNA sequence analysis panel (MLH1_ MSH2_ MSH6_ PMS2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01634","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01634","description":"CPT-01634","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01630","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01630","description":"CPT-01630","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01636","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01636","description":"CPT-01636","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj for sacroiliac jt anesth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0260","description":"Inj for sacroiliac jt anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES35B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES35B","description":"HIPPS-ES35B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manipulate finger w/anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26340","description":"Manipulate finger w/anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01638","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01638","description":"CPT-01638","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB02","description":"HIPPS-RHB02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumb artif diskectomy addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0163T","description":"Lumb artif diskectomy addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspirate/inj ganglion cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20612","description":"Aspirate/inj ganglion cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lumb artif disc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0164T","description":"Remove lumb artif disc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0164A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins (teratocarcinoma derived growth factor-1 [TDGF-1_ Cripto-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0163U","description":"Oncology (colorectal) screening_ biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins (teratocarcinoma derived growth factor-1 [TDGF-1_ Cripto-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology (irritable bowel syndrome [IBS])_ immunoassay for anti-CdtB and anti-vinculin antibodies_ utilizing plasma_ algorithm for elevated or not elevated qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0164U","description":"Gastroenterology (irritable bowel syndrome [IBS])_ immunoassay for anti-CdtB and anti-vinculin antibodies_ utilizing plasma_ algorithm for elevated or not elevated qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling catheter latex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4338","description":"Indwelling catheter latex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01652","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01652","description":"CPT-01652","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01650","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01650","description":"CPT-01650","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01654","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01654","description":"CPT-01654","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise lumb artif disc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0165T","description":"Revise lumb artif disc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peanut allergen specific IgE and quantitative assessment of 64 epitopes using enzyme-linked immunosorbent assay (ELISA)_ blood_ individual epitope results and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0165U","description":"Peanut allergen specific IgE and quantitative assessment of 64 epitopes using enzyme-linked immunosorbent assay (ELISA)_ blood_ individual epitope results and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01656","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01656","description":"CPT-01656","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA230","description":"HIPPS-BA230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver disease_ 10 biochemical assays (a2-macroglobulin_ haptoglobin_ apolipoprotein A1_ bilirubin_ GGT_ ALT_ AST_ triglycerides_ cholesterol_ fasting glucose) and biometric an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0166U","description":"Liver disease_ 10 biochemical assays (a2-macroglobulin_ haptoglobin_ apolipoprotein A1_ bilirubin_ GGT_ ALT_ AST_ triglycerides_ cholesterol_ fasting glucose) and biometric an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sales tax","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9985","description":"Sales tax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01670","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01670","description":"CPT-01670","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB155","description":"HIPPS-LB155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01680","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01680","description":"CPT-01680","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gonadotropin chorionic (hCG) immunoassay with direct optical observation blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0167U","description":"Gonadotropin chorionic (hCG) immunoassay with direct optical observation blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01682","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01682","description":"CPT-01682","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NUDT15 (nudix hydrolase 15) and TPMT (thiopurine SCmethyltransferase) (eg drug metabolism) gene analysis common variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0169U","description":"NUDT15 (nudix hydrolase 15) and TPMT (thiopurine SCmethyltransferase) (eg drug metabolism) gene analysis common variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy (trisomy 21_ 18_ and 13) DNA sequence analysis of selected regions using maternal plasma without fetal fraction cutoff_ algorithm reported as a risk score for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0168U","description":"Fetal aneuploidy (trisomy 21_ 18_ and 13) DNA sequence analysis of selected regions using maternal plasma without fetal fraction cutoff_ algorithm reported as a risk score for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place stereo cath brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0169T","description":"Place stereo cath brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHK2","description":"HIPPS-3CHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder ASD) RNA next-generation sequencing saliva algorithmic analysis and results reported as predictive probability of ASD diagnosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0170U","description":"Neurology (autism spectrum disorder ASD) RNA next-generation sequencing saliva algorithmic analysis and results reported as predictive probability of ASD diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief (20 minutes) in-home visit for a new patient post-discharge.  For use only in a Medicare-appro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2001","description":"Brief (20 minutes) in-home visit for a new patient post-discharge.  For use only in a Medicare-appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01710","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01710","description":"CPT-01710","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01712","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01712","description":"CPT-01712","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01716","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01716","description":"CPT-01716","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01714","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01714","description":"CPT-01714","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech/hearing therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92508","description":"Speech/hearing therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levalbuterol comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7615","description":"Levalbuterol comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar spine proces distract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0171T","description":"Lumbar spine proces distract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar spine process addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0172T","description":"Lumbar spine process addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of progesterone 17-d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83498","description":"Assay of progesterone 17-d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0171A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ acute myeloid leukemia_ myelodysplastic syndrome_ and myeloproliferative neoplasms_ DNA analysis_ 23 genes_ interrogation for sequenc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0171U","description":"Targeted genomic sequence analysis panel_ acute myeloid leukemia_ myelodysplastic syndrome_ and myeloproliferative neoplasms_ DNA analysis_ 23 genes_ interrogation for sequenc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01730","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01730","description":"CPT-01730","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC SLD TUM ALYS BRCA1 BRCA2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0172U","description":"ONC SLD TUM ALYS BRCA1 BRCA2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration behind upper jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31040","description":"Exploration behind upper jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01740","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01740","description":"CPT-01740","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PSYC GEN ALYS PANEL 14 GENES","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0173U","description":"PSYC GEN ALYS PANEL 14 GENES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0173A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49595","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01744","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01744","description":"CPT-01744","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01742","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01742","description":"CPT-01742","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0174A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko dbl upright w/air pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1847","description":"Ko dbl upright w/air pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis_ each separat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0836T","description":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis_ each separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8X","description":"HIPPS-RHB8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 0.6-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11421","description":"Exc h-f-nk-sp b9+marg 0.6-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cad cxr with interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0174T","description":"Cad cxr with interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC SOLID TUMOR 30 PRTN TRGT","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0174U","description":"ONC SOLID TUMOR 30 PRTN TRGT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01756","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01756","description":"CPT-01756","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA22D","description":"HIPPS-CA22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01758","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01758","description":"CPT-01758","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PSYC GEN ALYS PANEL 15 GENES","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0175U","description":"PSYC GEN ALYS PANEL 15 GENES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cad cxr remote","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0175T","description":"Cad cxr remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Installation_ ciprofloxacin otic suspension_ 6mg (Otiprio)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9479","description":"Installation_ ciprofloxacin otic suspension_ 6mg (Otiprio)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0566U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0566U","description":"CPT-0566U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01760","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01760","description":"CPT-01760","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDTB&VINCULIN IGG ANTB IA","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0176U","description":"CDTB&VINCULIN IGG ANTB IA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01770","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01770","description":"CPT-01770","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resin two surfaces-anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2331","description":"Resin two surfaces-anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01772","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01772","description":"CPT-01772","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC BRST CA DNA PIK3CA 11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0177U","description":"ONC BRST CA DNA PIK3CA 11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0221","description":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert hepatic shunt (tips)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37182","description":"Insert hepatic shunt (tips)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01782","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01782","description":"CPT-01782","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"64 lead ecg w/i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0178T","description":"64 lead ecg w/i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PEANUT ALLG ASMT EPI CLIN RX","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0178U","description":"PEANUT ALLG ASMT EPI CLIN RX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"64 lead ecg w/tracing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0179T","description":"64 lead ecg w/tracing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01780","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01780","description":"CPT-01780","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28225","description":"Release of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC NONSM CLL LNG CA ALYS 23","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0179U","description":"ONC NONSM CLL LNG CA ALYS 23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ABO GNOTYP ABO 7 EXONS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0180U","description":"ABO GNOTYP ABO 7 EXONS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD11A","description":"HIPPS-CD11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"64 lead ecg w/i&r only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0180T","description":"64 lead ecg w/i&r only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01810","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01810","description":"CPT-01810","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48000","description":"Drainage of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Had smoke b/4 anes day surg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9645","description":"Had smoke b/4 anes day surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ATN1 (atrophin 1) (eg_ dentatorubral-pallidoluysian atrophy) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81177","description":"ATN1 (atrophin 1) (eg_ dentatorubral-pallidoluysian atrophy) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CO GNOTYP AQP1 EXON 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0181U","description":"CO GNOTYP AQP1 EXON 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01820","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01820","description":"CPT-01820","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy tube collar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7526","description":"Tracheostomy tube collar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CROM GNOTYP CD55 EXONS 1-10","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0182U","description":"CROM GNOTYP CD55 EXONS 1-10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01829","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01829","description":"CPT-01829","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dispos cont lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0500","description":"Dispos cont lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High dose rate_electronic bracytherapy_ per fraction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0182T","description":"High dose rate_electronic bracytherapy_ per fraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB21A","description":"HIPPS-HB21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01842","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01842","description":"CPT-01842","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01832","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01832","description":"CPT-01832","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"DI GNOTYP SLC4A1 EXON 19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0183U","description":"DI GNOTYP SLC4A1 EXON 19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01844","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01844","description":"CPT-01844","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc rectal tumor endoscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0184T","description":"Exc rectal tumor endoscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01830","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01830","description":"CPT-01830","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"DO GNOTYP ART4 EXON 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0184U","description":"DO GNOTYP ART4 EXON 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01850","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01850","description":"CPT-01850","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01840","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01840","description":"CPT-01840","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01852","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01852","description":"CPT-01852","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FY GNOTYP ACKR1 EXONS 1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0187U","description":"FY GNOTYP ACKR1 EXONS 1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FUT2 GNOTYP FUT2 EXON 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0186U","description":"FUT2 GNOTYP FUT2 EXON 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8E","description":"HIPPS-RUB8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01860","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01860","description":"CPT-01860","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FUT1 GNOTYP FUT1 EXON 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0185U","description":"FUT1 GNOTYP FUT1 EXON 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Probe/needle_ cryo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2618","description":"Probe/needle_ cryo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28F","description":"HIPPS-PD28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; first 30-74 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0188T","description":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; first 30-74 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72146","description":"MRI chest spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin (human)_ 25%_ 20 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9046","description":"Albumin (human)_ 25%_ 20 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"GE GNOTYP GYPC EXONS 1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0188U","description":"GE GNOTYP GYPC EXONS 1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"GYPA GNOTYP NTRNS 1 5 EXON 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0189U","description":"GYPA GNOTYP NTRNS 1 5 EXON 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0189T","description":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"GYPB GNOTYP NTRNS 1 5 SEUX 3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0190U","description":"GYPB GNOTYP NTRNS 1 5 SEUX 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placement of intraocular radiation source applicator (List separately in addition to primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0190T","description":"Placement of intraocular radiation source applicator (List separately in addition to primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01916","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01916","description":"CPT-01916","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert ant segment drain int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0191T","description":"Insert ant segment drain int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IN GNOTYP CD44 EXONS 2 3 6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0191U","description":"IN GNOTYP CD44 EXONS 2 3 6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01920","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01920","description":"CPT-01920","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01922","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01922","description":"CPT-01922","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01924","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01924","description":"CPT-01924","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC5D","description":"HIPPS-RHC5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01925","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01925","description":"CPT-01925","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01926","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01926","description":"CPT-01926","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"JK GNOTYP SLC14A1 EXON 9","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0192U","description":"JK GNOTYP SLC14A1 EXON 9","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18A","description":"HIPPS-CD18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01930","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01930","description":"CPT-01930","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01931","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01931","description":"CPT-01931","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney function study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78725","description":"Kidney function study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01932","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01932","description":"CPT-01932","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01935","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01935","description":"CPT-01935","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); duplication/deletion variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81363","description":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); duplication/deletion variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01933","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01933","description":"CPT-01933","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop kinetic balnce sensr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0396T","description":"Intraop kinetic balnce sensr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunotherapy administration with electroporation_ intramuscular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0732T","description":"Immunotherapy administration with electroporation_ intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c dpth 22-25 in seat frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2343","description":"W/c dpth 22-25 in seat frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01936","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01936","description":"CPT-01936","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01937","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01937","description":"CPT-01937","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prefab stnlss steel crown pe","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2931","description":"Prefab stnlss steel crown pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01938","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01938","description":"CPT-01938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of patient-activated cardiac event recorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33282","description":"Implantation of patient-activated cardiac event recorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01939","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01939","description":"CPT-01939","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flu vac pandem prsrv free im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90666","description":"Flu vac pandem prsrv free im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01940","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01940","description":"CPT-01940","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"JR GNOTYP ABCG2 EXONS 2-26","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0193U","description":"JR GNOTYP ABCG2 EXONS 2-26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27886","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01941","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01941","description":"CPT-01941","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-auto graft addl tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4285","description":"Non-auto graft addl tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01942","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01942","description":"CPT-01942","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24420","description":"Revision of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01951","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01951","description":"CPT-01951","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"KEL GNOTYP KEL EXON 8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0194U","description":"KEL GNOTYP KEL EXON 8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE215","description":"HIPPS-CE215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKU","description":"HIPPS-2AFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81364","description":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01952","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01952","description":"CPT-01952","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01953","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01953","description":"CPT-01953","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01958","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01958","description":"CPT-01958","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"KLF1 TARGETED SEQUENCING","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0195U","description":"KLF1 TARGETED SEQUENCING","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ pre-sacral interbody technique_ disc space preparation_ discectomy_ without instrumentation_ with image guidance_ includes bone graft when performed; L5-S1 inters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0195T","description":"Arthrodesis_ pre-sacral interbody technique_ disc space preparation_ discectomy_ without instrumentation_ with image guidance_ includes bone graft when performed; L5-S1 inters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01960","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01960","description":"CPT-01960","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01961","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01961","description":"CPT-01961","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01963","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01963","description":"CPT-01963","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0598U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0598U","description":"CPT-0598U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01962","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01962","description":"CPT-01962","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9024","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9024","description":"HCPCS-J9024","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resin retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6549","description":"Resin retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Device evaluation and interrogation of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ including reprogramming and visual training_ when performed_ wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0473T","description":"Device evaluation and interrogation of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ including reprogramming and visual training_ when performed_ wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01965","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01965","description":"CPT-01965","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vabra aspirator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4480","description":"Vabra aspirator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction tongue fold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41520","description":"Reconstruction tongue fold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01966","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01966","description":"CPT-01966","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01967","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01967","description":"CPT-01967","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of metatarsal heads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28114","description":"Removal of metatarsal heads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ pre-sacral interbody technique_ disc space preparation_ discectomy_ without instrumentation_ with image guidance_ includes bone graft when performed; L4-L5 inters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0196T","description":"Arthrodesis_ pre-sacral interbody technique_ disc space preparation_ discectomy_ without instrumentation_ with image guidance_ includes bone graft when performed; L4-L5 inters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01969","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01969","description":"CPT-01969","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01968","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01968","description":"CPT-01968","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"LU GNOTYP BCAM EXON 3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0196U","description":"LU GNOTYP BCAM EXON 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95148","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser surgery anal lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46917","description":"Laser surgery anal lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RHD&RHCE GNTYP RHD1-10&RHCE5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0198U","description":"RHD&RHCE GNTYP RHD1-10&RHCE5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01990","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01990","description":"CPT-01990","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular blood flow measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0198T","description":"Ocular blood flow measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA5B","description":"HIPPS-RLA5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert needle cath bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44015","description":"Insert needle cath bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reattach tooth fragment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2921","description":"Reattach tooth fragment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"LW GNOTYP ICAM4 EXON 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0197U","description":"LW GNOTYP ICAM4 EXON 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01991","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01991","description":"CPT-01991","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01992","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01992","description":"CPT-01992","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01996","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01996","description":"CPT-01996","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01999","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01999","description":"CPT-01999","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SC GNOTYP ERMAP EXONS 4 12","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0199U","description":"SC GNOTYP ERMAP EXONS 4 12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lung artery emboli","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33910","description":"Remove lung artery emboli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"XK GNOTYP XK EXONS 1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0200U","description":"XK GNOTYP XK EXONS 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq sacral augmt bilat inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0201T","description":"Perq sacral augmt bilat inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"YT GNOTYP ACHE EXON 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0201U","description":"YT GNOTYP ACHE EXON 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9307","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9307","description":"HCPCS-C9307","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/tele follow up 35","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0408","description":"Inpt/tele follow up 35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22845","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post vert arthrplst 1 lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0202T","description":"Post vert arthrplst 1 lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0202U","description":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC THYR MRNA XPRSN ALYS 593","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0204U","description":"ONC THYR MRNA XPRSN ALYS 593","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AI IBD MRNA XPRSN PRFL 17","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0203U","description":"AI IBD MRNA XPRSN PRFL 17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inirs each vessel add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0205T","description":"Inirs each vessel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cptr dbs alys car elec dta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0206T","description":"Cptr dbs alys car elec dta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"OPH AMD ALYS 3 GENE VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0205U","description":"OPH AMD ALYS 3 GENE VARIANTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NEURO ALZHEIMER CELL AGGREGJ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0206U","description":"NEURO ALZHEIMER CELL AGGREGJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of nasal bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70160","description":"X-ray exam of nasal bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clear eyelid gland w/heat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0207T","description":"Clear eyelid gland w/heat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99427","description":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NEURO ALZHEIMER QUAN IMAGING","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0207U","description":"NEURO ALZHEIMER QUAN IMAGING","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMX","description":"HIPPS-1CFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Receiver (Monitor)_ dedicated_ for use with therapeutic continuous glucose mnitor system.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0554","description":"Receiver (Monitor)_ dedicated_ for use with therapeutic continuous glucose mnitor system.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Audiometry air & bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0209T","description":"Audiometry air & bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Audiometry air only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0208T","description":"Audiometry air only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive Care Management For A Single High-Risk Disease Services_ E.G. Principal Care Management_ At Least 30 Minutes Of Clinical Staff Time Directed By A Physician Or Ot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2065","description":"Comprehensive Care Management For A Single High-Risk Disease Services_ E.G. Principal Care Management_ At Least 30 Minutes Of Clinical Staff Time Directed By A Physician Or Ot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYTOG CONST ALYS INTERROG","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0209U","description":"CYTOG CONST ALYS INTERROG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SYPHILIS TST ANTB IA QUAN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0210U","description":"SYPHILIS TST ANTB IA QUAN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cftr gene intron poly t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81224","description":"Cftr gene intron poly t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech audiom thresh & recog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0211T","description":"Speech audiom thresh & recog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC MTC MRNA XPRSN ALYS 108","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0208U","description":"ONC MTC MRNA XPRSN ALYS 108","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech audiometry threshold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0210T","description":"Speech audiometry threshold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0657U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0657U","description":"CPT-0657U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compre audiometry evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0212T","description":"Compre audiometry evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC PAN-TUM DNA&RNA GNRJ SEQ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0211U","description":"ONC PAN-TUM DNA&RNA GNRJ SEQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RARE DS GEN DNA ALYS PROBAND","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0212U","description":"RARE DS GEN DNA ALYS PROBAND","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01931","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01931","description":"CPT-01931","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28C","description":"HIPPS-CD28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso flex trnk sj-t9 pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0455","description":"Tlso flex trnk sj-t9 pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m pyrophosphate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9538","description":"Tc99m pyrophosphate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0213T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RARE DS GEN DNA ALYS EA COMP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0213U","description":"RARE DS GEN DNA ALYS EA COMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0214T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0215T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RARE DS XOM DNA ALYS PROBAND","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0214U","description":"RARE DS XOM DNA ALYS PROBAND","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RARE DS XOM DNA ALYS EA COMP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0215U","description":"RARE DS XOM DNA ALYS EA COMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA15","description":"HIPPS-RVA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NEURO INH ATAXIA DNA 12 COM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0216U","description":"NEURO INH ATAXIA DNA 12 COM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0216T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0217T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1368","description":"Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nortriptyline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6037","description":"Nortriptyline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NEURO INH ATAXIA DNA 51 GENE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0217U","description":"NEURO INH ATAXIA DNA 51 GENE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx vert fx w/o manj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22310","description":"Closed tx vert fx w/o manj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0218T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NEURO MUSC DYS DMD SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0218U","description":"NEURO MUSC DYS DMD SEQ ALYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2711","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2711","description":"HCPCS-J2711","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT AGT HIV GNRJ SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0219U","description":"NFCT AGT HIV GNRJ SEQ ALYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt post facet implt cerv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0219T","description":"Plmt post facet implt cerv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC BRST CA AI ASSMT 12 FEAT","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0220U","description":"ONC BRST CA AI ASSMT 12 FEAT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt post facet implt lumb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0221T","description":"Plmt post facet implt lumb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt post facet implt thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0220T","description":"Plmt post facet implt thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ABO GNOTYP NEXT GNRJ SEQ ABO","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0221U","description":"ABO GNOTYP NEXT GNRJ SEQ ABO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt post facet implt addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0222T","description":"Plmt post facet implt addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acoustic cardiography_ including automated analysis of combined acoustic and electrical intervals; single_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0223T","description":"Acoustic cardiography_ including automated analysis of combined acoustic and electrical intervals; single_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RHD&RHCE GNTYP NEXT GNRJ SEQ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0222U","description":"RHD&RHCE GNTYP NEXT GNRJ SEQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen-specific nucleic acid (DNA or RNA)_ 22 targets including severe acute respiratory syndrome corona","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0223U","description":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen-specific nucleic acid (DNA or RNA)_ 22 targets including severe acute respiratory syndrome corona","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple_ including serial trended analysis and limited reprogramming of device parameter - AV or VV delays only_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0224T","description":"Multiple_ including serial trended analysis and limited reprogramming of device parameter - AV or VV delays only_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ includes titer(s)_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0224U","description":"Antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ includes titer(s)_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple_ including serial trended analysis and limited reprogramming of device parameter - AV and VV delays_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0225T","description":"Multiple_ including serial trended analysis and limited reprogramming of device parameter - AV and VV delays_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS DNA&RNA 21 TARGETS SARS-COV-2 AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0225U","description":"NFCT DS DNA&RNA 21 TARGETS SARS-COV-2 AMP PROBE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0229T","description":"Njx tfrml eprl w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ multianalyte molecular profile by photometric detection of macromolecules adsorbed on nanosponge array slides with machine learning_ utilizing first morni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0228U","description":"Oncology (prostate)_ multianalyte molecular profile by photometric detection of macromolecules adsorbed on nanosponge array slides with machine learning_ utilizing first morni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0228T","description":"Njx tfrml eprl w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surrogate viral neutralization test (sVNT)_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ ELISA_ plasma_ serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0226U","description":"Surrogate viral neutralization test (sVNT)_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ ELISA_ plasma_ serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BCAT1 (Branched chain amino acid transaminase 1) or IKZF1 (IKAROS family zinc finger 1) (eg_ colorectal cancer) promoter methylation analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0229U","description":"BCAT1 (Branched chain amino acid transaminase 1) or IKZF1 (IKAROS family zinc finger 1) (eg_ colorectal cancer) promoter methylation analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0230T","description":"Njx tfrml eprl w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug Assay_ Presumptive_ 30 Or More Drugs Or Metabolites_ Urine_ Liquid Chromatography With Tandem Mass Spectrometry (Lc-Ms/Ms) Using Multiple Reaction Monitoring (Mrm)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0227U","description":"Drug Assay_ Presumptive_ 30 Or More Drugs Or Metabolites_ Urine_ Liquid Chromatography With Tandem Mass Spectrometry (Lc-Ms/Ms) Using Multiple Reaction Monitoring (Mrm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation)_ full sequence analysis_ including small sequence changes in exonic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0230U","description":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation)_ full sequence analysis_ including small sequence changes in exonic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0231T","description":"Njx tfrml eprl w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CACNA1A (calcium voltage-gated channel subunit alpha 1A) (eg_ spinocerebellar ataxia)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ del","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0231U","description":"CACNA1A (calcium voltage-gated channel subunit alpha 1A) (eg_ spinocerebellar ataxia)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx platelet plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0232T","description":"Njx platelet plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CSTB (cystatin B) (eg_ progressive myoclonic epilepsy type 1A_ Unverricht-Lundborg disease)_ full gene analysis_ including small sequence changes in exonic and intronic region","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0232U","description":"CSTB (cystatin B) (eg_ progressive myoclonic epilepsy type 1A_ Unverricht-Lundborg disease)_ full gene analysis_ including small sequence changes in exonic and intronic region","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin advanced glycation endproducts (AGE) measurement by multi-wavelength fluorescent spectroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0233T","description":"Skin advanced glycation endproducts (AGE) measurement by multi-wavelength fluorescent spectroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FXN (frataxin) (eg_ Friedreich ataxia)_ gene analysis_ including small sequence changes in exonic and intronic regions_ deletions_ duplications_ short tandem repeat (STR) expa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0233U","description":"FXN (frataxin) (eg_ Friedreich ataxia)_ gene analysis_ including small sequence changes in exonic and intronic regions_ deletions_ duplications_ short tandem repeat (STR) expa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc renal art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0234T","description":"Trluml perip athrc renal art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MECP2 (methyl CpG binding protein 2) (eg_ Rett syndrome)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ deletions_ duplications_ mobile","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0234U","description":"MECP2 (methyl CpG binding protein 2) (eg_ Rett syndrome)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ deletions_ duplications_ mobile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1_ telomeric) and SMN2 (survival of motor neuron 2_ centromeric) (eg_ spinal muscular atrophy) full gene analysis_ including small sequence chan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0236U","description":"SMN1 (survival of motor neuron 1_ telomeric) and SMN2 (survival of motor neuron 2_ centromeric) (eg_ spinal muscular atrophy) full gene analysis_ including small sequence chan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PTEN (phosphatase and tensin homolog) (eg_ Cowden syndrome_ PTEN hamartoma tumor syndrome)_ full gene analysis_ including small sequence changes in exonic and intronic regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0235U","description":"PTEN (phosphatase and tensin homolog) (eg_ Cowden syndrome_ PTEN hamartoma tumor syndrome)_ full gene analysis_ including small sequence changes in exonic and intronic regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc visceral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0235T","description":"Trluml perip athrc visceral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc abd aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0236T","description":"Trluml perip athrc abd aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc brchiocph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0237T","description":"Trluml perip athrc brchiocph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc iliac art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0238T","description":"Trluml perip athrc iliac art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia)_ genomic sequence analysis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0237U","description":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia)_ genomic sequence analysis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Lynch syndrome)_ genomic DNA sequence analysis of MLH1_ MSH2_ MSH6_ PMS2_ and EPCAM_ including small sequence changes in exonic and intronic regions_ deletions_ dupl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0238U","description":"Oncology (Lynch syndrome)_ genomic DNA sequence analysis of MLH1_ MSH2_ MSH6_ PMS2_ and EPCAM_ including small sequence changes in exonic and intronic regions_ deletions_ dupl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with 3-dimensional high resolution esophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0240T","description":"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with 3-dimensional high resolution esophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0241U","description":"NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0240U","description":"NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion during 3-dimensn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0241T","description":"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion during 3-dimensn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guardant360 CDX_ Guardant Health Inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0242U","description":"Guardant360 CDX_ Guardant Health Inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous measurement of wheeze rate during treatment assessment or during sleep for documentation of nocturnal wheeze and cough for diagnostic evaluation 3 to 24 hours","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0244T","description":"Continuous measurement of wheeze rate during treatment assessment or during sleep for documentation of nocturnal wheeze and cough for diagnostic evaluation 3 to 24 hours","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intermittent measurement of wheeze rate for bronchodilator or bronchial-challenge diagnostic evaluation(s)_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0243T","description":"Intermittent measurement of wheeze rate for bronchodilator or bronchial-challenge diagnostic evaluation(s)_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PIGF Preeclampsia Screen_ PerkinElmer Genetics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0243U","description":"PIGF Preeclampsia Screen_ PerkinElmer Genetics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ThyGeNEXT® Thyroid Oncogene Panel_ Interpace Diagnostics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0245U","description":"ThyGeNEXT® Thyroid Oncogene Panel_ Interpace Diagnostics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncotype MAP Pan-Cancer Tissue Test_ Paradigm Diagnostics_ Inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0244U","description":"Oncotype MAP Pan-Cancer Tissue Test_ Paradigm Diagnostics_ Inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PrecisionBlood™_ San Diego Blood Bank","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0246U","description":"PrecisionBlood™_ San Diego Blood Bank","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PreTRM®_ Sera Prognostics_ Sera Prognostics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0247U","description":"PreTRM®_ Sera Prognostics_ Sera Prognostics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Brain)_ Spheroid Cell Culture In A 3D Microenvironment_ 12 Drug Panel_ Tumor-Response Prediction For Each Drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0248U","description":"Oncology (Brain)_ Spheroid Cell Culture In A 3D Microenvironment_ 12 Drug Panel_ Tumor-Response Prediction For Each Drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation hemorrhoid w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0249T","description":"Ligation hemorrhoid w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Breast)_ Semiquantitative Analysis Of 32 Phosphoproteins And Protein Analytes_ Includes Laser Capture Microdissection_ With Algorithmic Analysis And Interpretative R","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0249U","description":"Oncology (Breast)_ Semiquantitative Analysis Of 32 Phosphoproteins And Protein Analytes_ Includes Laser Capture Microdissection_ With Algorithmic Analysis And Interpretative R","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Solid Organ Neoplasm)_ Targeted Genomic Sequence Dna Analysis Of 505 Genes_ Interrogation For Somatic Alterations (Snvs [Single Nucleotide Variant]_ Small Insertions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0250U","description":"Oncology (Solid Organ Neoplasm)_ Targeted Genomic Sequence Dna Analysis Of 505 Genes_ Interrogation For Somatic Alterations (Snvs [Single Nucleotide Variant]_ Small Insertions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepcidin-25_ Enzyme-Linked Immunosorbent Assay (Elisa)_ Serum Or Plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0251U","description":"Hepcidin-25_ Enzyme-Linked Immunosorbent Assay (Elisa)_ Serum Or Plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal Aneuploidy Short Tandem-Repeat Comparative Analysis_ Fetal Dna From Products Of Conception_ Reported As Normal (Euploidy)_ Monosomy_ Trisomy_ Or Partial Deletion/Duplica","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0252U","description":"Fetal Aneuploidy Short Tandem-Repeat Comparative Analysis_ Fetal Dna From Products Of Conception_ Reported As Normal (Euploidy)_ Monosomy_ Trisomy_ Or Partial Deletion/Duplica","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reproductive Medicine (Endometrial Receptivity Analysis)_ Rna Gene Expression Profile_ 238 Genes By Next-Generation Sequencing_ Endometrial Tissue_ Predictive Algorithm Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0253U","description":"Reproductive Medicine (Endometrial Receptivity Analysis)_ Rna Gene Expression Profile_ 238 Genes By Next-Generation Sequencing_ Endometrial Tissue_ Predictive Algorithm Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reproductive Medicine (Preimplantation Genetic Assessment)_ Analysis Of 24 Chromosomes Using Embryonic Dna Genomic Sequence Analysis For Aneuploidy_ And A Mitochondrial Dna Sc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0254U","description":"Reproductive Medicine (Preimplantation Genetic Assessment)_ Analysis Of 24 Chromosomes Using Embryonic Dna Genomic Sequence Analysis For Aneuploidy_ And A Mitochondrial Dna Sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert aqueous drain device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0253T","description":"Insert aqueous drain device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery bifurcation (eg_ aneurysm_ pseudoaneurysm_ arteriovenous malformation_ trauma_ dissection) using bifurcated endograft from the common iliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0254T","description":"Endovascular repair of iliac artery bifurcation (eg_ aneurysm_ pseudoaneurysm_ arteriovenous malformation_ trauma_ dissection) using bifurcated endograft from the common iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evasc rpr iliac art bifr s&i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0255T","description":"Evasc rpr iliac art bifr s&i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD)_ leukocyte enzyme activity_ whole blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0257U","description":"Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD)_ leukocyte enzyme activity_ whole blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile_ tandem mass spectrometry (MS/MS)_ urine_ with algorithmic analysis and interpretive report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0256U","description":"Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile_ tandem mass spectrometry (MS/MS)_ urine_ with algorithmic analysis and interpretive report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune (psoriasis)_ mRNA_ next-generation sequencing_ gene expression profiling of 50-100 genes_ skin-surface collection using adhesive patch_ algorithm reported as likeli","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0258U","description":"Autoimmune (psoriasis)_ mRNA_ next-generation sequencing_ gene expression profiling of 50-100 genes_ skin-surface collection using adhesive patch_ algorithm reported as likeli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Andrology (infertility)_ sperm-capacitation assessment of ganglioside GM1 distribution patterns_ fluorescence microscopy_ fresh/ frozen specimen_ reported as % of capacitated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0255U","description":"Andrology (infertility)_ sperm-capacitation assessment of ganglioside GM1 distribution patterns_ fluorescence microscopy_ fresh/ frozen specimen_ reported as % of capacitated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal cancer)_ image analysis with artificial intelligence assessment of 4 histologic and immunohistochemical features (CD3 and CD8 within tumor-stroma border","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0261U","description":"Oncology (colorectal cancer)_ image analysis with artificial intelligence assessment of 4 histologic and immunohistochemical features (CD3 and CD8 within tumor-stroma border","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ gene expression profiling by real-time RT-PCR of 7 gene pathways (ER_ AR_ PI3K_ MAPK_ HH_ TGFB_ Notch)_ formalin-fixed paraffin-embedded (FFPE)_ algori","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0262U","description":"Oncology (solid tumor)_ gene expression profiling by real-time RT-PCR of 7 gene pathways (ER_ AR_ PI3K_ MAPK_ HH_ TGFB_ Notch)_ formalin-fixed paraffin-embedded (FFPE)_ algori","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (chronic kidney disease)_ nuclear magnetic resonance spectroscopy measurement of myo-inositol_ valine_ and creatinine_ algorithmically combined with cystatin C (by","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0259U","description":"Nephrology (chronic kidney disease)_ nuclear magnetic resonance spectroscopy measurement of myo-inositol_ valine_ and creatinine_ algorithmically combined with cystatin C (by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0260U","description":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of catheter-delivered prosthetic pulmonary valve_ endovascular approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0262T","description":"Implantation of catheter-delivered prosthetic pulmonary valve_ endovascular approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 16 central carbon metabolites (ie_a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ succinat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0263U","description":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 16 central carbon metabolites (ie_a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ succinat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Im b1 mrw cel ther cmpl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0263T","description":"Im b1 mrw cel ther cmpl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Im b1 mrw cel ther xcl hrvst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0264T","description":"Im b1 mrw cel ther xcl hrvst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0264U","description":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Im b1 mrw cel ther hrvst onl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0265T","description":"Im b1 mrw cel ther hrvst onl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt/rpl crtd sns dev total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0266T","description":"Implt/rpl crtd sns dev total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unexplained constitutional or other heritable disorders or syndromes_ tissue-specific gene expression by whole-transcriptome and next-generation sequencing_ blood_ formalin-fi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0266U","description":"Unexplained constitutional or other heritable disorders or syndromes_ tissue-specific gene expression by whole-transcriptome and next-generation sequencing_ blood_ formalin-fi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt/rpl crtd sns dev lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0267T","description":"Implt/rpl crtd sns dev lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare constitutional and other heritable disorders_ whole genome and mitochondrial DNA sequence analysis_ blood_ frozen & formalin-fixed paraffin-embedded (FFPE) tissue_ saliva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0265U","description":"Rare constitutional and other heritable disorders_ whole genome and mitochondrial DNA sequence analysis_ blood_ frozen & formalin-fixed paraffin-embedded (FFPE) tissue_ saliva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt/rpl crtd sns dev gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0268T","description":"Implt/rpl crtd sns dev gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rev/remvl crtd sns dev total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0269T","description":"Rev/remvl crtd sns dev total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare constitutional and other heritable disorders_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0267U","description":"Rare constitutional and other heritable disorders_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (atypical hemolytic uremic syndrome [aHUS])_ genomic sequence analysis of 15 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ aHUS Genetic Evaluation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0268U","description":"Hematology (atypical hemolytic uremic syndrome [aHUS])_ genomic sequence analysis of 15 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ aHUS Genetic Evaluation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rev/remvl crtd sns dev lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0270T","description":"Rev/remvl crtd sns dev lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rev/remvl crtd sns dev gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0271T","description":"Rev/remvl crtd sns dev gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (autosomal dominant congenital thrombocytopenia)_ genomic sequence analysis of 14 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Autosomal Dominant Thromboc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0269U","description":"Hematology (autosomal dominant congenital thrombocytopenia)_ genomic sequence analysis of 14 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Autosomal Dominant Thromboc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (congenital coagulation disorders)_ genomic sequence analysis of 20 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Coagulation Disorder Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0270U","description":"Hematology (congenital coagulation disorders)_ genomic sequence analysis of 20 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Coagulation Disorder Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (congenital neutropenia)_ genomic sequence analysis of 23 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Congenital Neutropenia Panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0271U","description":"Hematology (congenital neutropenia)_ genomic sequence analysis of 23 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Congenital Neutropenia Panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogate crtd sns dev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0272T","description":"Interrogate crtd sns dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogate crtd sns w/pgrmg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0273T","description":"Interrogate crtd sns w/pgrmg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic bleeding disorders)_ genomic sequence analysis of 51 genes_ blood_ buccal swab_ or amniotic fluid_ comprehensive (Versiti™ Comprehensive Bleeding Disorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0272U","description":"Hematology (genetic bleeding disorders)_ genomic sequence analysis of 51 genes_ blood_ buccal swab_ or amniotic fluid_ comprehensive (Versiti™ Comprehensive Bleeding Disorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic hyperfibrinolysis_ delayed bleeding)_ genomic sequence analysis of 8 genes (F13A1_ F13B_ FGA_ FGB_ FGG_ SERPINA1_ SERPINE1_ SERPINF2_ PLAU)_ blood_ buccal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0273U","description":"Hematology (genetic hyperfibrinolysis_ delayed bleeding)_ genomic sequence analysis of 8 genes (F13A1_ F13B_ FGA_ FGB_ FGG_ SERPINA1_ SERPINE1_ SERPINF2_ PLAU)_ blood_ buccal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic platelet disorders)_ genomic sequence analysis of 43 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Comprehensive Platelet Disorder Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0274U","description":"Hematology (genetic platelet disorders)_ genomic sequence analysis of 43 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Comprehensive Platelet Disorder Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq lamot/lam crv/thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0274T","description":"Perq lamot/lam crv/thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq lamot/lam lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0275T","description":"Perq lamot/lam lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (inherited thrombocytopenia)_ genomic sequence analysis of 23 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Inherited Thrombocytopenia Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0276U","description":"Hematology (inherited thrombocytopenia)_ genomic sequence analysis of 23 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Inherited Thrombocytopenia Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic platelet function disorder)_ genomic sequence analysis of 31 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Platelet Function Disorder Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0277U","description":"Hematology (genetic platelet function disorder)_ genomic sequence analysis of 31 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Platelet Function Disorder Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (heparin-induced thrombocytopenia)_ platelet antibody reactivity by flow cytometry_ serum (Versiti™ Heparin-Induced Thrombocytopenia Evaluation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0275U","description":"Hematology (heparin-induced thrombocytopenia)_ platelet antibody reactivity by flow cytometry_ serum (Versiti™ Heparin-Induced Thrombocytopenia Evaluation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tempr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0278T","description":"Tempr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (von Willebrand disease [VWD])_ von Willebrand factor (VWF) and collagen IV binding by enzyme-linked immunosorbent assays (ELISA)_ plasma_ report of collagen IV bin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0280U","description":"Hematology (von Willebrand disease [VWD])_ von Willebrand factor (VWF) and collagen IV binding by enzyme-linked immunosorbent assays (ELISA)_ plasma_ report of collagen IV bin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic thrombosis)_ genomic sequence analysis of 12 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Thrombosis Panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0278U","description":"Hematology (genetic thrombosis)_ genomic sequence analysis of 12 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Thrombosis Panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laa closure w/implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0281T","description":"Laa closure w/implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul trial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0282T","description":"Periph field stimul trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ genotyping of 12 blood group system genes to predict 44 red blood cell antigen phenotypes (Versiti™ Red Cell Genotyping Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0282U","description":"Red blood cell antigen typing_ DNA_ genotyping of 12 blood group system genes to predict 44 red blood cell antigen phenotypes (Versiti™ Red Cell Genotyping Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (von Willebrand disease [VWD])_ von Willebrand propeptide_ enzyme-linked immunosorbent assays (ELISA)_ plasma_ diagnostic report of von Willebrand factor (VWF) prop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0281U","description":"Hematology (von Willebrand disease [VWD])_ von Willebrand propeptide_ enzyme-linked immunosorbent assays (ELISA)_ plasma_ diagnostic report of von Willebrand factor (VWF) prop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul perm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0283T","description":"Periph field stimul perm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0285T","description":"Periph field stimul analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul revise","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0284T","description":"Periph field stimul revise","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"von Willebrand factor (VWF)_ type 2B_ platelet-binding evaluation_ radioimmunoassay_ plasma (Versiti™ VWD Type 2B Evaluation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0283U","description":"von Willebrand factor (VWF)_ type 2B_ platelet-binding evaluation_ radioimmunoassay_ plasma (Versiti™ VWD Type 2B Evaluation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"von Willebrand factor (VWF)_ type 2N_ factor VIII and VWF binding evaluation_ enzyme-linked immunosorbent assays (ELISA)_ plasma (Versiti™ VWD Type 2N Binding)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0284U","description":"von Willebrand factor (VWF)_ type 2N_ factor VIII and VWF binding evaluation_ enzyme-linked immunosorbent assays (ELISA)_ plasma (Versiti™ VWD Type 2N Binding)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ Response To Radiation_ Cell-Free Dna_ Quantitative Branched Chain Dna Amplification_ Plasma_ Reported As A Radiation Toxicity Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0285U","description":"Oncology_ Response To Radiation_ Cell-Free Dna_ Quantitative Branched Chain Dna Amplification_ Plasma_ Reported As A Radiation Toxicity Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Near ifr spectrsc of wounds","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0286T","description":"Near ifr spectrsc of wounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cep72 (Centrosomal Protein_ 72-Kda)_ Nudt15 (Nudix Hydrolase 15) And Tpmt (Thiopurine S-Methyltransferase) (Eg_ Drug Metabolism) Gene Analysis_ Common Variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0286U","description":"Cep72 (Centrosomal Protein_ 72-Kda)_ Nudt15 (Nudix Hydrolase 15) And Tpmt (Thiopurine S-Methyltransferase) (Eg_ Drug Metabolism) Gene Analysis_ Common Variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (von Willebrand disease [VWD])_ von Willebrand factor (VWF) and collagen III binding by enzyme-linked immunosorbent assays (ELISA)_ plasma_ report of collagen III b","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0279U","description":"Hematology (von Willebrand disease [VWD])_ von Willebrand factor (VWF) and collagen III binding by enzyme-linked immunosorbent assays (ELISA)_ plasma_ report of collagen III b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Thyroid)_ Dna And Mrna_ Next-Generation Sequencing Analysis Of 112 Genes_ Fine Needle Aspirate Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Algorithmic Predict","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0287U","description":"Oncology (Thyroid)_ Dna And Mrna_ Next-Generation Sequencing Analysis Of 112 Genes_ Fine Needle Aspirate Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Algorithmic Predict","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy w/rf delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0288T","description":"Anoscopy w/rf delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser inc for pkp/lkp donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0289T","description":"Laser inc for pkp/lkp donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Near ifr guide of vasc site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0287T","description":"Near ifr guide of vasc site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (Alzheimer Disease)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 24 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0289U","description":"Neurology (Alzheimer Disease)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 24 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser inc for pkp/lkp recip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0290T","description":"Laser inc for pkp/lkp recip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Lung)_ Mrna_ Quantitative Pcr Analysis Of 11 Genes (Bag1_ Brca1_ Cdc6_ Cdk2Ap1_ Erbb3_ Fut3_ Il11_ Lck_ Rnd3_ Sh3Bgr_ Wnt3A) And 3 Reference Genes (Esd_ Tbp_ Yap1)_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0288U","description":"Oncology (Lung)_ Mrna_ Quantitative Pcr Analysis Of 11 Genes (Bag1_ Brca1_ Cdc6_ Cdk2Ap1_ Erbb3_ Fut3_ Il11_ Lck_ Rnd3_ Sh3Bgr_ Wnt3A) And 3 Reference Genes (Esd_ Tbp_ Yap1)_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pain Management_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 36 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0290U","description":"Pain Management_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 36 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iv oct for proc init vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0291T","description":"Iv oct for proc init vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (Mood Disorders)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 144 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0291U","description":"Psychiatry (Mood Disorders)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 144 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iv oct for proc addl vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0292T","description":"Iv oct for proc addl vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (Stress Disorders)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 72 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0292U","description":"Psychiatry (Stress Disorders)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 72 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins lt atrl mont pres lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0294T","description":"Ins lt atrl mont pres lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Longevity And Mortality Risk_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 18 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0294U","description":"Longevity And Mortality Risk_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 18 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (Suicidal Ideation)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 54 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0293U","description":"Psychiatry (Suicidal Ideation)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 54 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins lt atrl press monitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0293T","description":"Ins lt atrl press monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext ecg complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0295T","description":"Ext ecg complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0172A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Oral And/Or Oropharyngeal Cancer)_ Gene Expression Profiling By Rna Sequencing At Least 20 Molecular Features (Eg_ Human And/Or Microbial Mrna)_ Saliva_ Algorithm Re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0296U","description":"Oncology (Oral And/Or Oropharyngeal Cancer)_ Gene Expression Profiling By Rna Sequencing At Least 20 Molecular Features (Eg_ Human And/Or Microbial Mrna)_ Saliva_ Algorithm Re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Breast Ductal Carcinoma In Situ)_ Protein Expression Profiling By Immunohistochemistry Of 7 Proteins (Cox2_ Foxa1_ Her2_ Ki-67_ P16_ Pr_ Siah2)_ With 4 Clinicopathol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0295U","description":"Oncology (Breast Ductal Carcinoma In Situ)_ Protein Expression Profiling By Immunohistochemistry Of 7 Proteins (Cox2_ Foxa1_ Her2_ Ki-67_ P16_ Pr_ Siah2)_ With 4 Clinicopathol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esw wound healing init wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0299T","description":"Esw wound healing init wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext ecg recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0296T","description":"Ext ecg recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext ecg scan w/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0297T","description":"Ext ecg scan w/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Transcriptome Sequencing Of Paired Malignant And Normal Rna Specimens_ Fresh Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Blood Or Bone Marro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0298U","description":"Oncology (Pan Tumor)_ Whole Transcriptome Sequencing Of Paired Malignant And Normal Rna Specimens_ Fresh Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Blood Or Bone Marro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext ecg review and interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0298T","description":"Ext ecg review and interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01732","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01732","description":"CPT-01732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq sacral augmt unilat inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0200T","description":"Perq sacral augmt unilat inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ cell-free DNA_ analysis of 311 or more genes_ interrogation for sequence variants_ including substitutions_ ins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0239U","description":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ cell-free DNA_ analysis of 311 or more genes_ interrogation for sequence variants_ including substitutions_ ins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Genome Sequencing Of Paired Malignant And Normal Dna Specimens_ Fresh Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Blood Or Bone Marrow_ Comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0297U","description":"Oncology (Pan Tumor)_ Whole Genome Sequencing Of Paired Malignant And Normal Dna Specimens_ Fresh Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Blood Or Bone Marrow_ Comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Genome Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Frozen Tissue_ Blood_ Or Bone Marrow_ Comparative Structural Vari","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0299U","description":"Oncology (Pan Tumor)_ Whole Genome Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Frozen Tissue_ Blood_ Or Bone Marrow_ Comparative Structural Vari","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Genome Sequencing And Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Tissue_ Blood_ Or Bone Marrow_ Comparative Sequenc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0300U","description":"Oncology (Pan Tumor)_ Whole Genome Sequencing And Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Tissue_ Blood_ Or Bone Marrow_ Comparative Sequenc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esw wound healing addl wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0300T","description":"Esw wound healing addl wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mw therapy for breast tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0301T","description":"Mw therapy for breast tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna)_ Bartonella Henselae And Bartonella Quintana_ Droplet Digital Pcr (Ddpcr);","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0301U","description":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna)_ Bartonella Henselae And Bartonella Quintana_ Droplet Digital Pcr (Ddpcr);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntrng sys eltrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0303T","description":"Icar ischm mntrng sys eltrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna)_ Bartonella Henselae And Bartonella Quintana_ Droplet Digital Pcr (Ddpcr); Following Liquid Enrichment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0302U","description":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna)_ Bartonella Henselae And Bartonella Quintana_ Droplet Digital Pcr (Ddpcr); Following Liquid Enrichment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntrng sys compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0302T","description":"Icar ischm mntrng sys compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntrng prgrm eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0305T","description":"Icar ischm mntrng prgrm eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology_ Red Blood Cell (Rbc) Adhesion To Endothelial/Subendothelial Adhesion Molecules_ Functional Assessment_ Whole Blood_ With Algorithmic Analysis And Result Reported A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0303U","description":"Hematology_ Red Blood Cell (Rbc) Adhesion To Endothelial/Subendothelial Adhesion Molecules_ Functional Assessment_ Whole Blood_ With Algorithmic Analysis And Result Reported A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology_ Red Blood Cell (Rbc) Adhesion To Endothelial/Subendothelial Adhesion Molecules_ Functional Assessment_ Whole Blood_ With Algorithmic Analysis And Result Reported A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0304U","description":"Hematology_ Red Blood Cell (Rbc) Adhesion To Endothelial/Subendothelial Adhesion Molecules_ Functional Assessment_ Whole Blood_ With Algorithmic Analysis And Result Reported A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntrng sys device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0304T","description":"Icar ischm mntrng sys device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis_ cell-free DNA_ initial (baseline) assessment to determine a patient specific panel for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0306U","description":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis_ cell-free DNA_ initial (baseline) assessment to determine a patient specific panel for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntr interr eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0306T","description":"Icar ischm mntr interr eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis of a patient-specific panel_ cell-free DNA_ subsequent assessment with comparison to pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0307U","description":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis of a patient-specific panel_ cell-free DNA_ subsequent assessment with comparison to pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology_ Red Blood Cell (Rbc) Functionality And Deformity As A Function Of Shear Stress_ Whole Blood_ Reported As A Maximum Elongation Index","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0305U","description":"Hematology_ Red Blood Cell (Rbc) Functionality And Deformity As A Function Of Shear Stress_ Whole Blood_ Reported As A Maximum Elongation Index","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl icar ischm mntrng dvce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0307T","description":"Rmvl icar ischm mntrng dvce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (cardiovascular disease)_ analysis of 4 proteins (NT-proBNP_ osteopontin_ tissue inhibitor of metalloproteinase-1 [TIMP-1]_ and kidney injury molecule-1 [KIM-1])_ p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0309U","description":"Cardiology (cardiovascular disease)_ analysis of 4 proteins (NT-proBNP_ osteopontin_ tissue inhibitor of metalloproteinase-1 [TIMP-1]_ and kidney injury molecule-1 [KIM-1])_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor function mapping ntms","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0310T","description":"Motor function mapping ntms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescrl fuse w/ instr l4/l5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0309T","description":"Prescrl fuse w/ instr l4/l5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary artery disease [CAD])_ analysis of 3 proteins (high sensitivity [hs] troponin_ adiponectin_ and kidney injury molecule-1 [KIM-1])_ plasma_ algorithm repor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0308U","description":"Cardiology (coronary artery disease [CAD])_ analysis of 3 proteins (high sensitivity [hs] troponin_ adiponectin_ and kidney injury molecule-1 [KIM-1])_ plasma_ algorithm repor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-Invasive Calculation And Analysis Of Central Arterial Pressure Waveforms With Interpretation And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0311T","description":"Non-Invasive Calculation And Analysis Of Central Arterial Pressure Waveforms With Interpretation And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj ocular telescope prosth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0308T","description":"Insj ocular telescope prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laps impltj nstim vagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0312T","description":"Laps impltj nstim vagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial)_ quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)–based antimicrobial susceptibility for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0311U","description":"Infectious disease (bacterial)_ quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)–based antimicrobial susceptibility for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatrics (vasculitis_ Kawasaki disease [KD])_ analysis of 3 biomarkers (NT-proBNP_ C-reactive protein_ and T-uptake)_ plasma_ algorithm reported as a risk score for KD","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0310U","description":"Pediatrics (vasculitis_ Kawasaki disease [KD])_ analysis of 3 biomarkers (NT-proBNP_ C-reactive protein_ and T-uptake)_ plasma_ algorithm reported as a risk score for KD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laps rmvl nstim array vagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0313T","description":"Laps rmvl nstim array vagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune diseases (eg_ systemic lupus erythematosus [SLE])_ analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorben","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0312U","description":"Autoimmune diseases (eg_ systemic lupus erythematosus [SLE])_ analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorben","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pancreas)_ DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression_ pancreatic cyst fluid_ algorithm reported as a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0313U","description":"Oncology (pancreas)_ DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression_ pancreatic cyst fluid_ algorithm reported as a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laps rmvl vgl arry&pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0314T","description":"Laps rmvl vgl arry&pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl vagus nerve pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0315T","description":"Rmvl vagus nerve pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (cutaneous melanoma)_ mRNA gene expression profiling by RT-PCR of 35 genes (32 content and 3 housekeeping)_ utilizing formalin-fixed paraffin-embedded (FFPE) tissue_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0314U","description":"Oncology (cutaneous melanoma)_ mRNA gene expression profiling by RT-PCR of 35 genes (32 content and 3 housekeeping)_ utilizing formalin-fixed paraffin-embedded (FFPE) tissue_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replc vagus nerve pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0316T","description":"Replc vagus nerve pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (cutaneous squamous cell carcinoma)_ mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping)_ utilizing formalin-fixed paraffin-embedded","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0315U","description":"Oncology (cutaneous squamous cell carcinoma)_ mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping)_ utilizing formalin-fixed paraffin-embedded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec alys vagus nrv pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0317T","description":"Elec alys vagus nrv pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Borrelia burgdorferi (Lyme disease)_ OspA protein evaluation_ urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0316U","description":"Borrelia burgdorferi (Lyme disease)_ OspA protein evaluation_ urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung cancer)_ four-probe FISH (3q29_ 3p22.1_ 10q22.3_ 10cen) assay_ whole blood_ predictive algorithm-generated evaluation reported as decreased or increased risk fo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0317U","description":"Oncology (lung cancer)_ four-probe FISH (3q29_ 3p22.1_ 10q22.3_ 10cen) assay_ whole blood_ predictive algorithm-generated evaluation reported as decreased or increased risk fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatrics (congenital epigenetic disorders)_ whole genome methylation analysis by microarray for 50 or more genes_ blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0318U","description":"Pediatrics (congenital epigenetic disorders)_ whole genome methylation analysis by microarray for 50 or more genes_ blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogens_ identification of 20 bacterial and fungal organisms and identification of 16 associated antib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0321U","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogens_ identification of 20 bacterial and fungal organisms and identification of 16 associated antib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (renal transplant)_ RNA expression by select transcriptome sequencing_ using posttransplant peripheral blood_ algorithm reported as a risk score for acute cellular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0320U","description":"Nephrology (renal transplant)_ RNA expression by select transcriptome sequencing_ using posttransplant peripheral blood_ algorithm reported as a risk score for acute cellular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 14 acyl carnitines and microbiome-derived metabolites_ liquid chromatography with tandem mass spectrom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0322U","description":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 14 acyl carnitines and microbiome-derived metabolites_ liquid chromatography with tandem mass spectrom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (renal transplant)_ RNA expression by select transcriptome sequencing_ using pretransplant peripheral blood_ algorithm reported as a risk score for early acute reje","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0319U","description":"Nephrology (renal transplant)_ RNA expression by select transcriptome sequencing_ using pretransplant peripheral blood_ algorithm reported as a risk score for early acute reje","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ cell-free circulating DNA analysis of 83 or more genes_ interrogation for sequence variants_ gene copy number a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0326U","description":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ cell-free circulating DNA analysis of 83 or more genes_ interrogation for sequence variants_ gene copy number a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (ovarian)_ spheroid cell culture_ 4-drug panel (carboplatin_ doxorubicin_ gemcitabine_ paclitaxel)_ tumor chemotherapy response prediction for each drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0324U","description":"Oncology (ovarian)_ spheroid cell culture_ 4-drug panel (carboplatin_ doxorubicin_ gemcitabine_ paclitaxel)_ tumor chemotherapy response prediction for each drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA and RNA)_ central nervous system pathogen_ metagenomic next-generation sequencing_ cerebrospinal fluid (CSF)_ identification of","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0323U","description":"Infectious agent detection by nucleic acid (DNA and RNA)_ central nervous system pathogen_ metagenomic next-generation sequencing_ cerebrospinal fluid (CSF)_ identification of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (ovarian)_ spheroid cell culture_ poly (ADP-ribose) polymerase (PARP) inhibitors (niraparib_ olaparib_ rucaparib_ velparib)_ tumor response prediction for each drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0325U","description":"Oncology (ovarian)_ spheroid cell culture_ poly (ADP-ribose) polymerase (PARP) inhibitors (niraparib_ olaparib_ rucaparib_ velparib)_ tumor response prediction for each drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy (trisomy 13_ 18_ and 21)_ DNA sequence analysis of selected regions using maternal plasma_ algorithm reported as a risk score for each trisomy_ includes sex r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0327U","description":"Fetal aneuploidy (trisomy 13_ 18_ and 21)_ DNA sequence analysis of selected regions using maternal plasma_ algorithm reported as a risk score for each trisomy_ includes sex r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (neoplasia)_ exome and transcriptome sequence analysis for sequence variants_ gene copy number amplifications and deletions_ gene rearrangements_ microsatellite insta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0329U","description":"Oncology (neoplasia)_ exome and transcriptome sequence analysis for sequence variants_ gene copy number amplifications and deletions_ gene rearrangements_ microsatellite insta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mntr io press 24hrs/> uni/bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0329T","description":"Mntr io press 24hrs/> uni/bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ vaginal pathogen panel_ identification of 27 organisms_ amplified probe technique_ vaginal swab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0330U","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ vaginal pathogen panel_ identification of 27 organisms_ amplified probe technique_ vaginal swab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 120 or more drugs and metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ includes specimen validity and a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0328U","description":"Drug assay_ definitive_ 120 or more drugs and metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ includes specimen validity and a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tear film img uni/bi w/i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0330T","description":"Tear film img uni/bi w/i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart symp image plnr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0331T","description":"Heart symp image plnr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart symp image plnr spect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0332T","description":"Heart symp image plnr spect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual ep acuity screen auto","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0333T","description":"Visual ep acuity screen auto","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ)_ targeted genomic sequence analysis_ formalin-fixed paraffin-embedded (FFPE) tumor tissue_ DNA analysis_ 84 or more genes_ interrogation for sequence va","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0334U","description":"Oncology (solid organ)_ targeted genomic sequence analysis_ formalin-fixed paraffin-embedded (FFPE) tumor tissue_ DNA analysis_ 84 or more genes_ interrogation for sequence va","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extraosseous joint stblztion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0335T","description":"Extraosseous joint stblztion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endothelial function assessment_ using peripheral vascular response to reactive hyperemia_ non-invasive (eg_ brachial artery ultrasound_ peripheral artery tonometry)_ unilater","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0337T","description":"Endothelial function assessment_ using peripheral vascular response to reactive hyperemia_ non-invasive (eg_ brachial artery ultrasound_ peripheral artery tonometry)_ unilater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap ablat uterine fibroids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0336T","description":"Lap ablat uterine fibroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis_ including small sequence changes_ copy number variants_ deletions_ duplications_ mobile ele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0335U","description":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis_ including small sequence changes_ copy number variants_ deletions_ duplications_ mobile ele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trnscth renal symp denrv unl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0338T","description":"Trnscth renal symp denrv unl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (plasma cell disorders and myeloma)_ circulating plasma cell immunologic selection_ identification_ morphological characterization_ and enumeration of plasma cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0337U","description":"Oncology (plasma cell disorders and myeloma)_ circulating plasma cell immunologic selection_ identification_ morphological characterization_ and enumeration of plasma cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis_ including small sequence changes_ copy number variants_ deletions_ duplications_ mobile e","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0336U","description":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis_ including small sequence changes_ copy number variants_ deletions_ duplications_ mobile e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trnscth renal symp denrv bil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0339T","description":"Trnscth renal symp denrv bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ circulating tumor cell selection_ identification_ morphological characterization_ detection and enumeration based on differential EpCAM_ cytokeratins 8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0338U","description":"Oncology (solid tumor)_ circulating tumor cell selection_ identification_ morphological characterization_ detection and enumeration based on differential EpCAM_ cytokeratins 8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ mRNA expression profiling of HOXC6 and DLX1_ reverse transcription polymerase chain reaction (RT-PCR)_ first-void urine following digital rectal examinati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0339U","description":"Oncology (prostate)_ mRNA expression profiling of HOXC6 and DLX1_ reverse transcription polymerase chain reaction (RT-PCR)_ first-void urine following digital rectal examinati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (liver)_ surveillance for hepatocellular carcinoma (HCC) in high-risk patients_ analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0333U","description":"Oncology (liver)_ surveillance for hepatocellular carcinoma (HCC) in high-risk patients_ analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate pulm tumors extnsn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0340T","description":"Ablate pulm tumors extnsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy DNA sequencing comparative analysis_ fetal DNA from products of conception_ reported as normal (euploidy)_ monosomy_ trisomy_ or partial deletion/duplication_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0341U","description":"Fetal aneuploidy DNA sequencing comparative analysis_ fetal DNA from products of conception_ reported as normal (euploidy)_ monosomy_ trisomy_ or partial deletion/duplication_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pan-tumor)_ genetic profiling of 8 DNA-regulatory (epigenetic) markers by quantitative polymerase chain reaction (qPCR)_ whole blood_ reported as a high or low proba","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0332U","description":"Oncology (pan-tumor)_ genetic profiling of 8 DNA-regulatory (epigenetic) markers by quantitative polymerase chain reaction (qPCR)_ whole blood_ reported as a high or low proba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pan-cancer)_ analysis of minimal residual disease (MRD) from plasma_ with assays personalized to each patient based on prior next-generation sequencing of the patien","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0340U","description":"Oncology (pan-cancer)_ analysis of minimal residual disease (MRD) from plasma_ with assays personalized to each patient based on prior next-generation sequencing of the patien","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quant pupillometry w/rprt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0341T","description":"Quant pupillometry w/rprt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thxp apheresis w/hdl delip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0342T","description":"Thxp apheresis w/hdl delip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pancreatic cancer)_ multiplex immunoassay of C5_ C4_ cystatin C_ factor B_ osteoprotegerin (OPG)_ gelsolin_ IGFBP3_ CA125 and multiplex electrochemiluminescent imm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0342U","description":"Oncology (pancreatic cancer)_ multiplex immunoassay of C5_ C4_ cystatin C_ factor B_ osteoprotegerin (OPG)_ gelsolin_ IGFBP3_ CA125 and multiplex electrochemiluminescent imm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (eg_ depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ genomic analysis panel_ variant analysis of 15 genes_ including deletion/duplication ana","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0345U","description":"Psychiatry (eg_ depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ genomic analysis panel_ variant analysis of 15 genes_ including deletion/duplication ana","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath mtral vlve repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0345T","description":"Transcath mtral vlve repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatology (nonalcoholic fatty liver disease [NAFLD])_ semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0344U","description":"Hepatology (nonalcoholic fatty liver disease [NAFLD])_ semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ exosome-based analysis of 442 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR)_ urine_ reported as","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0343U","description":"Oncology (prostate)_ exosome-based analysis of 442 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR)_ urine_ reported as","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ elastography (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0346T","description":"Ultrasound_ elastography (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beta amyloid_ AB40 and AB42 by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ ratio_ plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0346U","description":"Beta amyloid_ AB40 and AB42 by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ ratio_ plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins bone device for rsa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0347T","description":"Ins bone device for rsa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rsa spine exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0348T","description":"Rsa spine exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 16 gene report_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0347U","description":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 16 gene report_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 25 gene report_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0348U","description":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 25 gene report_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis_ including reported phenotypes and imp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0349U","description":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis_ including reported phenotypes and imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rsa upper extr exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0349T","description":"Rsa upper extr exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop oct brst/node spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0351T","description":"Intraop oct brst/node spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rsa lower extr exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0350T","description":"Rsa lower extr exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0350U","description":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral)_ biochemical assays_ tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)_ interferon gamma-induced protein-10 (IP-10)_ and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0351U","description":"Infectious disease (bacterial or viral)_ biochemical assays_ tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)_ interferon gamma-induced protein-10 (IP-10)_ and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oct brst/node i&r per spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0352T","description":"Oct brst/node i&r per spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA)_ Chlamydia trachomatis and Neisseria gonorrhoeae_ multiplex amplified probe technique_ urine_ vaginal_ pharyngeal_ or rectal_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0353U","description":"Infectious agent detection by nucleic acid (DNA)_ Chlamydia trachomatis and Neisseria gonorrhoeae_ multiplex amplified probe technique_ urine_ vaginal_ pharyngeal_ or rectal_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human papilloma virus (HPV)_ high-risk types (ie_ 16_ 18_ 31_ 33_ 45_ 52 and 58) qualitative mRNA expression of E6/E7 by quantitative polymerase chain reaction (qPCR)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0354U","description":"Human papilloma virus (HPV)_ high-risk types (ie_ 16_ 18_ 31_ 33_ 45_ 52 and 58) qualitative mRNA expression of E6/E7 by quantitative polymerase chain reaction (qPCR)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial vaginosis and vaginitis)_ multiplex amplified probe technique_ for detection of bacterial vaginosis-associated bacteria (BVAB-2_ Atopobium vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0352U","description":"Infectious disease (bacterial vaginosis and vaginitis)_ multiplex amplified probe technique_ for detection of bacterial vaginosis-associated bacteria (BVAB-2_ Atopobium vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop oct breast cavity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0353T","description":"Intraop oct breast cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gi tract capsule endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0355T","description":"Gi tract capsule endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreservation oocyte(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0357T","description":"Cryopreservation oocyte(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oct breast surg cavity i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0354T","description":"Oct breast surg cavity i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bia whole body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0358T","description":"Bia whole body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"APOL1 (apolipoprotein L1) (eg_ chronic kidney disease)_ risk variants (G1_ G2)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0355U","description":"APOL1 (apolipoprotein L1) (eg_ chronic kidney disease)_ risk variants (G1_ G2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt drug device for iop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0356T","description":"Insrt drug device for iop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (oropharyngeal)_ evaluation of 17 DNA biomarkers using droplet digital PCR (ddPCR)_ cell-free DNA_ algorithm reported as a prognostic risk score for cancer recurrence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0356U","description":"Oncology (oropharyngeal)_ evaluation of 17 DNA biomarkers using droplet digital PCR (ddPCR)_ cell-free DNA_ algorithm reported as a prognostic risk score for cancer recurrence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behavior identification assessment_ by the physician or other qualified health care professional_ face-to-face with patient and caregiver(s)_ includes administration of standa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0359T","description":"Behavior identification assessment_ by the physician or other qualified health care professional_ face-to-face with patient and caregiver(s)_ includes administration of standa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (melanoma)_ artificial intelligence (AI)-enabled quantitative mass spectrometry analysis of 142 unique pairs of glycopeptide and product fragments_ plasma_ prognostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0357U","description":"Oncology (melanoma)_ artificial intelligence (AI)-enabled quantitative mass spectrometry analysis of 142 unique pairs of glycopeptide and product fragments_ plasma_ prognostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Observational behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by one tec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0361T","description":"Observational behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by one tec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ enzyme-linked immunosorbent assay (ELISA) of 7 autoantibodies (p53_ NY-ESO-1_ CAGE_ GBU4-5_ SOX2_ MAGE A4_ and HuD)_ plasma_ algorithm reported as a categoric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0360U","description":"Oncology (lung)_ enzyme-linked immunosorbent assay (ELISA) of 7 autoantibodies (p53_ NY-ESO-1_ CAGE_ GBU4-5_ SOX2_ MAGE A4_ and HuD)_ plasma_ algorithm reported as a categoric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Observational behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by one tec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0360T","description":"Observational behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by one tec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (mild cognitive impairment)_ analysis of B-amyloid 1-42 and 1-40_ chemiluminescence enzyme immunoassay_ cerebral spinal fluid_ reported as positive_ likely positive_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0358U","description":"Neurology (mild cognitive impairment)_ analysis of B-amyloid 1-42 and 1-40_ chemiluminescence enzyme immunoassay_ cerebral spinal fluid_ reported as positive_ likely positive_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate cancer)_ analysis of all prostate-specific antigen (PSA) structural isoforms by phase separation and immunoassay_ plasma_ algorithm reports risk of cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0359U","description":"Oncology (prostate cancer)_ analysis of all prostate-specific antigen (PSA) structural isoforms by phase separation and immunoassay_ plasma_ algorithm reports risk of cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurofilament light chain_ digital immunoassay_ plasma_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0361U","description":"Neurofilament light chain_ digital immunoassay_ plasma_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Expose behav assessment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0362T","description":"Expose behav assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (papillary thyroid cancer)_ gene-expression profiling via targeted hybrid capture–enrichment RNA sequencing of 82 content genes and 10 housekeeping genes_ formalin-fi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0362U","description":"Oncology (papillary thyroid cancer)_ gene-expression profiling via targeted hybrid capture–enrichment RNA sequencing of 82 content genes and 10 housekeeping genes_ formalin-fi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exposure behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by physician or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0363T","description":"Exposure behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by physician or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial)_ mRNA_ gene-expression profiling by real-time quantitative PCR of 5 genes (MDK_ HOXA13_ CDC2 [CDK1]_ IGFBP5_ and CXCR2)_ utilizing urine_ algorithm incor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0363U","description":"Oncology (urothelial)_ mRNA_ gene-expression profiling by real-time quantitative PCR of 5 genes (MDK_ HOXA13_ CDC2 [CDK1]_ IGFBP5_ and CXCR2)_ utilizing urine_ algorithm incor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate esophagus 1/mult pass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43450","description":"Dilate esophagus 1/mult pass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC256","description":"HIPPS-PC256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB0C","description":"HIPPS-RVB0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcholine receptor (AChR); blocking antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86042","description":"Acetylcholine receptor (AChR); blocking antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment by protocol_ administered by technician_ face-to-face with one patient; first 30 minutes of technician time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0364T","description":"Adaptive behavior treatment by protocol_ administered by technician_ face-to-face with one patient; first 30 minutes of technician time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absolute Quantitation Of Myocardial Blood Flow (Aqmbf)_ Positron Emission Tomography (Pet)_ Rest And Pharmacologic Stress (List Separately In Addition To Code For Primary Proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78434","description":"Absolute Quantitation Of Myocardial Blood Flow (Aqmbf)_ Positron Emission Tomography (Pet)_ Rest And Pharmacologic Stress (List Separately In Addition To Code For Primary Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of creatine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82540","description":"Assay of creatine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic seq analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81445","description":"Targeted genomic seq analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1425","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1425","description":"HCPCS-M1425","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Observ/hosp same date","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99236","description":"Observ/hosp same date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking full lngth 18-30","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6536","description":"Gc stocking full lngth 18-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravascular ultrasound (non-coronary vessel)_ radiological supervisio and interpretation; initial vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75945","description":"Intravascular ultrasound (non-coronary vessel)_ radiological supervisio and interpretation; initial vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete sl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4270","description":"Complete sl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iron binding test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83550","description":"Iron binding test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carpal tunnel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64721","description":"Carpal tunnel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allograft_ includes templating_ cutting_ placement and internal fixation_ when performed; intercalary_ complete (ie_ cylindrical) (List separately in addition to code for prim","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20934","description":"Allograft_ includes templating_ cutting_ placement and internal fixation_ when performed; intercalary_ complete (ie_ cylindrical) (List separately in addition to code for prim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28G","description":"HIPPS-CE28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Storage/year embryo(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89342","description":"Storage/year embryo(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride infected skin add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11001","description":"Debride infected skin add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasia)_ optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow_ report of clinically s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0331U","description":"Oncology (hematolymphoid neoplasia)_ optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow_ report of clinically s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace picc cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36584","description":"Replace picc cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB20","description":"HIPPS-RVB20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"So 8 ab rstr can/web pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3660","description":"So 8 ab rstr can/web pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computer-aided detection_ including computer algorithm analysis of breast MRI image data for lesion detection/characterization_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8937","description":"Computer-aided detection_ including computer algorithm analysis of breast MRI image data for lesion detection/characterization_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00472","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00472","description":"CPT-00472","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interprofessional telephone/internet/electronic health record clinical question/request for specialty recommendations by a treating/requesting physician or other qualified hea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9037","description":"Interprofessional telephone/internet/electronic health record clinical question/request for specialty recommendations by a treating/requesting physician or other qualified hea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40844","description":"Reconstruction of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD125","description":"HIPPS-PD125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ chest; 3 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71047","description":"Radiologic examination_ chest; 3 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular reconst transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65781","description":"Ocular reconst transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genetic testing als","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3800","description":"Genetic testing als","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1737","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1737","description":"HCPCS-J1737","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA205","description":"HIPPS-BA205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ CYP2D7-2D6 hybrid gene) (List separately in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0073U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ CYP2D7-2D6 hybrid gene) (List separately in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9983","description":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5941","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5941","description":"CDT-D5941","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2252","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2252","description":"HCPCS-J2252","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75451","description":"Anesth repair of hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reass appr remo filt 3ms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9542","description":"Doc reass appr remo filt 3ms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18C","description":"HIPPS-LD18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter implantation of coronary sinus reduction device including vascular access and closure_ right heart catheterization_ venous angiography_ coronary sinus angiograph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0645T","description":"Transcatheter implantation of coronary sinus reduction device including vascular access and closure_ right heart catheterization_ venous angiography_ coronary sinus angiograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surfactant admin thru tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94610","description":"Surfactant admin thru tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ceftaroline fosamil inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0712","description":"Ceftaroline fosamil inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB2A","description":"HIPPS-RVB2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conform band n/s w>=3in<5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6443","description":"Conform band n/s w>=3in<5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC5D","description":"HIPPS-RVC5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vaginal hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94451","description":"Anesth vaginal hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diast bp >/= 90 mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3080F","description":"Diast bp >/= 90 mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transverse aortic arch graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33870","description":"Transverse aortic arch graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Andrology (infertility)_ sperm-capacitation assessment of ganglioside GM1 distribution patterns_ fluorescence microscopy_ fresh/ frozen specimen_ reported as % of capacitated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0255U","description":"Andrology (infertility)_ sperm-capacitation assessment of ganglioside GM1 distribution patterns_ fluorescence microscopy_ fresh/ frozen specimen_ reported as % of capacitated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert non-tunnel cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36556","description":"Insert non-tunnel cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlorpromazine hcl 5mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0161","description":"Chlorpromazine hcl 5mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNU","description":"HIPPS-1AFNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59510","description":"Cesarean delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery to vein shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36835","description":"Artery to vein shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0481U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0481U","description":"CPT-0481U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9256","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9256","description":"HCPCS-J9256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15958","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB24B","description":"HIPPS-PB24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0682T","description":"Removal Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tkr composite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9233","description":"Tkr composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Csit on pt any reas 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8962","description":"Csit on pt any reas 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpneumatic sequential compression garment_ full arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1025","description":"Nonpneumatic sequential compression garment_ full arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove groin lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38765","description":"Remove groin lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasm)_ genomic sequence analysis using multiplex (PCR) and next-generation sequencing with algorithm_ quantification of dominant clonal sequence(s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0364U","description":"Oncology (hematolymphoid neoplasm)_ genomic sequence analysis using multiplex (PCR) and next-generation sequencing with algorithm_ quantification of dominant clonal sequence(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment by protocol_ administered by technician_ face-to-face with one patient; each additional 30 minutes of technician time (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0365T","description":"Adaptive behavior treatment by protocol_ administered by technician_ face-to-face with one patient; each additional 30 minutes of technician time (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; first 30 minutes of technician time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0366T","description":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; first 30 minutes of technician time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0365U","description":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0366U","description":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0134A","description":"IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ diagnostic algorithm reported as a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0367U","description":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ diagnostic algorithm reported as a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer dome & mouthpiece","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7016","description":"Nebulizer dome & mouthpiece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; each additional 30 minutes of technician time (List separate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0367T","description":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; each additional 30 minutes of technician time (List separate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal cancer)_ evaluation for mutations of APC_ BRAF_ CTNNB1_ KRAS_ NRAS_ PIK3CA_ SMAD4_ and TP53_ and methylation markers (MYO1G_ KCNQ5_ C9ORF50_ FLI1_ CLIP4_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0368U","description":"Oncology (colorectal cancer)_ evaluation for mutations of APC_ BRAF_ CTNNB1_ KRAS_ NRAS_ PIK3CA_ SMAD4_ and TP53_ and methylation markers (MYO1G_ KCNQ5_ C9ORF50_ FLI1_ CLIP4_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Giardia ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87269","description":"Giardia ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; first 30 minutes of patient face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0368T","description":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; first 30 minutes of patient face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; each additional 30 minutes of pa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0369T","description":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; each additional 30 minutes of pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0370T","description":"Family adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA and RNA)_ gastrointestinal pathogens_ 31 bacterial_ viral_ and parasitic organisms and identification of 21 associated antibiot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0369U","description":"Infectious agent detection by nucleic acid (DNA and RNA)_ gastrointestinal pathogens_ 31 bacterial_ viral_ and parasitic organisms and identification of 21 associated antibiot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA and RNA)_ surgical wound pathogens_ 34 microorganisms and identification of 21 associated antibiotic-resistance genes_ multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0370U","description":"Infectious agent detection by nucleic acid (DNA and RNA)_ surgical wound pathogens_ 34 microorganisms and identification of 21 associated antibiotic-resistance genes_ multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple-family group adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0371T","description":"Multiple-family group adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (genitourinary pathogens)_ antibiotic-resistance gene detection_ multiplex amplified probe technique_ urine_ reported as an antimicrobial stewardship risk s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0372U","description":"Infectious disease (genitourinary pathogens)_ antibiotic-resistance gene detection_ multiplex amplified probe technique_ urine_ reported as an antimicrobial stewardship risk s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogen_ semiquantitative identification_ DNA from 16 bacterial organisms and 1 fungal organism_ multip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0371U","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogen_ semiquantitative identification_ DNA from 16 bacterial organisms and 1 fungal organism_ multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment social skills group_ administered by physician or other qualified health care professional face-to-face with multiple patients","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0372T","description":"Adaptive behavior treatment social skills group_ administered by physician or other qualified health care professional face-to-face with multiple patients","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place gastrostomy tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49440","description":"Place gastrostomy tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exposure behavior treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0373T","description":"Exposure behavior treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA and RNA)_ respiratory tract infection_ 17 bacteria_ 8 fungus_ 13 virus_ and 16 antibiotic-resistance genes_ multiplex amplified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0373U","description":"Infectious agent detection by nucleic acid (DNA and RNA)_ respiratory tract infection_ 17 bacteria_ 8 fungus_ 13 virus_ and 16 antibiotic-resistance genes_ multiplex amplified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exposure adaptive behavior treatment with protocol modification requiring two or more technicians for severe maladaptive behavior(s); each additional 30 minutes of technicians","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0374T","description":"Exposure adaptive behavior treatment with protocol modification requiring two or more technicians for severe maladaptive behavior(s); each additional 30 minutes of technicians","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score knee pt noelg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8649","description":"Fun stat score knee pt noelg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthrp ant appr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0375T","description":"Total disc arthrp ant appr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogens_ identification of 21 bacterial and fungal organisms and identification of 21 associated antib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0374U","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogens_ identification of 21 bacterial and fungal organisms and identification of 21 associated antib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18E","description":"HIPPS-HC18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 25MCG/0.25ML IM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91311","description":"SARSCOV2 VAC 25MCG/0.25ML IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert ant segment drain int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0376T","description":"Insert ant segment drain int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (ovarian)_ biochemical assays of 7 proteins (follicle stimulating hormone_ human epididymis protein 4_ apolipoprotein A-1_ transferrin_ beta-2 macroglobulin_ prealbum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0375U","description":"Oncology (ovarian)_ biochemical assays of 7 proteins (follicle stimulating hormone_ human epididymis protein 4_ apolipoprotein A-1_ transferrin_ beta-2 macroglobulin_ prealbum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stool collection pouch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4330","description":"Stool collection pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscpy inj agent for incont","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0377T","description":"Anoscpy inj agent for incont","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate cancer)_ image analysis of at least 128 histologic features and clinical factors_ prognostic algorithm determining the risk of distant metastases_ and prost","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0376U","description":"Oncology (prostate cancer)_ image analysis of at least 128 histologic features and clinical factors_ prognostic algorithm determining the risk of distant metastases_ and prost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular disease_ quantification of advanced serum or plasma lipoprotein profile_ by nuclear magnetic resonance (NMR) spectrometry with report of a lipoprotein profile (","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0377U","description":"Cardiovascular disease_ quantification of advanced serum or plasma lipoprotein profile_ by nuclear magnetic resonance (NMR) spectrometry with report of a lipoprotein profile (","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: new onset headache in pre-school children or younger (<6 years of age)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2193","description":"Patients with clinical indications for imaging of the head: new onset headache in pre-school children or younger (<6 years of age)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us detailed addl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76812","description":"Ob us detailed addl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual field assmnt rev/rprt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0378T","description":"Visual field assmnt rev/rprt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RFC1 (replication factor C subunit 1)_ repeat expansion variant analysis by traditional and repeat-primed PCR_ blood_ saliva_ or buccal swab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0378U","description":"RFC1 (replication factor C subunit 1)_ repeat expansion variant analysis by traditional and repeat-primed PCR_ blood_ saliva_ or buccal swab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ DNA (523 genes) and RNA (55 genes) by next-generation sequencing_ interrogation for sequence variants_ gene cop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0379U","description":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ DNA (523 genes) and RNA (55 genes) by next-generation sequencing_ interrogation for sequence variants_ gene cop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA51","description":"HIPPS-AAA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vis field assmnt tech suppt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0379T","description":"Vis field assmnt tech suppt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ waist length_ 40 mmhg or greater_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6564","description":"Gradient compression stocking_ waist length_ 40 mmhg or greater_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp animat ret imag series","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0380T","description":"Comp animat ret imag series","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX5D","description":"HIPPS-RHX5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response)_ targeted sequence analysis_ 20 gene variants and CYP2D6 deletion or duplication analysis with reported genotype and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0380U","description":"Drug metabolism (adverse drug reactions and drug response)_ targeted sequence analysis_ 20 gene variants and CYP2D6 deletion or duplication analysis with reported genotype and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maple syrup urine disease monitoring by patient-collected blood card sample_ quantitative measurement of allo-isoleucine_ leucine_ isoleucine_ and valine_ liquid chromatograph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0381U","description":"Maple syrup urine disease monitoring by patient-collected blood card sample_ quantitative measurement of allo-isoleucine_ leucine_ isoleucine_ and valine_ liquid chromatograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext h rate sz 14 day ri only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0382T","description":"Ext h rate sz 14 day ri only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext h rate epi sz 14 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0381T","description":"Ext h rate epi sz 14 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ loncastuximab tesirine-lpyl_ 0.075 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9359","description":"Injection_ loncastuximab tesirine-lpyl_ 0.075 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyperphenylalaninemia monitoring by patient-collected blood card sample_ quantitative measurement of phenylalanine and tyrosine_ liquid chromatography with tandem mass spectro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0382U","description":"Hyperphenylalaninemia monitoring by patient-collected blood card sample_ quantitative measurement of phenylalanine and tyrosine_ liquid chromatography with tandem mass spectro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Herpes simplex type 2 test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86696","description":"Herpes simplex type 2 test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext h rate sz 15-30 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0383T","description":"Ext h rate sz 15-30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tyrosinemia type I monitoring by patient-collected blood card sample_ quantitative measurement of tyrosine_ phenylalanine_ methionine_ succinylacetone_ nitisinone_ liquid chro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0383U","description":"Tyrosinemia type I monitoring by patient-collected blood card sample_ quantitative measurement of tyrosine_ phenylalanine_ methionine_ succinylacetone_ nitisinone_ liquid chro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External heart rate and 3-axis accelerometer data recording from 15 to 30 days to assess changes in heart rate and to monitor motion analysis for the purposes of diagnosing no","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0384T","description":"External heart rate and 3-axis accelerometer data recording from 15 to 30 days to assess changes in heart rate and to monitor motion analysis for the purposes of diagnosing no","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (chronic kidney disease)_ carboxymethyllysine_ methylglyoxal hydroimidazolone_ and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry (LC-MS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0384U","description":"Nephrology (chronic kidney disease)_ carboxymethyllysine_ methylglyoxal hydroimidazolone_ and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry (LC-MS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (chronic kidney disease)_ apolipoprotein A4 (ApoA4)_ CD5 antigen-like (CD5L)_ and insulin-like growth factor binding protein 3 (IGFBP3) by enzyme-linked immunoassay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0385U","description":"Nephrology (chronic kidney disease)_ apolipoprotein A4 (ApoA4)_ CD5 antigen-like (CD5L)_ and insulin-like growth factor binding protein 3 (IGFBP3) by enzyme-linked immunoassay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex h rate for sz ovr 30 day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0385T","description":"Ex h rate for sz ovr 30 day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX14","description":"HIPPS-RHX14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex h rate sz 30+ day ri only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0386T","description":"Ex h rate sz 30+ day ri only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion or replacement of permanent leadless pacemaker_ ventricular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0387T","description":"Transcatheter insertion or replacement of permanent leadless pacemaker_ ventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyperthermia treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77615","description":"Hyperthermia treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52310","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology (Barrett’s esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 methylation analysis_ prognostic and predictive algorithm reported as a risk score for progression to high-g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0386U","description":"Gastroenterology (Barrett’s esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 methylation analysis_ prognostic and predictive algorithm reported as a risk score for progression to high-g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent leadless pacemaker_ ventricular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0388T","description":"Transcatheter removal of permanent leadless pacemaker_ ventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (melanoma)_ autophagy and beclin 1 regulator 1 (AMBRA1) and loricrin (AMLo) by immunohistochemistry_ formalin-fixed paraffin-embedded (FFPE) tissue_ report for risk o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0387U","description":"Oncology (melanoma)_ autophagy and beclin 1 regulator 1 (AMBRA1) and loricrin (AMLo) by immunohistochemistry_ formalin-fixed paraffin-embedded (FFPE) tissue_ report for risk o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB224","description":"HIPPS-CB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (non-small cell lung cancer)_ next-generation sequencing with identification of single nucleotide variants_ copy number variants_ insertions and deletions_ and struct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0388U","description":"Oncology (non-small cell lung cancer)_ next-generation sequencing with identification of single nucleotide variants_ copy number variants_ insertions and deletions_ and struct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0389T","description":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radium ra223 dichloride ther","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9606","description":"Radium ra223 dichloride ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric febrile illness (Kawasaki disease [KD])_ interferon alpha-inducible protein 27 (IFI27) and mast cell-expressed membrane protein 1 (MCEMP1)_ RNA_ using reverse transc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0389U","description":"Pediatric febrile illness (Kawasaki disease [KD])_ interferon alpha-inducible protein 27 (IFI27) and mast cell-expressed membrane protein 1 (MCEMP1)_ RNA_ using reverse transc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording and disconnection per patient encounter_ leadless pacemaker system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0391T","description":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording and disconnection per patient encounter_ leadless pacemaker system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric emptying imag study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78264","description":"Gastric emptying imag study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery_ procedure or test with analysis_ review and report_ leadle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0390T","description":"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery_ procedure or test with analysis_ review and report_ leadle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap es sph augment dev place","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0392T","description":"Lap es sph augment dev place","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrics (preeclampsia)_ kinase insert domain receptor (KDR)_ Endoglin (ENG)_ and retinol-binding protein 4 (RBP4)_ by immunoassay_ serum_ algorithm reported as a risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0390U","description":"Obstetrics (preeclampsia)_ kinase insert domain receptor (KDR)_ Endoglin (ENG)_ and retinol-binding protein 4 (RBP4)_ by immunoassay_ serum_ algorithm reported as a risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ DNA and RNA by next-generation sequencing_ utilizing formalin-fixed paraffin-embedded (FFPE) tissue_ 437 genes_ interpretive report for single nucleoti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0391U","description":"Oncology (solid tumor)_ DNA and RNA by next-generation sequencing_ utilizing formalin-fixed paraffin-embedded (FFPE) tissue_ 437 genes_ interpretive report for single nucleoti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravascular ultrasound (non-coronary vessel) during diagnostic evaluation and/or therapeutic intervention; each additional vessel (list separately in addition t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37251","description":"Intravascular ultrasound (non-coronary vessel) during diagnostic evaluation and/or therapeutic intervention; each additional vessel (list separately in addition t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Es sph augmnt device removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0393T","description":"Es sph augmnt device removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ gene-drug interactions_ variant analysis of 16 genes_ including deletion/duplication an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0392U","description":"Drug metabolism (depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ gene-drug interactions_ variant analysis of 16 genes_ including deletion/duplication an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (eg_ Parkinson disease_ dementia with Lewy bodies)_ cerebrospinal fluid (CSF)_ detection of misfolded a-synuclein protein by seed amplification assay_ qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0393U","description":"Neurology (eg_ Parkinson disease_ dementia with Lewy bodies)_ cerebrospinal fluid (CSF)_ detection of misfolded a-synuclein protein by seed amplification assay_ qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr elctrnc skn surf brchytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0394T","description":"Hdr elctrnc skn surf brchytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smpd1 gene common variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81330","description":"Smpd1 gene common variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pres/absn hmrhg/lesion docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3110F","description":"Pres/absn hmrhg/lesion docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perfluoroalkyl substances (PFAS) (eg_ perfluorooctanoic acid_ perfluorooctane sulfonic acid)_ 16 PFAS compounds by liquid chromatography with tandem mass spectrometry (LC-MS/M","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0394U","description":"Perfluoroalkyl substances (PFAS) (eg_ perfluorooctanoic acid_ perfluorooctane sulfonic acid)_ 16 PFAS compounds by liquid chromatography with tandem mass spectrometry (LC-MS/M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospitalists Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4009","description":"Hospitalists Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr elctr ntrst/ntrcv brchtx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0395T","description":"Hdr elctr ntrst/ntrcv brchtx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ multi-omics (microbial DNA by shotgun next-generation sequencing and carcinoembryonic antigen and osteopontin by immunoassay)_ plasma_ algorithm reported as m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0395U","description":"Oncology (lung)_ multi-omics (microbial DNA by shotgun next-generation sequencing and carcinoembryonic antigen and osteopontin by immunoassay)_ plasma_ algorithm reported as m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrics (pre-implantation genetic testing)_ evaluation of 300000 DNA single-nucleotide polymorphisms (SNPs) by microarray_ embryonic tissue_ algorithm reported as a probabi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0396U","description":"Obstetrics (pre-implantation genetic testing)_ evaluation of 300000 DNA single-nucleotide polymorphisms (SNPs) by microarray_ embryonic tissue_ algorithm reported as a probabi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop kinetic balnce sensr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0396T","description":"Intraop kinetic balnce sensr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp w/optical endomicroscpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0397T","description":"Ercp w/optical endomicroscpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFKU","description":"HIPPS-1BFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma plan of care not documented_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1222","description":"Glaucoma plan of care not documented_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (non-small cell lung cancer)_ cell-free DNA from plasma_ targeted sequence analysis of at least 109 genes_ including sequence variants_ substitutions_ insertions_ del","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0397U","description":"Oncology (non-small cell lung cancer)_ cell-free DNA from plasma_ targeted sequence analysis of at least 109 genes_ including sequence variants_ substitutions_ insertions_ del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology (Barrett esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 DNA methylation analysis using PCR_ formalin-fixed paraffin-embedded (FFPE) tissue_ algorithm reported as risk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0398U","description":"Gastroenterology (Barrett esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 DNA methylation analysis using PCR_ formalin-fixed paraffin-embedded (FFPE) tissue_ algorithm reported as risk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mrgfus strtctc les abltj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0398T","description":"Mrgfus strtctc les abltj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Musculoskeletal nuclear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78399","description":"Musculoskeletal nuclear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial strain imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0399T","description":"Myocardial strain imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (cerebral folate deficiency)_ serum_ detection of anti-human folate receptor IgG-binding antibody and blocking autoantibodies by enzyme-linked immunoassay (ELISA)_ q","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0399U","description":"Neurology (cerebral folate deficiency)_ serum_ detection of anti-human folate receptor IgG-binding antibody and blocking autoantibodies by enzyme-linked immunoassay (ELISA)_ q","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8646","description":"Asthma mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrics (expanded carrier screening)_ 145 genes by nextgeneration sequencing_ fragment analysis and multiplex ligationdependent probe amplification_ DNA_ reported as carrie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0400U","description":"Obstetrics (expanded carrier screening)_ 145 genes by nextgeneration sequencing_ fragment analysis and multiplex ligationdependent probe amplification_ DNA_ reported as carrie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mltispectrl digital les alys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0401T","description":"Mltispectrl digital les alys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mltispectrl digital les alys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0400T","description":"Mltispectrl digital les alys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary heart disease [CAD])_ 9 genes (12 variants)_ targeted variant genotyping_ blood_ saliva_ or buccal swab_ algorithm reported as a genetic risk score for a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0401U","description":"Cardiology (coronary heart disease [CAD])_ 9 genes (12 variants)_ targeted variant genotyping_ blood_ saliva_ or buccal swab_ algorithm reported as a genetic risk score for a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen crosslinking cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0402T","description":"Collagen crosslinking cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99203","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99231","description":"Subsequent hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent (sexually transmitted infection)_ Chlamydia trachomatis_ Neisseria gonorrhoeae_ Trichomonas vaginalis_ Mycoplasma genitalium_ multiplex amplified probe techni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0402U","description":"Infectious agent (sexually transmitted infection)_ Chlamydia trachomatis_ Neisseria gonorrhoeae_ Trichomonas vaginalis_ Mycoplasma genitalium_ multiplex amplified probe techni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko supracondylar socket mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1860","description":"Ko supracondylar socket mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ mRNA_ gene expression profiling of 18 genes_ first-catch post-digital rectal examination urine (or processed first-catch urine)_ algorithm reported as per","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0403U","description":"Oncology (prostate)_ mRNA_ gene expression profiling of 18 genes_ first-catch post-digital rectal examination urine (or processed first-catch urine)_ algorithm reported as per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetes prev standard curr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0403T","description":"Diabetes prev standard curr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLW","description":"HIPPS-3AGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trnscrv uterin fibroid abltj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0404T","description":"Trnscrv uterin fibroid abltj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGM1","description":"HIPPS-1AGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Derma-fat-fascia graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15770","description":"Derma-fat-fascia graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ semiquantitative measurement of thymidine kinase activity by immunoassay_ serum_ results reported as risk of disease progression","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0404U","description":"Oncology (breast)_ semiquantitative measurement of thymidine kinase activity by immunoassay_ serum_ results reported as risk of disease progression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ovrsght xtrcorp liv asst pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0405T","description":"Ovrsght xtrcorp liv asst pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pancreatic)_ 59 methylation haplotype block markers_ next-generation sequencing_ plasma_ reported as cancer signal detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0405U","description":"Oncology (pancreatic)_ 59 methylation haplotype block markers_ next-generation sequencing_ plasma_ reported as cancer signal detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal endoscopy_ surgical_ ethmoid sinus_ placement of drug eluting implant;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0406T","description":"Nasal endoscopy_ surgical_ ethmoid sinus_ placement of drug eluting implant;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ flow cytometry_ sputum_ 5 markers (meso-tetra [4-carboxyphenyl] porphyrin [TCPP]_ CD206_ CD66b_ CD3_ CD19)_ algorithm reported as likelihood of lung cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0406U","description":"Oncology (lung)_ flow cytometry_ sputum_ 5 markers (meso-tetra [4-carboxyphenyl] porphyrin [TCPP]_ CD206_ CD66b_ CD3_ CD19)_ algorithm reported as likelihood of lung cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal endoscopy_ surgical_ ethmoid sinus_ placement of drug eluting implant; with biopsy_ polypectomy or debridement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0407T","description":"Nasal endoscopy_ surgical_ ethmoid sinus_ placement of drug eluting implant; with biopsy_ polypectomy or debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE14A","description":"HIPPS-HE14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow adolescent myoelectron","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7190","description":"Elbow adolescent myoelectron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (diabetic chronic kidney disease [CKD])_ multiplex electrochemiluminescent immunoassay (ECLIA) of soluble tumor necrosis factor receptor 1 (sTNFR1)_ soluble tumor n","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0407U","description":"Nephrology (diabetic chronic kidney disease [CKD])_ multiplex electrochemiluminescent immunoassay (ECLIA) of soluble tumor necrosis factor receptor 1 (sTNFR1)_ soluble tumor n","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronch thermoplsty 1 lobe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31660","description":"Bronch thermoplsty 1 lobe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pancreatic)_ DNA_ whole genome sequencing with 5-hydroxymethylcytosine enrichment_ whole blood or plasma_ algorithm reported as cancer detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0410U","description":"Oncology (pancreatic)_ DNA_ whole genome sequencing with 5-hydroxymethylcytosine enrichment_ whole blood or plasma_ algorithm reported as cancer detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc cardiac modulj pls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0409T","description":"Insj/rplc cardiac modulj pls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (eg_ depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ genomic analysis panel_ variant analysis of 15 genes_ including deletion/duplication ana","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0411U","description":"Psychiatry (eg_ depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ genomic analysis panel_ variant analysis of 15 genes_ including deletion/duplication ana","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc car modulj vnt elt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0411T","description":"Insj/rplc car modulj vnt elt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by bulk acoustic wave biosensor immunoassay_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0408U","description":"Infectious agent antigen detection by bulk acoustic wave biosensor immunoassay_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ DNA (80 genes) and RNA (36 genes)_ by next-generation sequencing from plasma_ including single nucleotide variants_ insertions/deletions_ copy number a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0409U","description":"Oncology (solid tumor)_ DNA (80 genes) and RNA (36 genes)_ by next-generation sequencing from plasma_ including single nucleotide variants_ insertions/deletions_ copy number a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc cardiac modulj sys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0408T","description":"Insj/rplc cardiac modulj sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc car modulj atr elt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0410T","description":"Insj/rplc car modulj atr elt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl cardiac modulj pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0412T","description":"Rmvl cardiac modulj pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Device handling phys/qhp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99002","description":"Device handling phys/qhp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose with potassium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5012","description":"5% dextrose with potassium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject r ventr/atrial angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93566","description":"Inject r ventr/atrial angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beta amyloid_ AB42/40 ratio_ immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform-specific prot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0412U","description":"Beta amyloid_ AB42/40 ratio_ immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform-specific prot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl car modulj tranvns elt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0413T","description":"Rmvl car modulj tranvns elt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Certified nurse midwife mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0064","description":"Certified nurse midwife mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasm)_ optical genome mapping for copy number alterations_ aneuploidy_ and balanced/complex structural rearrangements_ DNA from blood or bone marr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0413U","description":"Oncology (hematolymphoid neoplasm)_ optical genome mapping for copy number alterations_ aneuploidy_ and balanced/complex structural rearrangements_ DNA from blood or bone marr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of salivary gland","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7981","description":"Excision of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl & rpl car modulj pls gn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0414T","description":"Rmvl & rpl car modulj pls gn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ augmentative algorithmic analysis of digitized whole slide imaging for 8 genes (ALK_ BRAF_ EGFR_ ERBB2_ MET_ NTRK1-3_ RET_ ROS1)_ and KRAS G12C and PD-L1_ if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0414U","description":"Oncology (lung)_ augmentative algorithmic analysis of digitized whole slide imaging for 8 genes (ALK_ BRAF_ EGFR_ ERBB2_ MET_ NTRK1-3_ RET_ ROS1)_ and KRAS G12C and PD-L1_ if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repos car modulj tranvns elt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0415T","description":"Repos car modulj tranvns elt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular disease (acute coronary syndrome [ACS])_ IL-16_ FAS_ FASLigand_ HGF_ CTACK_ EOTAXIN_ and MCP-3 by immunoassay combined with age_ sex_ family history_ and person","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0415U","description":"Cardiovascular disease (acute coronary syndrome [ACS])_ IL-16_ FAS_ FASLigand_ HGF_ CTACK_ EOTAXIN_ and MCP-3 by immunoassay combined with age_ sex_ family history_ and person","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reloc skin pocket pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0416T","description":"Reloc skin pocket pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneum drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2381","description":"Pneum drive wheel tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA)_ genitourinary pathogens_ identification of 20 bacterial and fungal organisms_ including identification of 20 associated antib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0416U","description":"Infectious agent detection by nucleic acid (DNA)_ genitourinary pathogens_ identification of 20 bacterial and fungal organisms_ including identification of 20 associated antib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval cardiac modulj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0417T","description":"Prgrmg eval cardiac modulj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interro eval cardiac modulj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0418T","description":"Interro eval cardiac modulj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD120","description":"HIPPS-HD120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ whole mitochondrial genome sequence with heteroplasmy detection and deletion analysis_ nuclear-encoded mitochondrial gene a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0417U","description":"Rare diseases (constitutional/heritable disorders)_ whole mitochondrial genome sequence with heteroplasmy detection and deletion analysis_ nuclear-encoded mitochondrial gene a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth iridectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14751","description":"Anesth iridectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attendant care service /diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5126","description":"Attendant care service /diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychiatry (eg_ depression_ anxiety)_ genomic sequence analysis panel_ variant analysis of 13 genes_ saliva or buccal swab_ report of each gene phenotype","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0419U","description":"Neuropsychiatry (eg_ depression_ anxiety)_ genomic sequence analysis panel_ variant analysis of 13 genes_ saliva or buccal swab_ report of each gene phenotype","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ augmentative algorithmic analysis of digitized whole slide imaging of 8 histologic and immunohistochemical features_ reported as a recurrence score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0418U","description":"Oncology (breast)_ augmentative algorithmic analysis of digitized whole slide imaging of 8 histologic and immunohistochemical features_ reported as a recurrence score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dstrj neurofibromata xtnsv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0419T","description":"Dstrj neurofibromata xtnsv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial)_ mRNA expression profiling by real-time quantitative PCR of MDK_ HOXA13_ CDC2_ IGFBP5_ and CXCR2 in combination with droplet digital PCR (ddPCR) analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0420U","description":"Oncology (urothelial)_ mRNA expression profiling by real-time quantitative PCR of MDK_ HOXA13_ CDC2_ IGFBP5_ and CXCR2 in combination with droplet digital PCR (ddPCR) analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dstrj neurofibromata xtnsv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0420T","description":"Dstrj neurofibromata xtnsv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFK3","description":"HIPPS-4BFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nsclc stgi no progres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9063","description":"Onc dx nsclc stgi no progres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Waterjet prostate abltj cmpl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0421T","description":"Waterjet prostate abltj cmpl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB20B","description":"HIPPS-BB20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ quantitative real-time target and signal amplification of 8 RNA markers (GAPDH_ SMAD4_ ACY1_ AREG_ CDH1_ KRAS_ TNFRSF10B_ EGLN2) and fecal hem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0421U","description":"Oncology (colorectal) screening_ quantitative real-time target and signal amplification of 8 RNA markers (GAPDH_ SMAD4_ ACY1_ AREG_ CDH1_ KRAS_ TNFRSF10B_ EGLN2) and fecal hem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tactile breast img uni/bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0422T","description":"Tactile breast img uni/bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of small bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74260","description":"X-ray exam of small bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay secretory type ii pla2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0423T","description":"Assay secretory type ii pla2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pan-solid tumor)_ analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA_ biomarker comparison to a previous baseline pre-treatmen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0422U","description":"Oncology (pan-solid tumor)_ analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA_ biomarker comparison to a previous baseline pre-treatmen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (eg_ depression_ anxiety)_ genomic analysis panel_ including variant analysis of 26 genes_ buccal swab_ report including metabolizer status and risk of drug toxicit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0423U","description":"Psychiatry (eg_ depression_ anxiety)_ genomic analysis panel_ including variant analysis of 26 genes_ buccal swab_ report including metabolizer status and risk of drug toxicit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc nstim apnea compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0424T","description":"Insj/rplc nstim apnea compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Touch quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0106T","description":"Touch quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ exosome-based analysis of 53 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR)_ urine_ reported as","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0424U","description":"Oncology (prostate)_ exosome-based analysis of 53 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR)_ urine_ reported as","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shorten/lengthen thighs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27468","description":"Shorten/lengthen thighs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc nstim apnea sen ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0425T","description":"Insj/rplc nstim apnea sen ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ ultra-rapid sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0426U","description":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ ultra-rapid sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst metastic/ recur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9075","description":"Onc dx brst metastic/ recur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc nstim apnea pls gn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0427T","description":"Insj/rplc nstim apnea pls gn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gated heart multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78473","description":"Gated heart multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monocyte distribution width_ whole blood (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0427U","description":"Monocyte distribution width_ whole blood (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ rapid sequence analysis_ each comparator genome (eg_ parents_ siblings)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0425U","description":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ rapid sequence analysis_ each comparator genome (eg_ parents_ siblings)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice continuous home care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2043","description":"Hospice continuous home care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl nstim apnea pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0428T","description":"Rmvl nstim apnea pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ targeted hybrid-capture genomic sequence analysis panel_ circulating tumor DNA (ctDNA) analysis of 56 or more genes_ interrogation for sequence variants_ ge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0428U","description":"Oncology (breast)_ targeted hybrid-capture genomic sequence analysis panel_ circulating tumor DNA (ctDNA) analysis of 56 or more genes_ interrogation for sequence variants_ ge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl nstim apnea sen ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0429T","description":"Rmvl nstim apnea sen ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human papillomavirus (HPV)_ oropharyngeal swab_ 14 high-risk types (ie_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 51_ 52_ 56_ 58_ 59_ 66_ and 68)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0429U","description":"Human papillomavirus (HPV)_ oropharyngeal swab_ 14 high-risk types (ie_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 51_ 52_ 56_ 58_ 59_ 66_ and 68)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB10A","description":"HIPPS-BB10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl nstim apnea stimj ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0430T","description":"Rmvl nstim apnea stimj ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glycine receptor alpha1 IgG_ serum or cerebrospinal fluid (CSF)_ live cell-binding assay (LCBA)_ qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0431U","description":"Glycine receptor alpha1 IgG_ serum or cerebrospinal fluid (CSF)_ live cell-binding assay (LCBA)_ qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology_ malabsorption evaluation of alpha-1-antitrypsin_ calprotectin_ pancreatic elastase and reducing substances_ feces_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0430U","description":"Gastroenterology_ malabsorption evaluation of alpha-1-antitrypsin_ calprotectin_ pancreatic elastase and reducing substances_ feces_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl/rplc nstim apnea pls gn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0431T","description":"Rmvl/rplc nstim apnea pls gn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain arm/elbow bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23935","description":"Drain arm/elbow bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repos nstim apnea stimj ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0432T","description":"Repos nstim apnea stimj ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paclitaxel protein bound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9264","description":"Paclitaxel protein bound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kelch-like protein 11 (KLHL11) antibody_ serum or cerebrospinal fluid (CSF)_ cell-binding assay_ qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0432U","description":"Kelch-like protein 11 (KLHL11) antibody_ serum or cerebrospinal fluid (CSF)_ cell-binding assay_ qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64468","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64468","description":"CPT-64468","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGMX","description":"HIPPS-1CGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repos nstim apnea sensing ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0433T","description":"Repos nstim apnea sensing ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ 5 DNA regulatory markers by quantitative PCR_ whole blood_ algorithm_ including prostate-specific antigen_ reported as likelihood of cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0433U","description":"Oncology (prostate)_ 5 DNA regulatory markers by quantitative PCR_ whole blood_ algorithm_ including prostate-specific antigen_ reported as likelihood of cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interro eval npgs sleep apne","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0434T","description":"Interro eval npgs sleep apne","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc nstim apnea stm ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0426T","description":"Insj/rplc nstim apnea stm ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Empiric antibiotic rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4045F","description":"Empiric antibiotic rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval npgs apnea 1 ses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0435T","description":"Prgrmg eval npgs apnea 1 ses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response)_ genomic analysis panel_ variant analysis of 25 genes with reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0434U","description":"Drug metabolism (adverse drug reactions and drug response)_ genomic analysis panel_ variant analysis of 25 genes with reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval npgs apnea study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0436T","description":"Prgrmg eval npgs apnea study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth ear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12451","description":"Anesth ear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ chemotherapeutic drug cytotoxicity assay of cancer stem cells (CSCs)_ from cultured CSCs and primary tumor cells_ categorical drug response reported based on cytotox","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0435U","description":"Oncology_ chemotherapeutic drug cytotoxicity assay of cancer stem cells (CSCs)_ from cultured CSCs and primary tumor cells_ categorical drug response reported based on cytotox","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ plasma analysis of 388 proteins_ using aptamer-based proteomics technology_ predictive algorithm reported as clinical benefit from immune checkpoint inhibitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0436U","description":"Oncology (lung)_ plasma analysis of 388 proteins_ using aptamer-based proteomics technology_ predictive algorithm reported as clinical benefit from immune checkpoint inhibitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Erwinaze injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9019","description":"Erwinaze injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50961","description":"Ureter endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impltj Nonbiol/Synth Implt Fasc Rnfcmt Abdl Wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0437T","description":"Impltj Nonbiol/Synth Implt Fasc Rnfcmt Abdl Wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Msh6 gene dup/delete variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81300","description":"Msh6 gene dup/delete variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ammonia test strips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4774","description":"Ammonia test strips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tprnl Plmt Biodegradable Matrl Periprostatic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0438T","description":"Tprnl Plmt Biodegradable Matrl Periprostatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response)_ buccal specimen_ gene-drug interactions_ variant analysis of 33 genes_ including deletion/duplication analysis of C","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0438U","description":"Drug metabolism (adverse drug reactions and drug response)_ buccal specimen_ gene-drug interactions_ variant analysis of 33 genes_ including deletion/duplication analysis of C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of a subcutaneous peritoneal ascites pump_ including reconnection between pump and indwelling bladder and peritoneal catheters_ including initial programming and i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0871T","description":"Replacement of a subcutaneous peritoneal ascites pump_ including reconnection between pump and indwelling bladder and peritoneal catheters_ including initial programming and i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (anxiety disorders)_ mRNA_ gene expression profiling by RNA sequencing of 15 biomarkers_ whole blood_ algorithm reported as predictive risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0437U","description":"Psychiatry (anxiety disorders)_ mRNA_ gene expression profiling by RNA sequencing of 15 biomarkers_ whole blood_ algorithm reported as predictive risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary heart disease [CHD])_ DNA_ analysis of 5 single-nucleotide polymorphisms (SNPs) (rs11716050 [LOC105376934]_ rs6560711 [WDR37]_ rs3735222 [SCIN/LOC10798676","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0439U","description":"Cardiology (coronary heart disease [CHD])_ DNA_ analysis of 5 single-nucleotide polymorphisms (SNPs) (rs11716050 [LOC105376934]_ rs6560711 [WDR37]_ rs3735222 [SCIN/LOC10798676","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Perfusion Echo Ischm/Viability Assmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0439T","description":"Myocardial Perfusion Echo Ischm/Viability Assmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PSYC GEN ALYS PANEL 15 GENES","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0175U","description":"PSYC GEN ALYS PANEL 15 GENES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abltj Perc Cryoabltj Img Gdn Uxtr/Perph Nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0440T","description":"Abltj Perc Cryoabltj Img Gdn Uxtr/Perph Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary heart disease [CHD])_ DNA_ analysis of 10 single-nucleotide polymorphisms (SNPs) (rs710987 [LINC010019]_ rs1333048 [CDKN2B-AS1]_ rs12129789 [KCND3]_ rs942","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0440U","description":"Cardiology (coronary heart disease [CHD])_ DNA_ analysis of 10 single-nucleotide polymorphisms (SNPs) (rs710987 [LINC010019]_ rs1333048 [CDKN2B-AS1]_ rs12129789 [KCND3]_ rs942","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial_ fungal_ or viral infection)_ semiquantitative biomechanical assessment (via deformability cytometry)_ whole blood_ with algorithmic analysis and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0441U","description":"Infectious disease (bacterial_ fungal_ or viral infection)_ semiquantitative biomechanical assessment (via deformability cytometry)_ whole blood_ with algorithmic analysis and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abltj Perc Cryoabltj Img Gdn Lxtr/Perph Nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0441T","description":"Abltj Perc Cryoabltj Img Gdn Lxtr/Perph Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound warming device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0231","description":"Wound warming device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29450","description":"Application of leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0442T","description":"Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sirolimus protein-bound particles_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9091","description":"Injection_ sirolimus protein-bound particles_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA216","description":"HIPPS-BA216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurofilament light chain (NfL)_ ultra-sensitive immunoassay_ serum or cerebrospinal fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0443U","description":"Neurofilament light chain (NfL)_ ultra-sensitive immunoassay_ serum or cerebrospinal fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial Plmt Drug Eluting Ocular Insert Uni/Bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0444T","description":"Initial Plmt Drug Eluting Ocular Insert Uni/Bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient has metastatic disease at diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9834","description":"Patient has metastatic disease at diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD22B","description":"HIPPS-LD22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elevate footrest articulate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0053","description":"Elevate footrest articulate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ targeted genomic sequence analysis panel of 361 genes_ interrogation for gene fusions_ translocations_ or other rearrangements_ using DNA fro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0444U","description":"Oncology (solid organ neoplasia)_ targeted genomic sequence analysis panel of 361 genes_ interrogation for gene fusions_ translocations_ or other rearrangements_ using DNA fro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"B-amyloid (Abeta42) and phospho tau (181P) (pTau181)_ electrochemiluminescent immunoassay (ECLIA)_ cerebral spinal fluid_ ratio reported as positive or negative for amyloid pa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0445U","description":"B-amyloid (Abeta42) and phospho tau (181P) (pTau181)_ electrochemiluminescent immunoassay (ECLIA)_ cerebral spinal fluid_ ratio reported as positive or negative for amyloid pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor_ including system activation and patient training","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0446T","description":"Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor_ including system activation and patient training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sbsq Plmt Drug Eluting Ocular Insert Uni/Bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0445T","description":"Sbsq Plmt Drug Eluting Ocular Insert Uni/Bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back upholstery_ replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0982","description":"Back upholstery_ replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (respiratory infection)_ Myxovirus resistance protein A (MxA) and C-reactive protein (CRP)_ fingerstick whole blood specimen_ each biomarker reported as pre","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0442U","description":"Infectious disease (respiratory infection)_ Myxovirus resistance protein A (MxA) and C-reactive protein (CRP)_ fingerstick whole blood specimen_ each biomarker reported as pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R-T Spctrl Alys Prst8 Tiss Fluorescenc Spctrscpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0443T","description":"R-T Spctrl Alys Prst8 Tiss Fluorescenc Spctrscpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0447T","description":"Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv 1 extrem 5/> ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64645","description":"Chemodenerv 1 extrem 5/> ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune diseases (systemic lupus erythematosus [SLE])_ analysis of 10 cytokine soluble mediator biomarkers by immunoassay_ plasma_ individual components reported with an al","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0446U","description":"Autoimmune diseases (systemic lupus erythematosus [SLE])_ analysis of 10 cytokine soluble mediator biomarkers by immunoassay_ plasma_ individual components reported with an al","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune diseases (systemic lupus erythematosus [SLE])_ analysis of 11 cytokine soluble mediator biomarkers by immunoassay_ plasma_ individual components reported with an al","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0447U","description":"Autoimmune diseases (systemic lupus erythematosus [SLE])_ analysis of 11 cytokine soluble mediator biomarkers by immunoassay_ plasma_ individual components reported with an al","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHM3","description":"HIPPS-2CHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung and colon cancer)_ DNA_ qualitative_ next-generation sequencing detection of single-nucleotide variants and deletions in EGFR and KRAS genes_ formalin-fixed par","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0448U","description":"Oncology (lung and colon cancer)_ DNA_ qualitative_ next-generation sequencing detection of single-nucleotide variants and deletions in EGFR and KRAS genes_ formalin-fixed par","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of aqueous drainage device_ without extraocular reservoir_ internal approach_ into the subconjunctival space; initial device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0449T","description":"Insertion of aqueous drainage device_ without extraocular reservoir_ internal approach_ into the subconjunctival space; initial device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test presump optical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0477","description":"Drug test presump optical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carrier screening for severe inherited conditions (eg_ cystic fibrosis_ spinal muscular atrophy_ beta hemoglobinopathies [including sickle cell disease]_ alpha thalassemia)_ r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0449U","description":"Carrier screening for severe inherited conditions (eg_ cystic fibrosis_ spinal muscular atrophy_ beta hemoglobinopathies [including sickle cell disease]_ alpha thalassemia)_ r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of aqueous drainage device_ without extraocular reservoir_ internal approach_ into the subconjunctival space; each additional device (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0450T","description":"Insertion of aqueous drainage device_ without extraocular reservoir_ internal approach_ into the subconjunctival space; each additional device (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (multiple myeloma)_ liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ monoclonal paraprotein sequencing analysis_ serum_ results reported as baseline pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0450U","description":"Oncology (multiple myeloma)_ liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ monoclonal paraprotein sequencing analysis_ serum_ results reported as baseline pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0451T","description":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef spec metabolic noninherit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4154","description":"Ef spec metabolic noninherit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0452T","description":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTE-qMSP)_ urine_ reported as likelihood of blad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0452U","description":"Oncology (bladder)_ methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTE-qMSP)_ urine_ reported as likelihood of blad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PABPN1 (poly[A] binding protein nuclear 1) (eg_ oculopharyngeal muscular dystrophy) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81312","description":"PABPN1 (poly[A] binding protein nuclear 1) (eg_ oculopharyngeal muscular dystrophy) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0453T","description":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal cancer)_ cell-free DNA (cfDNA)_ methylation-based quantitative PCR assay (SEPTIN9_ IKZF1_ BCAT1_ Septin9-2_ VAV3_ BCAN)_ plasma_ reported as presence or a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0453U","description":"Oncology (colorectal cancer)_ cell-free DNA (cfDNA)_ methylation-based quantitative PCR assay (SEPTIN9_ IKZF1_ BCAT1_ Septin9-2_ VAV3_ BCAN)_ plasma_ reported as presence or a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy w/rf delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0288T","description":"Anoscopy w/rf delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB23A","description":"HIPPS-PB23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0454T","description":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Athletic training evaluation_ high complexity_ requiring these components: A medical history and physical activity profile_ with 3 or more comorbidities that affect physical a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97171","description":"Athletic training evaluation_ high complexity_ requiring these components: A medical history and physical activity profile_ with 3 or more comorbidities that affect physical a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0454U","description":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound exam follow-up","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76970","description":"Ultrasound exam follow-up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; complete system (aortic counterpulsation device_ vascular hemostatic seal_ mechano-electr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0455T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; complete system (aortic counterpulsation device_ vascular hemostatic seal_ mechano-electr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agents (sexually transmitted infection)_ Chlamydia trachomatis_ Neisseria gonorrhoeae_ and Trichomonas vaginalis_ multiplex amplified probe technique_ vaginal_ endo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0455U","description":"Infectious agents (sexually transmitted infection)_ Chlamydia trachomatis_ Neisseria gonorrhoeae_ and Trichomonas vaginalis_ multiplex amplified probe technique_ vaginal_ endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; aortic counterpulsation device and vascular hemostatic seal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0456T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; aortic counterpulsation device and vascular hemostatic seal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair lower leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27734","description":"Repair lower leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (multiple myeloma)_ LC-MS/MS_ peptide ion quantification_ serum_ results compared with baseline to determine monoclonal paraprotein abundance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0451U","description":"Oncology (multiple myeloma)_ LC-MS/MS_ peptide ion quantification_ serum_ results compared with baseline to determine monoclonal paraprotein abundance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune (rheumatoid arthritis)_ next-generation sequencing (NGS)_ gene expression testing of 19 genes_ whole blood_ with analysis of anti-cyclic citrullinated peptides (CCP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0456U","description":"Autoimmune (rheumatoid arthritis)_ next-generation sequencing (NGS)_ gene expression testing of 19 genes_ whole blood_ with analysis of anti-cyclic citrullinated peptides (CCP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor_ including system ac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0448T","description":"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor_ including system ac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; mechano-electrical skin interface","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0457T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; mechano-electrical skin interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perfluoroalkyl substances (PFAS) (eg_ perfluorooctanoic acid_ perfluorooctane sulfonic acid)_ 9 PFAS compounds by LC-MS/MS_ plasma or serum_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0457U","description":"Perfluoroalkyl substances (PFAS) (eg_ perfluorooctanoic acid_ perfluorooctane sulfonic acid)_ 9 PFAS compounds by LC-MS/MS_ plasma or serum_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; subcutaneous electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0458T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; subcutaneous electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast cancer)_ S100A8 and S100A9_ by enzyme-linked immunosorbent assay (ELISA)_ tear fluid with age_ algorithm reported as a risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0458U","description":"Oncology (breast cancer)_ S100A8 and S100A9_ by enzyme-linked immunosorbent assay (ELISA)_ tear fluid with age_ algorithm reported as a risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"B-amyloid (Abeta42) and total tau (tTau)_ electrochemiluminescent immunoassay (ECLIA)_ cerebral spinal fluid_ ratio reported as positive or negative for amyloid pathology","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0459U","description":"B-amyloid (Abeta42) and total tau (tTau)_ electrochemiluminescent immunoassay (ECLIA)_ cerebral spinal fluid_ ratio reported as positive or negative for amyloid pathology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocation of skin pocket with replacement of implanted aortic counterpulsation ventricular assist device_ mechano-electrical skin interface and electrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0459T","description":"Relocation of skin pocket with replacement of implanted aortic counterpulsation ventricular assist device_ mechano-electrical skin interface and electrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA54","description":"HIPPS-RHA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ whole blood or buccal_ DNA single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0460U","description":"Oncology_ whole blood or buccal_ DNA single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of previously implanted aortic counterpulsation ventricular assist device; subcutaneous electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0460T","description":"Repositioning of previously implanted aortic counterpulsation ventricular assist device; subcutaneous electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of previously implanted aortic counterpulsation ventricular assist device; aortic counterpulsation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0461T","description":"Repositioning of previously implanted aortic counterpulsation ventricular assist device; aortic counterpulsation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph egd dilation <30 mm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43249","description":"Esoph egd dilation <30 mm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ pharmacogenomic analysis of single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ whole blood or buccal swab_ with variant analysis_ includin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0461U","description":"Oncology_ pharmacogenomic analysis of single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ whole blood or buccal swab_ with variant analysis_ includin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of the implantable mechano-electrical skin interface and/or external driver to test the function of the dev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0462T","description":"Programming device evaluation (in person) with iterative adjustment of the implantable mechano-electrical skin interface and/or external driver to test the function of the dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5142","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5142","description":"HCPCS-Q5142","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Melatonin levels test_ sleep study_ 7 or 9 sample melatonin profile (cortisol optional)_ enzyme-linked immunosorbent assay (ELISA)_ saliva_ screening/preliminary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0462U","description":"Melatonin levels test_ sleep study_ 7 or 9 sample melatonin profile (cortisol optional)_ enzyme-linked immunosorbent assay (ELISA)_ saliva_ screening/preliminary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording and disconnection per patient encounter_ implantable aortic counte","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0463T","description":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording and disconnection per patient encounter_ implantable aortic counte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (cervix)_ mRNA gene expression profiling of 14 biomarkers (E6 and E7 of the highest-risk human papillomavirus [HPV] types 16_ 18_ 31_ 33_ 45_ 52_ 58)_ by real-time nu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0463U","description":"Oncology (cervix)_ mRNA gene expression profiling of 14 biomarkers (E6 and E7 of the highest-risk human papillomavirus [HPV] types 16_ 18_ 31_ 33_ 45_ 52_ 58)_ by real-time nu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual evoked potential_ testing for glaucoma_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0464T","description":"Visual evoked potential_ testing for glaucoma_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ quantitative real-time target and signal amplification_ methylated DNA markers_ including LASS4_ LRRC4 and PPP2R5C_ a reference marker ZDHHC1_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0464U","description":"Oncology (colorectal) screening_ quantitative real-time target and signal amplification_ methylated DNA markers_ including LASS4_ LRRC4 and PPP2R5C_ a reference marker ZDHHC1_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suprachoroidal injection of a pharmacologic agent (does not include supply of medication)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0465T","description":"Suprachoroidal injection of a pharmacologic agent (does not include supply of medication)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Idursulfase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1743","description":"Idursulfase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25622","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of chest wall respiratory sensor electrode or electrode array_ including connection to pulse generator (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0466T","description":"Insertion of chest wall respiratory sensor electrode or electrode array_ including connection to pulse generator (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial carcinoma)_ DNA_ quantitative methylation-specific PCR of 2 genes (ONECUT2_ VIM)_ algorithmic analysis reported as positive or negative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0465U","description":"Oncology (urothelial carcinoma)_ DNA_ quantitative methylation-specific PCR of 2 genes (ONECUT2_ VIM)_ algorithmic analysis reported as positive or negative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-49190","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49190","description":"CPT-49190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision or replacement of chest wall respiratory sensor electrode or electrode array_ including connection to existing pulse generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0467T","description":"Revision or replacement of chest wall respiratory sensor electrode or electrode array_ including connection to existing pulse generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add ue prost s/d ultlite mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7402","description":"Add ue prost s/d ultlite mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ DNA_ next-generation sequencing (NGS) of 60 genes and whole genome aneuploidy_ urine_ algorithms reported as minimal residual disease (MRD) status positive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0467U","description":"Oncology (bladder)_ DNA_ next-generation sequencing (NGS) of 60 genes and whole genome aneuploidy_ urine_ algorithms reported as minimal residual disease (MRD) status positive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <26.15 & Age >84.5_ comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0108","description":"Stroke with Motor <26.15 & Age >84.5_ comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluate speech production","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92522","description":"Evaluate speech production","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of chest wall respiratory sensor electrode or electrode array","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0468T","description":"Removal of chest wall respiratory sensor electrode or electrode array","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary artery disease [CAD])_ DNA_ genome-wide association studies (564856 single-nucleotide polymorphisms [SNPs]_ targeted variant genotyping)_ patient lifestyl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0466U","description":"Cardiology (coronary artery disease [CAD])_ DNA_ genome-wide association studies (564856 single-nucleotide polymorphisms [SNPs]_ targeted variant genotyping)_ patient lifestyl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA25D","description":"HIPPS-CA25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatology (nonalcoholic steatohepatitis [NASH])_ miR-34a-5p_ alpha 2-macroglobulin_ YKL40_ HbA1c_ serum and whole blood_ algorithm reported as a single score for NASH activit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0468U","description":"Hepatology (nonalcoholic steatohepatitis [NASH])_ miR-34a-5p_ alpha 2-macroglobulin_ YKL40_ HbA1c_ serum and whole blood_ algorithm reported as a single score for NASH activit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dsg<=16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6231","description":"Hydrogel dsg<=16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis for chromosomal abnormalities_ copy number variants_ duplications/deletions_ inversions_ unb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0469U","description":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis for chromosomal abnormalities_ copy number variants_ duplications/deletions_ inversions_ unb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retinal polarization scan_ ocular screening with on-site automated results_ bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0469T","description":"Retinal polarization scan_ ocular screening with on-site automated results_ bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (oropharyngeal)_ detection of minimal residual disease by next-generation sequencing (NGS) based quantitative evaluation of 8 DNA targets_ cell-free HPV 16 and 18 DNA","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0470U","description":"Oncology (oropharyngeal)_ detection of minimal residual disease by next-generation sequencing (NGS) based quantitative evaluation of 8 DNA targets_ cell-free HPV 16 and 18 DNA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal cancer)_ qualitative real-time PCR of 35 variants of KRAS and NRAS genes (exons 2_ 3_ 4)_ formalin-fixed paraffin-embedded (FFPE)_ predictive_ identificat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0471U","description":"Oncology (colorectal cancer)_ qualitative real-time PCR of 35 variants of KRAS and NRAS genes (exons 2_ 3_ 4)_ formalin-fixed paraffin-embedded (FFPE)_ predictive_ identificat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) for microstructural and morphological imaging of skin_ image acquisition_ interpretation_ and report; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0470T","description":"Optical coherence tomography (OCT) for microstructural and morphological imaging of skin_ image acquisition_ interpretation_ and report; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) for microstructural and morphological imaging of skin_ image acq_ interpretation_ and report; each additional lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0471T","description":"Optical coherence tomography (OCT) for microstructural and morphological imaging of skin_ image acq_ interpretation_ and report; each additional lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carbonic anhydrase VI (CA VI)_ parotid specific/secretory protein (PSP) and salivary protein (SP1) IgG_ IgM_ and IgA antibodies_ enzyme-linked immunosorbent assay (ELISA)_ sem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0472U","description":"Carbonic anhydrase VI (CA VI)_ parotid specific/secretory protein (PSP) and salivary protein (SP1) IgG_ IgM_ and IgA antibodies_ enzyme-linked immunosorbent assay (ELISA)_ sem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPT","description":"HIPPS-3BHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Device evaluation and interrogation of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ including reprogramming and visual training_ when performed_ wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0473T","description":"Device evaluation and interrogation of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ including reprogramming and visual training_ when performed_ wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Device evaluation_ interrogation_ and initial programming of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ with iterative adjustment of the implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0472T","description":"Device evaluation_ interrogation_ and initial programming of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ with iterative adjustment of the implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med reminder serv per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5185","description":"Med reminder serv per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ next-generation sequencing (NGS) of DNA from formalin-fixed paraffin-embedded (FFPE) tissue with comparative sequence analysis from a matched normal sp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0473U","description":"Oncology (solid tumor)_ next-generation sequencing (NGS) of DNA from formalin-fixed paraffin-embedded (FFPE) tissue with comparative sequence analysis from a matched normal sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of anterior segment aqueous drainage device_ with creation of intraocular reservoir_ internal approach_ into the supraciliary space","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0474T","description":"Insertion of anterior segment aqueous drainage device_ with creation of intraocular reservoir_ internal approach_ into the supraciliary space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary pan-cancer (eg_ hereditary sarcomas_ hereditary endocrine tumors_ hereditary neuroendocrine tumors_ hereditary cutaneous melanoma)_ genomic sequence analysis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0474U","description":"Hereditary pan-cancer (eg_ hereditary sarcomas_ hereditary endocrine tumors_ hereditary neuroendocrine tumors_ hereditary cutaneous melanoma)_ genomic sequence analysis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Participant-Directed Community Supports","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1900","description":"Participant-Directed Community Supports","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX1B","description":"HIPPS-RLX1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recording of fetal magnetic cardiac signal using at least 3 channels; patient recording and storage_ data scanning with signal extraction_ technical analysis and result","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0475T","description":"Recording of fetal magnetic cardiac signal using at least 3 channels; patient recording and storage_ data scanning with signal extraction_ technical analysis and result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary prostate cancer-related disorders_ genomic sequence analysis panel using next-generation sequencing (NGS)_ Sanger sequencing_ multiplex ligation-dependent probe amp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0475U","description":"Hereditary prostate cancer-related disorders_ genomic sequence analysis panel using next-generation sequencing (NGS)_ Sanger sequencing_ multiplex ligation-dependent probe amp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove self-contd penis pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54415","description":"Remove self-contd penis pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recording of fetal magnetic cardiac signal using at least 3 channels; patient recording_ data scanning_ with raw electronic signal transfer of data and storage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0476T","description":"Recording of fetal magnetic cardiac signal using at least 3 channels; patient recording_ data scanning_ with raw electronic signal transfer of data and storage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB12","description":"HIPPS-RUB12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0476U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0476U","description":"CPT-0476U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recording of fetal magnetic cardiac signal using at least 3 channels; signal extraction_ technical analysis_ and result","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0477T","description":"Recording of fetal magnetic cardiac signal using at least 3 channels; signal extraction_ technical analysis_ and result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC101","description":"HIPPS-LC101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrode stimulation brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95961","description":"Electrode stimulation brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0477U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0477U","description":"CPT-0477U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recording of fetal magnetic cardiac signal using at least 3 channels; review_ interpretation_ report by physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0478T","description":"Recording of fetal magnetic cardiac signal using at least 3 channels; review_ interpretation_ report by physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0478U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0478U","description":"CPT-0478U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0479U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0479U","description":"CPT-0479U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof_ or 1% of body surface area of infants and childre","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0479T","description":"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof_ or 1% of body surface area of infants and childre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2_ or each additional 1% of body surface area of infants a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0480T","description":"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2_ or each additional 1% of body surface area of infants a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-stranded_c-131","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2643","description":"Brachytx_ non-stranded_c-131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD205","description":"HIPPS-PD205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ autologous white blood cell concentrate (autologous protein solution)_ any site_ including image guidance_ harvesting and preparation_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0481T","description":"Injection(s)_ autologous white blood cell concentrate (autologous protein solution)_ any site_ including image guidance_ harvesting and preparation_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0481U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0481U","description":"CPT-0481U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18B","description":"HIPPS-PA18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absolute quantitation of myocardial blood flow_ positron emission tomography (PET)_ rest and stress (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0482T","description":"Absolute quantitation of myocardial blood flow_ positron emission tomography (PET)_ rest and stress (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0480U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0480U","description":"CPT-0480U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC115","description":"HIPPS-PC115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGNW","description":"HIPPS-3AGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0482U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0482U","description":"CPT-0482U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach_ including transseptal puncture_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0483T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach_ including transseptal puncture_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0483U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0483U","description":"CPT-0483U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Windowing of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29730","description":"Windowing of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg_ thoracotomy_ transapical)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0484T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg_ thoracotomy_ transapical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47480","description":"Incision of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0484U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0484U","description":"CPT-0484U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0485T","description":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0485U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0485U","description":"CPT-0485U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc opioid tx 1x at ther","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9579","description":"No doc opioid tx 1x at ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0486U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0486U","description":"CPT-0486U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0486T","description":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00567","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00567","description":"CPT-00567","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0487U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0487U","description":"CPT-0487U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biomechanical mapping_ transvaginal_ with report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0487T","description":"Biomechanical mapping_ transvaginal_ with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preventive behavior change_ online/electronic structured intensive program for prevention of diabetes using a standardized diabetes prevention program curriculum_ provided to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0488T","description":"Preventive behavior change_ online/electronic structured intensive program for prevention of diabetes using a standardized diabetes prevention program curriculum_ provided to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; adipose tissue harvesting_ isolation and preparation of harvested cells including incubation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0489T","description":"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; adipose tissue harvesting_ isolation and preparation of harvested cells including incubation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0488U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0488U","description":"CPT-0488U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular junction test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95937","description":"Neuromuscular junction test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE15A","description":"HIPPS-LE15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0489U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0489U","description":"CPT-0489U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0490T","description":"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal myoelectrical activity study_ stomach through colon_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0779T","description":"Gastrointestinal myoelectrical activity study_ stomach through colon_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0490U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0490U","description":"CPT-0490U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablative laser treatment_ non-contact_ full field and fractional ablation_ open wound_ per day_ total treatment surface area; first 20 sq cm or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0491T","description":"Ablative laser treatment_ non-contact_ full field and fractional ablation_ open wound_ per day_ total treatment surface area; first 20 sq cm or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0491U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0491U","description":"CPT-0491U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway pressure filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7038","description":"Pos airway pressure filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablative laser treatment_ non-contact_ full field and fractional ablation_ open wound_ per day_ total treatment surface area; each additional 20 sq cm_ or part thereof (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0492T","description":"Ablative laser treatment_ non-contact_ full field and fractional ablation_ open wound_ per day_ total treatment surface area; each additional 20 sq cm_ or part thereof (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0492U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0492U","description":"CPT-0492U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0493U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0493U","description":"CPT-0493U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system_ including decannulation_ separation from the perfusion sys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0494T","description":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system_ including decannulation_ separation from the perfusion sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Near-infrared spectroscopy studies of lower extremity wounds (eg_ for oxyhemoglobin measurement)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0493T","description":"Near-infrared spectroscopy studies of lower extremity wounds (eg_ for oxyhemoglobin measurement)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0494U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0494U","description":"CPT-0494U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0495T","description":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0495U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0495U","description":"CPT-0495U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of progesterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84144","description":"Assay of progesterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Clostridium difficile toxin A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87803","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Clostridium difficile toxin A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0496T","description":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0496U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0496U","description":"CPT-0496U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth face/skull bone surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19051","description":"Anesth face/skull bone surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External patient-activated_ physician- or other qualified health care professional-prescribed_ electrocardiographic rhythm derived event recorder without 24 hour attended moni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0497T","description":"External patient-activated_ physician- or other qualified health care professional-prescribed_ electrocardiographic rhythm derived event recorder without 24 hour attended moni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft hand/foot >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64891","description":"Nerve graft hand/foot >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ankle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27840","description":"Treat ankle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0497U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0497U","description":"CPT-0497U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD110","description":"HIPPS-PD110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External patient-activated_ physician- or other qualified health care professional-prescribed_ electrocardiographic rhythm derived event recording without 24 hour attended mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0498T","description":"External patient-activated_ physician- or other qualified health care professional-prescribed_ electrocardiographic rhythm derived event recording without 24 hour attended mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe sole wedge between sole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3370","description":"Shoe sole wedge between sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason for not conducting a search for DICOM format images for prior patient CT imaging studies completed at non-affiliated external healthcare facili","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9753","description":"Documentation of medical reason for not conducting a search for DICOM format images for prior patient CT imaging studies completed at non-affiliated external healthcare facili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0498U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0498U","description":"CPT-0498U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0499U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0499U","description":"CPT-0499U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy_ with mechanical dilation and urethral therapeutic drug delivery for urethral stricture or stenosis_ including fluoroscopy_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0499T","description":"Cystourethroscopy_ with mechanical dilation and urethral therapeutic drug delivery for urethral stricture or stenosis_ including fluoroscopy_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preparation for bladder xray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51605","description":"Preparation for bladder xray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial prenatal care visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0500F","description":"Initial prenatal care visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ human papillomavirus (HPV) for five or more separately reported high-risk HPV types (eg_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0500T","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ human papillomavirus (HPV) for five or more separately reported high-risk HPV types (eg_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0500U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0500U","description":"CPT-0500U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tissue for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20926","description":"Removal of tissue for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prenatal flow sheet","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0501F","description":"Prenatal flow sheet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0501U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0501U","description":"CPT-0501U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0501T","description":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent prenatal care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0502F","description":"Subsequent prenatal care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0502T","description":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deionizer h2o puri system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1615","description":"Deionizer h2o puri system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0503T","description":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0502U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0502U","description":"CPT-0502U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr s/a/l 10.1-30 sqcm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14021","description":"Tis trnfr s/a/l 10.1-30 sqcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postpartum care visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0503F","description":"Postpartum care visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply intrcav radiat compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77763","description":"Apply intrcav radiat compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0503U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0503U","description":"CPT-0503U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD21C","description":"HIPPS-PD21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0504T","description":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0504U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0504U","description":"CPT-0504U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0505F","description":"Hemodialysis plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0505U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0505U","description":"CPT-0505U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous femoral-popliteal arterial revascularization_ with transcatheter placement of intravascular stent graft(s) and closure by any method_ including percutaneous or open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0505T","description":"Endovenous femoral-popliteal arterial revascularization_ with transcatheter placement of intravascular stent graft(s) and closure by any method_ including percutaneous or open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Macular pigment optical density measurement by heterochromatic flicker photometry_ unilateral or bilateral_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0506T","description":"Macular pigment optical density measurement by heterochromatic flicker photometry_ unilateral or bilateral_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0506U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0506U","description":"CPT-0506U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periton dialysis plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0507F","description":"Periton dialysis plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0800T","description":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Near-infrared dual imaging (ie_ simultaneous reflective and trans-illuminated light) of meibomian glands_ unilateral or bilateral_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0507T","description":"Near-infrared dual imaging (ie_ simultaneous reflective and trans-illuminated light) of meibomian glands_ unilateral or bilateral_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cyclophosphamide (ingenus)_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9073","description":"Injection_ cyclophosphamide (ingenus)_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX12","description":"HIPPS-RLX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0507U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0507U","description":"CPT-0507U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0508U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0508U","description":"CPT-0508U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulse-echo ultrasound bone density measurement resulting in indicator of axial bone mineral density_ tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0508T","description":"Pulse-echo ultrasound bone density measurement resulting in indicator of axial bone mineral density_ tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor stent ather s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9602","description":"Perc d-e cor stent ather s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m bicisate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9557","description":"Tc99m bicisate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine incon plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0509F","description":"Urine incon plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroretinography (ERG) with interpretation and report_ pattern (PERG)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0509T","description":"Electroretinography (ERG) with interpretation and report_ pattern (PERG)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM6","description":"HIPPS-1CFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI compatible system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0859","description":"MRI compatible system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0509U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0509U","description":"CPT-0509U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0991T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0991T","description":"CPT-0991T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sinus tarsi implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0510T","description":"Removal of sinus tarsi implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0510U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0510U","description":"CPT-0510U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and reinsertion of sinus tarsi implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0511T","description":"Removal and reinsertion of sinus tarsi implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_thinlayer_rescr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0143","description":"Scr c/v cyto_thinlayer_rescr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0511U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0511U","description":"CPT-0511U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound char size etc docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2050F","description":"Wound char size etc docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracorporeal shock wave for integumentary wound healing_ high energy_ including topical application and dressing care; initial wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0512T","description":"Extracorporeal shock wave for integumentary wound healing_ high energy_ including topical application and dressing care; initial wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elev bp plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0513F","description":"Elev bp plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0512U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0512U","description":"CPT-0512U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracorporeal shock wave for integumentary wound healing_ high energy_ including topical application and dressing care; each additional wound (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0513T","description":"Extracorporeal shock wave for integumentary wound healing_ high energy_ including topical application and dressing care; each additional wound (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMW","description":"HIPPS-1CHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0513U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0513U","description":"CPT-0513U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative visual axis identification using patient fixation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0514T","description":"Intraoperative visual axis identification using patient fixation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine/uric acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84560","description":"Assay of urine/uric acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Care plan hgb docd esa pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0514F","description":"Care plan hgb docd esa pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC250","description":"HIPPS-CC250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth special head surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21851","description":"Anesth special head surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0514U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0514U","description":"CPT-0514U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0515T","description":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0515U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0515U","description":"CPT-0515U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMW","description":"HIPPS-1BHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot inhibit prot s total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85305","description":"Clot inhibit prot s total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anemia plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0516F","description":"Anemia plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0516T","description":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0516U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0516U","description":"CPT-0516U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of chest lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32310","description":"Removal of chest lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0517T","description":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0517F","description":"Glaucoma plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0517U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0517U","description":"CPT-0517U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fall plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0518F","description":"Fall plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left ventricular pacing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0518T","description":"Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left ventricular pacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below/above elbow lock mech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6698","description":"Below/above elbow lock mech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep ak ischial thermo mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5580","description":"Prep ak ischial thermo mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0518U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0518U","description":"CPT-0518U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med record copy per page","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9982","description":"Med record copy per page","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES24D","description":"HIPPS-ES24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0519T","description":"Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pland chemo docd b/4 txmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0519F","description":"Pland chemo docd b/4 txmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad dos limts b/4 3d rad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0520F","description":"Rad dos limts b/4 3d rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0519U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0519U","description":"CPT-0519U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)_ including placement of a new ele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0520T","description":"Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)_ including placement of a new ele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0520U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0520U","description":"CPT-0520U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan of care 4 pain docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0521F","description":"Plan of care 4 pain docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess dyspnea not present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1018F","description":"Assess dyspnea not present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording_ and disconnection per patient encounter_ wireless cardiac stimula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0521T","description":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording_ and disconnection per patient encounter_ wireless cardiac stimula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer administration set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7003","description":"Nebulizer administration set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0522T","description":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0521U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0521U","description":"CPT-0521U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB1C","description":"HIPPS-RLB1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of peritoneum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74190","description":"X-ray exam of peritoneum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree_ derived from coronary angiogram data_ for re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0523T","description":"Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree_ derived from coronary angiogram data_ for re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1072","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1072","description":"HCPCS-J1072","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0522U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0522U","description":"CPT-0522U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0523U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0523U","description":"CPT-0523U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone_ lacrimal ophthalmic insert_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1096","description":"Dexamethasone_ lacrimal ophthalmic insert_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial visit for episode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0525F","description":"Initial visit for episode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug training","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0021","description":"Alcohol and/or drug training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0524U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0524U","description":"CPT-0524U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein_ open or percutaneous_ including all vascular access_ catheter manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0524T","description":"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein_ open or percutaneous_ including all vascular access_ catheter manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Listeria monocytogenes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86723","description":"Listeria monocytogenes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Androstanediol glucuronide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82154","description":"Androstanediol glucuronide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0525T","description":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0525U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0525U","description":"CPT-0525U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kne sing axis fric shin sach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5200","description":"Kne sing axis fric shin sach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0526T","description":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subs visit for episode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0526F","description":"Subs visit for episode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg arterial single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33533","description":"Cabg arterial single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit picc insert kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5520","description":"Hit picc insert kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Keroxx (2.5 g/cc)_ 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4202","description":"Keroxx (2.5 g/cc)_ 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0526U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0526U","description":"CPT-0526U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0527T","description":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0527U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0527U","description":"CPT-0527U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX4B","description":"HIPPS-RHX4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rcmnd flw-up 10 yrs docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0528F","description":"Rcmnd flw-up 10 yrs docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values_ with analysis_ review_ and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0528T","description":"Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values_ with analysis_ review_ and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening barbiturates","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80345","description":"Drug screening barbiturates","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hf mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8551","description":"Hf mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0528U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0528U","description":"CPT-0528U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Budesonide comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7634","description":"Budesonide comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis_ review_ and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0529T","description":"Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis_ review_ and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI upper extremity w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73219","description":"MRI upper extremity w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intrvl 3/>yr pts clnscp docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0529F","description":"Intrvl 3/>yr pts clnscp docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0529U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0529U","description":"CPT-0529U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy shoulder tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23066","description":"Biopsy shoulder tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; complete system (electrode and implantable monitor)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0530T","description":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; complete system (electrode and implantable monitor)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhv-6 dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87531","description":"Hhv-6 dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic resorbable wound dressing_ sterile_ pad size more than 16 sq in but less than or equal to 48 sq in_ without adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6461","description":"Synthetic resorbable wound dressing_ sterile_ pad size more than 16 sq in but less than or equal to 48 sq in_ without adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0530U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0530U","description":"CPT-0530U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20520","description":"Removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; electrode only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0531T","description":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; electrode only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0496U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0496U","description":"CPT-0496U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0531U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0531U","description":"CPT-0531U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ belinostat_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9032","description":"Injection_ belinostat_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; implantable monitor only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0532T","description":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; implantable monitor only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0532U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0532U","description":"CPT-0532U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artacent AC_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4190","description":"Artacent AC_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0533U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0533U","description":"CPT-0533U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; includes set-up_ patient training_ configuration o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0533T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; includes set-up_ patient training_ configuration o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; set-up_ patient training_ configuration of monitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0534T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; set-up_ patient training_ configuration of monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dyspnea mngmnt plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0535F","description":"Dyspnea mngmnt plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0534U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0534U","description":"CPT-0534U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; data upload_ analysis and initial report configura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0535T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; data upload_ analysis and initial report configura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN3","description":"HIPPS-1AFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nsclc dx unknown nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9067","description":"Onc dx nsclc dx unknown nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0535U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0535U","description":"CPT-0535U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0536U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0536U","description":"CPT-0536U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells_ per day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0537T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells_ per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; download review_ interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0536T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; download review_ interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0537U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0537U","description":"CPT-0537U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tablo Hemodialysis System For The Billable Dialysis Service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1629","description":"Tablo Hemodialysis System For The Billable Dialysis Service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg_ cryopreservation_ storage)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0538T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg_ cryopreservation_ storage)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0538U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0538U","description":"CPT-0538U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0539T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No eval activity clin symp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3119F","description":"No eval activity clin symp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE15A","description":"HIPPS-PE15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gluco mngmnt plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0540F","description":"Gluco mngmnt plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0539U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0539U","description":"CPT-0539U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0540U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0540U","description":"CPT-0540U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0541U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0541U","description":"CPT-0541U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration_ autologous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0540T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration_ autologous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia_ by signal acquisition using minimum 36 channel grid_ generation of magnetic-field time-serie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0541T","description":"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia_ by signal acquisition using minimum 36 channel grid_ generation of magnetic-field time-serie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia_ by signal acquisition using minimum 36 channel grid_ generation of magnetic-field time-serie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0542T","description":"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia_ by signal acquisition using minimum 36 channel grid_ generation of magnetic-field time-serie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0543U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0543U","description":"CPT-0543U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of phrenic nerve stimulator transvenous lead(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33281","description":"Repositioning of phrenic nerve stimulator transvenous lead(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transapical mitral valve repair_ including transthoracic echocardiography_ when performed_ with placement of artificial chordae tendineae","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0543T","description":"Transapical mitral valve repair_ including transthoracic echocardiography_ when performed_ with placement of artificial chordae tendineae","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj dexamethasone acetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1094","description":"Inj dexamethasone acetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc opioid tx 1x during ther","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9578","description":"Doc opioid tx 1x during ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve annulus reconstruction_ with implantation of adjustable annulus reconstruction device_ percutaneous approach including transseptal puncture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0544T","description":"Transcatheter mitral valve annulus reconstruction_ with implantation of adjustable annulus reconstruction device_ percutaneous approach including transseptal puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0544U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0544U","description":"CPT-0544U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device_ percutaneous approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0545T","description":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device_ percutaneous approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow up care plan mdd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0545F","description":"Follow up care plan mdd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0664","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0664","description":"HCPCS-G0664","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0545U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0545U","description":"CPT-0545U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0546U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0546U","description":"CPT-0546U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiofrequency spectroscopy_ real time_ intraoperative margin assessment_ at the time of partial mastectomy_ with report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0546T","description":"Radiofrequency spectroscopy_ real time_ intraoperative margin assessment_ at the time of partial mastectomy_ with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA02","description":"HIPPS-RUA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0547U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0547U","description":"CPT-0547U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lifestyle mod 4th stage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0342","description":"Lifestyle mod 4th stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone-material quality testing by microindentation(s) of the tibia(s)_ with results reported as a score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0547T","description":"Bone-material quality testing by microindentation(s) of the tibia(s)_ with results reported as a score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1482","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1482","description":"HCPCS-M1482","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; bilateral placement_ including cystoscopy and fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0548T","description":"Transperineal periurethral balloon continence device; bilateral placement_ including cystoscopy and fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alveoloplasty not w/extracts","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7321","description":"Alveoloplasty not w/extracts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0548U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0548U","description":"CPT-0548U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB140","description":"HIPPS-BB140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61516","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; unilateral placement_ including cystoscopy and fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0549T","description":"Transperineal periurethral balloon continence device; unilateral placement_ including cystoscopy and fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special supplies phys/qhp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99070","description":"Special supplies phys/qhp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0549U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0549U","description":"CPT-0549U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrocardiogram complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93000","description":"Electrocardiogram complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath report nongyn spcmn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0550F","description":"Cytopath report nongyn spcmn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; removal_ each balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0550T","description":"Transperineal periurethral balloon continence device; removal_ each balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath report non routine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0551F","description":"Cytopath report non routine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; adjustment of balloon(s) fluid volume","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0551T","description":"Transperineal periurethral balloon continence device; adjustment of balloon(s) fluid volume","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0551U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0551U","description":"CPT-0551U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low-level laser therapy_ dynamic photonic and dynamic thermokinetic energies_ provided by a physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0552T","description":"Low-level laser therapy_ dynamic photonic and dynamic thermokinetic energies_ provided by a physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gauze > 48 sq in w/border","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6221","description":"Gauze > 48 sq in w/border","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67922","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0553U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0553U","description":"CPT-0553U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0554T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter placement of iliac arteriovenous anastomosis implant_ inclusive of all radiological supervision and interpretation_ intraprocedural roadmapping_ and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0553T","description":"Percutaneous transcatheter placement of iliac arteriovenous anastomosis implant_ inclusive of all radiological supervision and interpretation_ intraprocedural roadmapping_ and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0554U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0554U","description":"CPT-0554U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Posterior vertebral joint replacement_ including bilateral facetectomy_ laminectomy_ and radical discectomy_ including imaging guidance_ lumbar spine_ single segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0719T","description":"Posterior vertebral joint replacement_ including bilateral facetectomy_ laminectomy_ and radical discectomy_ including imaging guidance_ lumbar spine_ single segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symptom mgmnt plan care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0555F","description":"Symptom mgmnt plan care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0552U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0552U","description":"CPT-0552U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0555T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0555U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0555U","description":"CPT-0555U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/fam w/e&m 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90833","description":"Psytx pt&/fam w/e&m 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest art for cabg add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35600","description":"Harvest art for cabg add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan care lipid control docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0556F","description":"Plan care lipid control docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; assessment of bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0556T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; assessment of bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7173","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7173","description":"HCPCS-J7173","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor xiii recomb a-subunit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7181","description":"Factor xiii recomb a-subunit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0556U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0556U","description":"CPT-0556U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan caremng angnl symptdocd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0557F","description":"Plan caremng angnl symptdocd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0557U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0557U","description":"CPT-0557U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed tomography scan taken for the purpose of biomechanical computed tomography analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0558T","description":"Computed tomography scan taken for the purpose of biomechanical computed tomography analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0558U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0558U","description":"CPT-0558U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; interpretation and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0557T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; interpretation and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0559T","description":"Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0559U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0559U","description":"CPT-0559U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anatomic model 3D-printed from image data set(s); each additional individually prepared and processed component of an anatomic structure (List separately in addition to code f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0560T","description":"Anatomic model 3D-printed from image data set(s); each additional individually prepared and processed component of an anatomic structure (List separately in addition to code f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seat lift mechanism toilet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0172","description":"Seat lift mechanism toilet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0560U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0560U","description":"CPT-0560U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76831","description":"Echo exam uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27232","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0561T","description":"Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0561U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0561U","description":"CPT-0561U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc thigh/knee les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27337","description":"Exc thigh/knee les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0562U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0562U","description":"CPT-0562U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0562T","description":"Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evacuation Of Meibomian Glands_ Using Heat Delivered Through Wearable_ Open-Eye Eyelid Treatment Devices And Manual Gland Expression_ Bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0563T","description":"Evacuation Of Meibomian Glands_ Using Heat Delivered Through Wearable_ Open-Eye Eyelid Treatment Devices And Manual Gland Expression_ Bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0563U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0563U","description":"CPT-0563U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ Chemotherapeutic Drug Cytotoxicity Assay Of Cancer Stem Cells (Cscs)_ From Cultured Cscs And Primary Tumor Cells_ Categorical Drug Response Reported Based On Percent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0564T","description":"Oncology_ Chemotherapeutic Drug Cytotoxicity Assay Of Cancer Stem Cells (Cscs)_ From Cultured Cscs And Primary Tumor Cells_ Categorical Drug Response Reported Based On Percent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0564U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0564U","description":"CPT-0564U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous Cellular Implant Derived From Adipose Tissue For The Treatment Of Osteoarthritis Of The Knees; Tissue Harvesting And Cellular Implant Creation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0565T","description":"Autologous Cellular Implant Derived From Adipose Tissue For The Treatment Of Osteoarthritis Of The Knees; Tissue Harvesting And Cellular Implant Creation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0565U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0565U","description":"CPT-0565U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hocm>= 400mg/ml iodine_ 1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9964","description":"Hocm>= 400mg/ml iodine_ 1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHNS","description":"HIPPS-1AHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous Cellular Implant Derived From Adipose Tissue For The Treatment Of Osteoarthritis Of The Knees; Injection Of Cellular Implant Into Knee Joint Including Ultrasound Gu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0566T","description":"Autologous Cellular Implant Derived From Adipose Tissue For The Treatment Of Osteoarthritis Of The Knees; Injection Of Cellular Implant Into Knee Joint Including Ultrasound Gu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0566U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0566U","description":"CPT-0566U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rn telephone calls to dmp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0320","description":"Rn telephone calls to dmp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Permanent Fallopian Tube Occlusion With Degradable Biopolymer Implant_ Transcervical Approach_ Including Transvaginal Ultrasound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0567T","description":"Permanent Fallopian Tube Occlusion With Degradable Biopolymer Implant_ Transcervical Approach_ Including Transvaginal Ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj protirelin per 250 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2725","description":"Inj protirelin per 250 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0568U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0568U","description":"CPT-0568U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Initial Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0569T","description":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Initial Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0542U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0542U","description":"CPT-0542U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0567U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0567U","description":"CPT-0567U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction Of Mixture Of Saline And Air For Sonosalpingography To Confirm Occlusion Of Fallopian Tubes_ Transcervical Approach_ Including Transvaginal Ultrasound And Pelvic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0568T","description":"Introduction Of Mixture Of Saline And Air For Sonosalpingography To Confirm Occlusion Of Fallopian Tubes_ Transcervical Approach_ Including Transvaginal Ultrasound And Pelvic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0569U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0569U","description":"CPT-0569U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Each Additional Prosthesis During Same Session (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0570T","description":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Each Additional Prosthesis During Same Session (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove kidney living donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50320","description":"Remove kidney living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner eye adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65860","description":"Incise inner eye adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0571U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0571U","description":"CPT-0571U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Or Replacement Of Implantable Cardioverter-Defibrillator System With Substernal Electrode(S)_ Including All Imaging Guidance And Electrophysiological Evaluation (Inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0571T","description":"Insertion Or Replacement Of Implantable Cardioverter-Defibrillator System With Substernal Electrode(S)_ Including All Imaging Guidance And Electrophysiological Evaluation (Inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advncd care plan 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99497","description":"Advncd care plan 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0570U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0570U","description":"CPT-0570U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0572U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0572U","description":"CPT-0572U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ exosome-based analysis of 53 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR)_ urine_ reported as","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0424U","description":"Oncology (prostate)_ exosome-based analysis of 53 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR)_ urine_ reported as","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Substernal Implantable Defibrillator Electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0573T","description":"Removal Of Substernal Implantable Defibrillator Electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0573U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0573U","description":"CPT-0573U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning Of Previously Implanted Substernal Implantable Defibrillator-Pacing Electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0574T","description":"Repositioning Of Previously Implanted Substernal Implantable Defibrillator-Pacing Electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv rna plan care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0575F","description":"Hiv rna plan care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB25A","description":"HIPPS-LB25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0574U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0574U","description":"CPT-0574U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Of Substernal Implantable Defibrillator Electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0572T","description":"Insertion Of Substernal Implantable Defibrillator Electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System With Substernal Electrode_ With Iterative Adjustment Of The Implantable Device To Te","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0575T","description":"Programming Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System With Substernal Electrode_ With Iterative Adjustment Of The Implantable Device To Te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla class i phenotype qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86830","description":"Hla class i phenotype qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0575U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0575U","description":"CPT-0575U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dstrj neurofibromata xtnsv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0419T","description":"Dstrj neurofibromata xtnsv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0576U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0576U","description":"CPT-0576U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System With Substernal Electrode_ With Analysis_ Review And Report By A Physician Or Othe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0576T","description":"Interrogation Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System With Substernal Electrode_ With Analysis_ Review And Report By A Physician Or Othe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27550","description":"Treat knee dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiological Evaluation Of Implantable Cardioverter-Defibrillator System With Substernal Electrode (Includes Defibrillation Threshold Evaluation_ Induction Of Arrhythm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0577T","description":"Electrophysiological Evaluation Of Implantable Cardioverter-Defibrillator System With Substernal Electrode (Includes Defibrillation Threshold Evaluation_ Induction Of Arrhythm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0577U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0577U","description":"CPT-0577U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0579U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0579U","description":"CPT-0579U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0578U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0578U","description":"CPT-0578U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of arm muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24330","description":"Revision of arm muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System_ Remote Data Acquisition(S)_ Receipt Of Transmissions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0579T","description":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System_ Remote Data Acquisition(S)_ Receipt Of Transmissions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ ep_ 20 or more elec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1731","description":"Cath_ ep_ 20 or more elec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0550U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0550U","description":"CPT-0550U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System With Interim Analysis_ Review(S) And Report(S) By A P","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0578T","description":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System With Interim Analysis_ Review(S) And Report(S) By A P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2313","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2313","description":"HCPCS-J2313","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Substernal Implantable Defibrillator Pulse Generator Only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0580T","description":"Removal Of Substernal Implantable Defibrillator Pulse Generator Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multidisciplinary care plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0580F","description":"Multidisciplinary care plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00872","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00872","description":"CPT-00872","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75726","description":"Artery x-rays abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0580U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0580U","description":"CPT-0580U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt trnsfrd from anesth to cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0581F","description":"Pt trnsfrd from anesth to cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0581U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0581U","description":"CPT-0581U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablation_ Malignant Breast Tumor(S)_ Percutaneous_ Cryotherapy_ Including Imaging Guidance When Performed_ Unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0581T","description":"Ablation_ Malignant Breast Tumor(S)_ Percutaneous_ Cryotherapy_ Including Imaging Guidance When Performed_ Unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0582U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0582U","description":"CPT-0582U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No trnsfr from anesth to cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0582F","description":"No trnsfr from anesth to cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transurethral Ablation Of Malignant Prostate Tissue By High-Energy Water Vapor Thermotherapy_ Including Intraoperative Imaging And Needle Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0582T","description":"Transurethral Ablation Of Malignant Prostate Tissue By High-Energy Water Vapor Thermotherapy_ Including Intraoperative Imaging And Needle Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer care checklist used","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0583F","description":"Transfer care checklist used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pres antibiotic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8711","description":"Pres antibiotic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tympanostomy (Requiring Insertion Of Ventilating Tube)_ Using An Automated Tube Delivery System_ Iontophoresis Local Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0583T","description":"Tympanostomy (Requiring Insertion Of Ventilating Tube)_ Using An Automated Tube Delivery System_ Iontophoresis Local Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0583U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0583U","description":"CPT-0583U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLS","description":"HIPPS-3CHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Im admin 1st/only component","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90460","description":"Im admin 1st/only component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction susp ak/knee disart","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5652","description":"Suction susp ak/knee disart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No transfercare chklist used","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0584F","description":"No transfercare chklist used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0584T","description":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0586U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0586U","description":"CPT-0586U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0584U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0584U","description":"CPT-0584U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0585U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0585U","description":"CPT-0585U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0585T","description":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Implantation Or Replacement Of Integrated Single Device Neurostimulation System Including Electrode Array And Receiver Or Pulse Generator_ Including Analysis_ Pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0587T","description":"Percutaneous Implantation Or Replacement Of Integrated Single Device Neurostimulation System Including Electrode Array And Receiver Or Pulse Generator_ Including Analysis_ Pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0586T","description":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/3+ post-op nausea&vom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4556F","description":"Pt w/3+ post-op nausea&vom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE12D","description":"HIPPS-LE12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0587U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0587U","description":"CPT-0587U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peri-Procedural Device Evaluation (In-Person) And Programming Of Device System Parameters Before Or After A Surgery_ Procedure_ Or Test With Analysis_ Review_ And Report By A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0684T","description":"Peri-Procedural Device Evaluation (In-Person) And Programming Of Device System Parameters Before Or After A Surgery_ Procedure_ Or Test With Analysis_ Review_ And Report By A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0588U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0588U","description":"CPT-0588U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPW","description":"HIPPS-3BFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision Or Removal Of Integrated Single Device Neurostimulation System Including Electrode Array And Receiver Or Pulse Generator_ Including Analysis_ Programming_ And Imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0588T","description":"Revision Or Removal Of Integrated Single Device Neurostimulation System Including Electrode Array And Receiver Or Pulse Generator_ Including Analysis_ Programming_ And Imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0589U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0589U","description":"CPT-0589U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1235","description":"Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic Analysis With Simple Programming Of Implanted Integrated Neurostimulation System (Eg_ Electrode Array And Receiver)_ Including Contact Group(S)_ Amplitude_ Pulse Wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0589T","description":"Electronic Analysis With Simple Programming Of Implanted Integrated Neurostimulation System (Eg_ Electrode Array And Receiver)_ Including Contact Group(S)_ Amplitude_ Pulse Wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFMT","description":"HIPPS-2BFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0590U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0590U","description":"CPT-0590U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0591U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0591U","description":"CPT-0591U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health And Well-Being Coaching Face-To-Face; Individual_ Initial Assessment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0591T","description":"Health And Well-Being Coaching Face-To-Face; Individual_ Initial Assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic Analysis With Complex Programming Of Implanted Integrated Neurostimulation System (Eg_ Electrode Array And Receiver)_ Including Contact Group(S)_ Amplitude_ Pulse W","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0590T","description":"Electronic Analysis With Complex Programming Of Implanted Integrated Neurostimulation System (Eg_ Electrode Array And Receiver)_ Including Contact Group(S)_ Amplitude_ Pulse W","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair amputee w/ foot r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1180","description":"Wheelchair amputee w/ foot r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score le < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8656","description":"Fun stat score le < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0592U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0592U","description":"CPT-0592U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt reas no hcv infect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9453","description":"Pt reas no hcv infect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health And Well-Being Coaching Face-To-Face; Individual_ Follow-Up Session_ At Least 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0592T","description":"Health And Well-Being Coaching Face-To-Face; Individual_ Follow-Up Session_ At Least 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std seat elevate s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0830","description":"Pwc gp2 std seat elevate s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health And Well-Being Coaching Face-To-Face; Group (2 Or More Individuals)_ At Least 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0593T","description":"Health And Well-Being Coaching Face-To-Face; Group (2 Or More Individuals)_ At Least 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0593U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0593U","description":"CPT-0593U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy tubal cautery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58670","description":"Laparoscopy tubal cautery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0594U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0594U","description":"CPT-0594U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteot hum xtrnl lngth dev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0594T","description":"Osteot hum xtrnl lngth dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of humeral externally controlled intramedullary device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0595T","description":"Removal of humeral externally controlled intramedullary device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0595U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0595U","description":"CPT-0595U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temp fml iu vlv-pmp 1st insj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0596T","description":"Temp fml iu vlv-pmp 1st insj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0596U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0596U","description":"CPT-0596U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temp fml iu valve-pmp rplcmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0597T","description":"Temp fml iu valve-pmp rplcmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0597U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0597U","description":"CPT-0597U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"DO GNOTYP ART4 EXON 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0184U","description":"DO GNOTYP ART4 EXON 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0598U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0598U","description":"CPT-0598U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ncntc r-t fluor wnd img 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0598T","description":"Ncntc r-t fluor wnd img 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0599U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0599U","description":"CPT-0599U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Papillomavirus vaccine types 6_ 11_ 16_ 18_ 31_ 33_ 45_ 52_ 58_ nonavalent (9vHPV)_ 2 or 3 dose schedule_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90651","description":"Human Papillomavirus vaccine types 6_ 11_ 16_ 18_ 31_ 33_ 45_ 52_ 58_ nonavalent (9vHPV)_ 2 or 3 dose schedule_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ncntc r-t fluor wnd img ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0599T","description":"Ncntc r-t fluor wnd img ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC5D","description":"HIPPS-RMC5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ire abltj 1+tumors open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0601T","description":"Ire abltj 1+tumors open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ire abltj 1+tum organ perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0600T","description":"Ire abltj 1+tum organ perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0600U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0600U","description":"CPT-0600U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7524","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7524","description":"HCPCS-J7524","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0601U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0601U","description":"CPT-0601U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0676U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0676U","description":"CPT-0676U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transdermal gfr measurements","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0602T","description":"Transdermal gfr measurements","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis a antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86708","description":"Hepatitis a antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0602U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0602U","description":"CPT-0602U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat dental ridge fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21445","description":"Treat dental ridge fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr any 30.1-60 sq cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14301","description":"Tis trnfr any 30.1-60 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transdermal gfr monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0603T","description":"Transdermal gfr monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE226","description":"HIPPS-CE226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0603U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0603U","description":"CPT-0603U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem oct rta dev setup&educaj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0604T","description":"Rem oct rta dev setup&educaj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0604U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0604U","description":"CPT-0604U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem oct rta techl sprt min 8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0605T","description":"Rem oct rta techl sprt min 8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0605U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0605U","description":"CPT-0605U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0606U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0606U","description":"CPT-0606U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC4B","description":"HIPPS-RUC4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem mntr pulm flu mntr setup","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0607T","description":"Rem mntr pulm flu mntr setup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin tx mdd not comm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8960","description":"Clin tx mdd not comm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental gold foil two surface","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2420","description":"Dental gold foil two surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1140","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28F","description":"HIPPS-HC28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0607U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0607U","description":"CPT-0607U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem mntr pulm flu mntr alys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0608T","description":"Rem mntr pulm flu mntr alys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo torsion unilat rot str","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2070","description":"Hkafo torsion unilat rot str","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mrs disc pain acquisj data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0609T","description":"Mrs disc pain acquisj data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0609U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0609U","description":"CPT-0609U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0608U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0608U","description":"CPT-0608U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0610U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0610U","description":"CPT-0610U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0611U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0611U","description":"CPT-0611U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mrs disc pain transmis data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0610T","description":"Mrs disc pain transmis data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mrs disc pain alg alys data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0611T","description":"Mrs disc pain alg alys data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vessel injection procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36299","description":"Vessel injection procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ glove_ padded_ for nighttime use_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6521","description":"Gradient compression garment_ glove_ padded_ for nighttime use_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam neck spine 2-3 vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72040","description":"X-ray exam neck spine 2-3 vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0716","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0716","description":"HCPCS-E0716","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mrs discogenic pain i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0612T","description":"Mrs discogenic pain i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0612U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0612U","description":"CPT-0612U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq tcat intratrl septl sht","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0613T","description":"Perq tcat intratrl septl sht","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl&rplcmt ss impl dfb pg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0614T","description":"Rmvl&rplcmt ss impl dfb pg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0613U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0613U","description":"CPT-0613U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0614U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0614U","description":"CPT-0614U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye mvmt alys w/o calbrj i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0615T","description":"Eye mvmt alys w/o calbrj i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of iris prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0616T","description":"Insertion of iris prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0615U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0615U","description":"CPT-0615U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27599","description":"Leg surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0616U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0616U","description":"CPT-0616U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval self-assess depression","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3005","description":"Eval self-assess depression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ftl cgen abnor 3 proteins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81509","description":"Ftl cgen abnor 3 proteins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj iris prosth w/rmvl&insj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0617T","description":"Insj iris prosth w/rmvl&insj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0617U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0617U","description":"CPT-0617U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj iris prosth sec io lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0618T","description":"Insj iris prosth sec io lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Venous Arterialization_ Tibial Or Peroneal Vein_ With Transcatheter Placement Of Intravascular Stent Graft(S) And Closure By Any Method_ Including Percutaneous Or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0620T","description":"Endovascular Venous Arterialization_ Tibial Or Peroneal Vein_ With Transcatheter Placement Of Intravascular Stent Graft(S) And Closure By Any Method_ Including Percutaneous Or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0619U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0619U","description":"CPT-0619U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto w/prst8 commissurotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0619T","description":"Cysto w/prst8 commissurotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0618U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0618U","description":"CPT-0618U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0620U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0620U","description":"CPT-0620U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculostomy Ab Interno By Laser;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0621T","description":"Trabeculostomy Ab Interno By Laser;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lutetium Lu 177_ dotatate_ therapeutic_ 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9031","description":"Lutetium Lu 177_ dotatate_ therapeutic_ 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular blood flow measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0198T","description":"Ocular blood flow measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular device implantation_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0725T","description":"Vestibular device implantation_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0621U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0621U","description":"CPT-0621U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0622U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0622U","description":"CPT-0622U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus vaccine_ preF_ recombinant subunit_ adjuvanted_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90679","description":"Respiratory syncytial virus vaccine_ preF_ recombinant subunit_ adjuvanted_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0624U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0624U","description":"CPT-0624U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0623T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0624T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0623U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0623U","description":"CPT-0623U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0625T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incobotulinumtoxin a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0588","description":"Incobotulinumtoxin a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0625U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0625U","description":"CPT-0625U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0626T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metyrapone panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80436","description":"Metyrapone panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFMW","description":"HIPPS-3AFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC141","description":"HIPPS-LC141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0626U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0626U","description":"CPT-0626U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0627U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0627U","description":"CPT-0627U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL2","description":"HIPPS-1AGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; First Le","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0627T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; First Le","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; Each Add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0628T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; Each Add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0628U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0628U","description":"CPT-0628U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Ct Guidance_ Lumbar; First Level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0629T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Ct Guidance_ Lumbar; First Level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Ct Guidance_ Lumbar; Each Additional Le","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0630T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Ct Guidance_ Lumbar; Each Additional Le","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group III_ for enzyme constituents (List separately in addition to code for pri","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0759T","description":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group III_ for enzyme constituents (List separately in addition to code for pri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0630U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0630U","description":"CPT-0630U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous Visible Light Hyperspectral Imaging Measurement Of Oxyhemoglobin_ Deoxyhemoglobin_ And Tissue Oxygenation_ With Interpretation And Report_ Per Extremity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0631T","description":"Transcutaneous Visible Light Hyperspectral Imaging Measurement Of Oxyhemoglobin_ Deoxyhemoglobin_ And Tissue Oxygenation_ With Interpretation And Report_ Per Extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transmitter cable for use with cochlear implant device or auditory osseointegrated device_ replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8618","description":"Transmitter cable for use with cochlear implant device or auditory osseointegrated device_ replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHMS","description":"HIPPS-3BHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0631U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0631U","description":"CPT-0631U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nhl relapse/refractor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9137","description":"Onc dx nhl relapse/refractor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Transcatheter Ultrasound Ablation Of Nerves Innervating The Pulmonary Arteries_ Including Right Heart Catheterization_ Pulmonary Artery Angiography_ And All Imagi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0632T","description":"Percutaneous Transcatheter Ultrasound Ablation Of Nerves Innervating The Pulmonary Arteries_ Including Right Heart Catheterization_ Pulmonary Artery Angiography_ And All Imagi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculostomy Ab Interno By Laser; With Use Of Ophthalmic Endoscope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0622T","description":"Trabeculostomy Ab Interno By Laser; With Use Of Ophthalmic Endoscope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; With Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0634T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; With Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0633U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0633U","description":"CPT-0633U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular rehab per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9476","description":"Vestibular rehab per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0634U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0634U","description":"CPT-0634U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0632U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0632U","description":"CPT-0632U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; Without Contrast Material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0633T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; Without Contrast Material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX02","description":"HIPPS-RMX02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental sedative filling","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2940","description":"Dental sedative filling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; Without Contrast_ Followed By Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0635T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; Without Contrast_ Followed By Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0635U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0635U","description":"CPT-0635U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67430","description":"Explore/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrodiag polyneuro 6 mn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3751F","description":"Electrodiag polyneuro 6 mn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0636T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA24C","description":"HIPPS-CA24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for consultation and report on referred material requiring preparation of slides (List separately in addition to code for primary proce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0839T","description":"Digitization of glass microscope slides for consultation and report on referred material requiring preparation of slides (List separately in addition to code for primary proce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0636U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0636U","description":"CPT-0636U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK5","description":"HIPPS-2AGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0637U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0637U","description":"CPT-0637U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; With Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0637T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; With Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0638U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0638U","description":"CPT-0638U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast_ Followed By Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0638T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast_ Followed By Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightwt fixed arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1089","description":"Wheelchair lightwt fixed arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"20+ cc syringe only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4213","description":"20+ cc syringe only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wireless Skin Sensor Thermal Anisotropy Measurement(S) And Assessment Of Flow In Cerebrospinal Fluid Shunt_ Including Ultrasound Guidance_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0639T","description":"Wireless Skin Sensor Thermal Anisotropy Measurement(S) And Assessment Of Flow In Cerebrospinal Fluid Shunt_ Including Ultrasound Guidance_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0640T","description":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0639U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0639U","description":"CPT-0639U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin (human)_ 25%_ 50ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9047","description":"Albumin (human)_ 25%_ 50ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL21","description":"HIPPS-RHL21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0640U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0640U","description":"CPT-0640U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGK2","description":"HIPPS-4CGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ustekinumab_ for intravenous injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9487","description":"Ustekinumab_ for intravenous injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0641T","description":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47610","description":"Removal of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18X","description":"HIPPS-BA18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0642U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0642U","description":"CPT-0642U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0641U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0641U","description":"CPT-0641U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0642T","description":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed_ arterial approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0643T","description":"Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed_ arterial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0643U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0643U","description":"CPT-0643U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal or debulking of intracardiac mass (eg_ vegetations_ thrombus) via suction (eg_ vacuum_ aspiration) device_ percutaneous approach_ w/ intraoperative reinf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0644T","description":"Transcatheter removal or debulking of intracardiac mass (eg_ vegetations_ thrombus) via suction (eg_ vacuum_ aspiration) device_ percutaneous approach_ w/ intraoperative reinf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ femoral_ popliteal artery(ies)_ unilateral_ with transluminal stent placement(s)_ includes angioplasty within the same v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7535","description":"Revascularization_ endovascular_ open or percutaneous_ femoral_ popliteal artery(ies)_ unilateral_ with transluminal stent placement(s)_ includes angioplasty within the same v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter implantation of coronary sinus reduction device including vascular access and closure_ right heart catheterization_ venous angiography_ coronary sinus angiograph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0645T","description":"Transcatheter implantation of coronary sinus reduction device including vascular access and closure_ right heart catheterization_ venous angiography_ coronary sinus angiograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0629U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0629U","description":"CPT-0629U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0645U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0645U","description":"CPT-0645U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve_ percutaneous approach_ including right heart catheterization_ temporary pacemaker insertio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0646T","description":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve_ percutaneous approach_ including right heart catheterization_ temporary pacemaker insertio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0644U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0644U","description":"CPT-0644U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0702","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0702","description":"HCPCS-B0702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC101","description":"HIPPS-PC101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc nstim apnea sen ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0425T","description":"Insj/rplc nstim apnea sen ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0646U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0646U","description":"CPT-0646U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0647U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0647U","description":"CPT-0647U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0804","description":"HCPCS-B0804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0648U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0648U","description":"CPT-0648U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance for analysis of tissue composition (eg_ fat_ iron_ water content)_ including multiparametric data acquisition_ data preparation and transmissio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0648T","description":"Quantitative magnetic resonance for analysis of tissue composition (eg_ fat_ iron_ water content)_ including multiparametric data acquisition_ data preparation and transmissio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of gastrostomy tube_ percutaneous_ with magnetic gastropexy_ under ultrasound guidance_ image documentation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0647T","description":"Insertion of gastrostomy tube_ percutaneous_ with magnetic gastropexy_ under ultrasound guidance_ image documentation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE204","description":"HIPPS-HE204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance for analysis of tissue composition (eg_ fat_ iron_ water content)_ including multiparametric data acquisition_ data preparation and transmissio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0649T","description":"Quantitative magnetic resonance for analysis of tissue composition (eg_ fat_ iron_ water content)_ including multiparametric data acquisition_ data preparation and transmissio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0649U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0649U","description":"CPT-0649U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0542U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0542U","description":"CPT-0542U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system_ with iterative adjustment of the implantable device to test the function of the device an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0650T","description":"Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system_ with iterative adjustment of the implantable device to test the function of the device an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0650U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0650U","description":"CPT-0650U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL51","description":"HIPPS-RVL51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX45","description":"HIPPS-RMX45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Init pm e/m new pat 65+ yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99387","description":"Init pm e/m new pat 65+ yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetically controlled capsule endoscopy_ esophagus through stomach_ including intraprocedural positioning of capsule_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0651T","description":"Magnetically controlled capsule endoscopy_ esophagus through stomach_ including intraprocedural positioning of capsule_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0652U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0652U","description":"CPT-0652U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00350","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00350","description":"CPT-00350","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transnasal; diagnostic_ including collection of specimen(s) by brushing or washing_ when performed (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0652T","description":"Esophagogastroduodenoscopy_ flexible_ transnasal; diagnostic_ including collection of specimen(s) by brushing or washing_ when performed (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonprim loc anat bx site tum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3250F","description":"Nonprim loc anat bx site tum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bladder calculi irrig sol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2004","description":"Bladder calculi irrig sol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0653U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0653U","description":"CPT-0653U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transnasal; with biopsy_ single or multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0653T","description":"Esophagogastroduodenoscopy_ flexible_ transnasal; with biopsy_ single or multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal focal laser ablation of malignant prostate tissue_ including transrectal imaging guidance_ with MR-fused images or other enhanced ultrasound imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0655T","description":"Transperineal focal laser ablation of malignant prostate tissue_ including transrectal imaging guidance_ with MR-fused images or other enhanced ultrasound imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vertebral body tethering_ anterior; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0656T","description":"Vertebral body tethering_ anterior; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transnasal; with insertion of intraluminal tube or catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0654T","description":"Esophagogastroduodenoscopy_ flexible_ transnasal; with insertion of intraluminal tube or catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0654U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0654U","description":"CPT-0654U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0655U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0655U","description":"CPT-0655U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0656U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0656U","description":"CPT-0656U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0651U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0651U","description":"CPT-0651U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0657U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0657U","description":"CPT-0657U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0658U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0658U","description":"CPT-0658U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vertebral body tethering_ anterior; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0657T","description":"Vertebral body tethering_ anterior; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0659U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0659U","description":"CPT-0659U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0660U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0660U","description":"CPT-0660U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0661T","description":"Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intracoronary infusion of supersaturated oxygen in conjunction w/percutaneous coronary revascularization during acute myocardial infarction_ including catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0659T","description":"Transcatheter intracoronary infusion of supersaturated oxygen in conjunction w/percutaneous coronary revascularization during acute myocardial infarction_ including catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system_ internal approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0660T","description":"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system_ internal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0661U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0661U","description":"CPT-0661U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0662U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0662U","description":"CPT-0662U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0658T","description":"Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scalp cooling_ mechanical; initial measurement and calibration of cap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0662T","description":"Scalp cooling_ mechanical; initial measurement and calibration of cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0663U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0663U","description":"CPT-0663U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scalp cooling_ mechanical; placement of device_ monitoring_ and removal of device (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0663T","description":"Scalp cooling_ mechanical; placement of device_ monitoring_ and removal of device (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0664U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0664U","description":"CPT-0664U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor hysterectomy (including cold preservation); open_ from cadaver donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0664T","description":"Donor hysterectomy (including cold preservation); open_ from cadaver donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0665U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0665U","description":"CPT-0665U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0666U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0666U","description":"CPT-0666U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor hysterectomy (including cold preservation); laparoscopic or robotic_ from living donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0666T","description":"Donor hysterectomy (including cold preservation); laparoscopic or robotic_ from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0667U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0667U","description":"CPT-0667U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0668U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0668U","description":"CPT-0668U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0667T","description":"Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation_ including dissection and removal of surrounding soft tissues and preparat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0668T","description":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation_ including dissection and removal of surrounding soft tissues and preparat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0669U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0669U","description":"CPT-0669U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0670U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0670U","description":"CPT-0670U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0669T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0670T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Of Anterior Segment Aqueous Drainage Device Into The Trabecular Meshwork_ Without External Reservoir_ And Without Concomitant Cataract Removal_ One Or More","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0671T","description":"Insertion Of Anterior Segment Aqueous Drainage Device Into The Trabecular Meshwork_ Without External Reservoir_ And Without Concomitant Cataract Removal_ One Or More","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0671U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0671U","description":"CPT-0671U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor hysterectomy (including cold preservation); open_ from living donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0665T","description":"Donor hysterectomy (including cold preservation); open_ from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovaginal Cryogen-Cooled_ Monopolar Radiofrequency Remodeling Of The Tissues Surrounding The Female Bladder Neck And Proximal Urethra For Urinary Incontinence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0672T","description":"Endovaginal Cryogen-Cooled_ Monopolar Radiofrequency Remodeling Of The Tissues Surrounding The Female Bladder Neck And Proximal Urethra For Urinary Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0673U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0673U","description":"CPT-0673U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0672U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0672U","description":"CPT-0672U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablation_ Benign Thyroid Nodule(S)_ Percutaneous_ Laser_ Including Imaging Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0673T","description":"Ablation_ Benign Thyroid Nodule(S)_ Percutaneous_ Laser_ Including Imaging Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Insertion Of New Or Replacement Of Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including An Implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0674T","description":"Laparoscopic Insertion Of New Or Replacement Of Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including An Implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0675T","description":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0675U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0675U","description":"CPT-0675U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0674U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0674U","description":"CPT-0674U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0676T","description":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0677T","description":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0677U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0677U","description":"CPT-0677U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0676U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0676U","description":"CPT-0676U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0678T","description":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0678U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0678U","description":"CPT-0678U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0679U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0679U","description":"CPT-0679U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Removal Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0679T","description":"Laparoscopic Removal Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Or Replacement Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0680T","description":"Insertion Or Replacement Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0681U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0681U","description":"CPT-0681U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocation Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To Existing Dual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0681T","description":"Relocation Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To Existing Dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0680U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0680U","description":"CPT-0680U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0682T","description":"Removal Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0682U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0682U","description":"CPT-0682U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Declot vascular device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36593","description":"Declot vascular device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming Device Evaluation (In-Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0683T","description":"Programming Device Evaluation (In-Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peri-Procedural Device Evaluation (In-Person) And Programming Of Device System Parameters Before Or After A Surgery_ Procedure_ Or Test With Analysis_ Review_ And Report By A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0684T","description":"Peri-Procedural Device Evaluation (In-Person) And Programming Of Device System Parameters Before Or After A Surgery_ Procedure_ Or Test With Analysis_ Review_ And Report By A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0683U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0683U","description":"CPT-0683U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0685U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0685U","description":"CPT-0685U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0686U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0686U","description":"CPT-0686U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0684U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0684U","description":"CPT-0684U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment Of Amblyopia Using An Online Digital Program; Device Supply_ Educational Set-Up_ And Initial Session","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0687T","description":"Treatment Of Amblyopia Using An Online Digital Program; Device Supply_ Educational Set-Up_ And Initial Session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation (In-Person) With Analysis_ Review And Report By A Physician Or Other Qualified Health Care Professional_ Including Connection_ Recording And Di","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0685T","description":"Interrogation Device Evaluation (In-Person) With Analysis_ Review And Report By A Physician Or Other Qualified Health Care Professional_ Including Connection_ Recording And Di","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0687U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0687U","description":"CPT-0687U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment Of Amblyopia Using An Online Digital Program; Assessment Of Patient Performance And Program Data By Physician Or Other Qualified Health Care Professional_ With Repor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0688T","description":"Treatment Of Amblyopia Using An Online Digital Program; Assessment Of Patient Performance And Program Data By Physician Or Other Qualified Health Care Professional_ With Repor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Histotripsy (Ie_ Non-Thermal Ablation Via Acoustic Energy Delivery) Of Malignant Hepatocellular Tissue_ Including Image Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0686T","description":"Histotripsy (Ie_ Non-Thermal Ablation Via Acoustic Energy Delivery) Of Malignant Hepatocellular Tissue_ Including Image Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated Analysis Of An Existing Computed Tomography Study For Vertebral Fracture(S)_ Including Assessment Of Bone Density When Performed_ Data Preparation_ Interpretation_ A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0691T","description":"Automated Analysis Of An Existing Computed Tomography Study For Vertebral Fracture(S)_ Including Assessment Of Bone Density When Performed_ Data Preparation_ Interpretation_ A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0691U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0691U","description":"CPT-0691U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic Ultrafiltration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0692T","description":"Therapeutic Ultrafiltration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0692U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0692U","description":"CPT-0692U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0693U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0693U","description":"CPT-0693U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive Full Body Computer-Based Markerless 3D Kinematic And Kinetic Motion Analysis And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0693T","description":"Comprehensive Full Body Computer-Based Markerless 3D Kinematic And Kinetic Motion Analysis And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0694U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0694U","description":"CPT-0694U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3-Dimensional Volumetric Imaging And Reconstruction Of Breast Or Axillary Lymph Node Tissue_ Each Excised Specimen_ 3-Dimensional Automatic Specimen Reorientation_ Interpretat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0694T","description":"3-Dimensional Volumetric Imaging And Reconstruction Of Breast Or Axillary Lymph Node Tissue_ Each Excised Specimen_ 3-Dimensional Automatic Specimen Reorientation_ Interpretat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0695U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0695U","description":"CPT-0695U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body Surface-Activation Mapping Of Pacemaker Or Pacing Cardioverter-Defibrillator Lead(S) To Optimize Electrical Synchrony_ Cardiac Resynchronization Therapy Device_ Including","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0695T","description":"Body Surface-Activation Mapping Of Pacemaker Or Pacing Cardioverter-Defibrillator Lead(S) To Optimize Electrical Synchrony_ Cardiac Resynchronization Therapy Device_ Including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0688U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0688U","description":"CPT-0688U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body Surface-Activation Mapping Of Pacemaker Or Pacing Cardioverter-Defibrillator Lead(S) To Optimize Electrical Synchrony_ Cardiac Resynchronization Therapy Device_ Including","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0696T","description":"Body Surface-Activation Mapping Of Pacemaker Or Pacing Cardioverter-Defibrillator Lead(S) To Optimize Electrical Synchrony_ Cardiac Resynchronization Therapy Device_ Including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0696U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0696U","description":"CPT-0696U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained Without Diagnostic Ultrasound Examination Of The Same Anatom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0689T","description":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained Without Diagnostic Ultrasound Examination Of The Same Anatom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0697U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0697U","description":"CPT-0697U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0697T","description":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0698T","description":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0698U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0698U","description":"CPT-0698U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Posterior Chamber Of Eye_ Medication","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0699T","description":"Injection_ Posterior Chamber Of Eye_ Medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0689U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0689U","description":"CPT-0689U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained With Diagnostic Ultrasound Examination Of The Same Anatomy (","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0690T","description":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained With Diagnostic Ultrasound Examination Of The Same Anatomy (","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Molecular Fluorescent Imaging Of Suspicious Nevus; First Lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0700T","description":"Molecular Fluorescent Imaging Of Suspicious Nevus; First Lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0690U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0690U","description":"CPT-0690U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Molecular Fluorescent Imaging Of Suspicious Nevus; Each Additional Lesion (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0701T","description":"Molecular Fluorescent Imaging Of Suspicious Nevus; Each Additional Lesion (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Managem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0703T","description":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Managem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Supply","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0702T","description":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Device Supply With Initial Set-Up And Patient Education On Use Of Equipment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0704T","description":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Device Supply With Initial Set-Up And Patient Education On Use Of Equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Surveillance Center Technical Support Including Data Transmission With Analysis_ With A Minimum Of 18 Training Hour","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0705T","description":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Surveillance Center Technical Support Including Data Transmission With Analysis_ With A Minimum Of 18 Training Hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Interpretation And Report By Physician Or Other Qualified Health Care Professional_ Per Calendar Month","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0706T","description":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Interpretation And Report By Physician Or Other Qualified Health Care Professional_ Per Calendar Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(S)_ Bone-Substitute Material (Eg_ Calcium Phosphate) Into Subchondral Bone Defect (Ie_ Bone Marrow Lesion_ Bone Bruise_ Stress Injury_ Microtrabecular Fracture)_ Inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0707T","description":"Injection(S)_ Bone-Substitute Material (Eg_ Calcium Phosphate) Into Subchondral Bone Defect (Ie_ Bone Marrow Lesion_ Bone Bruise_ Stress Injury_ Microtrabecular Fracture)_ Inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intradermal Cancer Immunotherapy; Preparation And Initial Injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0708T","description":"Intradermal Cancer Immunotherapy; Preparation And Initial Injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intradermal Cancer Immunotherapy; Each Additional Injection (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0709T","description":"Intradermal Cancer Immunotherapy; Each Additional Injection (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Including Data Preparation And Transmission_ Quan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0710T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Including Data Preparation And Transmission_ Quan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Data Preparation And Transmission","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0711T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Data Preparation And Transmission","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Data Review_ Interpretation And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0713T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Data Review_ Interpretation And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Quantification Of The Structure And Composition O","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0712T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Quantification Of The Structure And Composition O","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0716T","description":"Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0715T","description":"Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal laser ablation of benign prostatic hyperplasia_ including imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0714T","description":"Transperineal laser ablation of benign prostatic hyperplasia_ including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting_ isolation and preparation of harvested cells_ i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0717T","description":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting_ isolation and preparation of harvested cells_ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance_ unilate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0718T","description":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance_ unilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous electrical nerve field stimulation_ cranial nerves_ without implantation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0720T","description":"Percutaneous electrical nerve field stimulation_ cranial nerves_ without implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Posterior vertebral joint replacement_ including bilateral facetectomy_ laminectomy_ and radical discectomy_ including imaging guidance_ lumbar spine_ single segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0719T","description":"Posterior vertebral joint replacement_ including bilateral facetectomy_ laminectomy_ and radical discectomy_ including imaging guidance_ lumbar spine_ single segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained with concurrent CT examination of any structure contained in the c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0722T","description":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained with concurrent CT examination of any structure contained in the c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained without diagnostic magnetic r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0723T","description":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained without diagnostic magnetic r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained without concurrent CT examination of any structure contained in pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0721T","description":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained without concurrent CT examination of any structure contained in pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular device implantation_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0725T","description":"Vestibular device implantation_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implanted vestibular device_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0726T","description":"Removal of implanted vestibular device_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained with diagnostic magnetic reso","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0724T","description":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained with diagnostic magnetic reso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis of vestibular implant_ unilateral; with initial programming","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0728T","description":"Diagnostic analysis of vestibular implant_ unilateral; with initial programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis of vestibular implant_ unilateral; with subsequent programming","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0729T","description":"Diagnostic analysis of vestibular implant_ unilateral; with subsequent programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of implanted vestibular device_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0727T","description":"Removal and replacement of implanted vestibular device_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculotomy by laser_ including optical coherence tomography (OCT) guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0730T","description":"Trabeculotomy by laser_ including optical coherence tomography (OCT) guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative AI-based facial phenotype analysis with report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0731T","description":"Augmentative AI-based facial phenotype analysis with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote body and limb kinematic measurement-based therapy ordered by a physician or other qualified health care professional; supply and technical support_ per 30 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0733T","description":"Remote body and limb kinematic measurement-based therapy ordered by a physician or other qualified health care professional; supply and technical support_ per 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunotherapy administration with electroporation_ intramuscular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0732T","description":"Immunotherapy administration with electroporation_ intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote body and limb kinematic measurement-based therapy ordered by a physician or other qualified health care professional; treatment management services by a physician or ot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0734T","description":"Remote body and limb kinematic measurement-based therapy ordered by a physician or other qualified health care professional; treatment management services by a physician or ot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonic lavage_ 35 or more liters of water_ gravity-fed_ with induced defecation_ including insertion of rectal catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0736T","description":"Colonic lavage_ 35 or more liters of water_ gravity-fed_ with induced defecation_ including insertion of rectal catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment planning for magnetic field induction ablation of malignant prostate tissue_ using data from previously performed magnetic resonance imaging (MRI) examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0738T","description":"Treatment planning for magnetic field induction ablation of malignant prostate tissue_ using data from previously performed magnetic resonance imaging (MRI) examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of tumor cavity_ with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0735T","description":"Preparation of tumor cavity_ with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablation of malignant prostate tissue by magnetic field induction_ including all intraprocedural_ transperineal needle/catheter placement for nanoparticle installation and int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0739T","description":"Ablation of malignant prostate tissue by magnetic field induction_ including all intraprocedural_ transperineal needle/catheter placement for nanoparticle installation and int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xenograft implantation into the articular surface","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0737T","description":"Xenograft implantation into the articular surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and patient education","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0740T","description":"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and patient education","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absolute quantitation of myocardial blood flow (AQMBF)_ single-photon emission computed tomography (SPECT)_ with exercise or pharmacologic stress_ and at rest_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0742T","description":"Absolute quantitation of myocardial blood flow (AQMBF)_ single-photon emission computed tomography (SPECT)_ with exercise or pharmacologic stress_ and at rest_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of software_ data collection_ transmission_ and storage_ each 30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0741T","description":"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of software_ data collection_ transmission_ and storage_ each 30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data and bone mineral density (BMD)_ with concurrent vertebral fracture assessment_ utilizing data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0743T","description":"Bone strength and fracture risk using finite element analysis of functional data and bone mineral density (BMD)_ with concurrent vertebral fracture assessment_ utilizing data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; conversion of arrhythmia localization and mapping of arrhythmia site (nidus) into a multidimensional radiati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0746T","description":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; conversion of arrhythmia localization and mapping of arrhythmia site (nidus) into a multidimensional radiati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of bioprosthetic valve_ open_ femoral vein_ including duplex ultrasound imaging guidance_ when performed_ including autogenous or nonautogenous patch graft (eg_ poly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0744T","description":"Insertion of bioprosthetic valve_ open_ femoral vein_ including duplex ultrasound imaging guidance_ when performed_ including autogenous or nonautogenous patch graft (eg_ poly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; noninvasive arrhythmia localization and mapping of arrhythmia site (nidus)_ derived from anatomical image da","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0745T","description":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; noninvasive arrhythmia localization and mapping of arrhythmia site (nidus)_ derived from anatomical image da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0749T","description":"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0750T","description":"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; delivery of radiation therapy_ arrhythmia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0747T","description":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; delivery of radiation therapy_ arrhythmia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injections of stem cell product into perianal perifistular soft tissue_ including fistula preparation (eg_ removal of setons_ fistula curettage_ closure of internal openings)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0748T","description":"Injections of stem cell product into perianal perifistular soft tissue_ including fistula preparation (eg_ removal of setons_ fistula curettage_ closure of internal openings)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level V_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0754T","description":"Digitization of glass microscope slides for level V_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level II_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0751T","description":"Digitization of glass microscope slides for level II_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level III_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0752T","description":"Digitization of glass microscope slides for level III_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level IV_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0753T","description":"Digitization of glass microscope slides for level IV_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level VI_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0755T","description":"Digitization of glass microscope slides for level VI_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group I_ for microorganisms (eg_ acid fast_ methenamine silver) (List separatel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0756T","description":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group I_ for microorganisms (eg_ acid fast_ methenamine silver) (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for special stain_ including interpretation and report_ histochemical stain on frozen tissue block (List separately in addition to code","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0758T","description":"Digitization of glass microscope slides for special stain_ including interpretation and report_ histochemical stain on frozen tissue block (List separately in addition to code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group II_ all other (eg_ iron_ trichrome)_ except stain for microorganisms_ sta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0757T","description":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group II_ all other (eg_ iron_ trichrome)_ except stain for microorganisms_ sta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ each multiplex antibody stain procedure (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0762T","description":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ each multiplex antibody stain procedure (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group III_ for enzyme constituents (List separately in addition to code for pri","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0759T","description":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group III_ for enzyme constituents (List separately in addition to code for pri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ each additional single antibody stain procedure (List separately in addi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0761T","description":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ each additional single antibody stain procedure (List separately in addi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ initial single antibody stain procedure (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0760T","description":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ initial single antibody stain procedure (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0765T","description":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0764T","description":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ initial treatment_ with identification and marking of the treatment locat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0766T","description":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ initial treatment_ with identification and marking of the treatment locat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ subsequent treatment_ including noninvasive electroneurographic localizat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0769T","description":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ subsequent treatment_ including noninvasive electroneurographic localizat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ initial treatment_ with identification and marking of the treatment locat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0767T","description":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ initial treatment_ with identification and marking of the treatment locat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality technology to assist therapy (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0770T","description":"Virtual reality technology to assist therapy (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic servi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0772T","description":"Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic servi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic servi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0771T","description":"Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic servi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ subsequent treatment_ including noninvasive electroneurographic localizat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0768T","description":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ subsequent treatment_ including noninvasive electroneurographic localizat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ sacroiliac joint_ percutaneous_ with image guidance_ includes placement of intra-articular implant(s) (eg_ bone allograft[s]_ synthetic device[s])","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0775T","description":"Arthrodesis_ sacroiliac joint_ percutaneous_ with image guidance_ includes placement of intra-articular implant(s) (eg_ bone allograft[s]_ synthetic device[s])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Real-time pressure-sensing epidural guidance system (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0777T","description":"Real-time pressure-sensing epidural guidance system (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0774T","description":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic induction of intra-brain hypothermia_ including placement of a mechanical temperature-controlled cooling device to the neck over carotids and head_ including monit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0776T","description":"Therapeutic induction of intra-brain hypothermia_ including placement of a mechanical temperature-controlled cooling device to the neck over carotids and head_ including monit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement of multi-joint range of motion_ posture_ gait_ and muscl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0778T","description":"Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement of multi-joint range of motion_ posture_ gait_ and muscl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal myoelectrical activity study_ stomach through colon_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0779T","description":"Gastrointestinal myoelectrical activity study_ stomach through colon_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0780T","description":"Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0782T","description":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0781T","description":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0773T","description":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous auricular neurostimulation_ set-up_ calibration_ and patient education on use of equipment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0783T","description":"Transcutaneous auricular neurostimulation_ set-up_ calibration_ and patient education on use of equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of percutaneous electrode array_ spinal_ with integrated neurostimulator_ including imaging guidance_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0784T","description":"Insertion or replacement of percutaneous electrode array_ spinal_ with integrated neurostimulator_ including imaging guidance_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis with simple programming of implanted integrated neurostimulation system (eg_ electrode array and receiver)_ including contact group(s)_ amplitude_ pulse wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0788T","description":"Electronic analysis with simple programming of implanted integrated neurostimulation system (eg_ electrode array and receiver)_ including contact group(s)_ amplitude_ pulse wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for morphometric analysis_ tumor immunohistochemistry (eg_ Her-2/neu_ estrogen receptor/progesterone receptor)_ quantitative or semiqua","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0763T","description":"Digitization of glass microscope slides for morphometric analysis_ tumor immunohistochemistry (eg_ Her-2/neu_ estrogen receptor/progesterone receptor)_ quantitative or semiqua","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of percutaneous electrode array_ sacral_ with integrated neurostimulator_ including imaging guidance_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0786T","description":"Insertion or replacement of percutaneous electrode array_ sacral_ with integrated neurostimulator_ including imaging guidance_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of neurostimulator electrode array_ sacral_ with integrated neurostimulator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0787T","description":"Revision or removal of neurostimulator electrode array_ sacral_ with integrated neurostimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis with complex programming of implanted integrated neurostimulation system (eg_ electrode array and receiver)_ including contact group(s)_ amplitude_ pulse w","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0789T","description":"Electronic analysis with complex programming of implanted integrated neurostimulation system (eg_ electrode array and receiver)_ including contact group(s)_ amplitude_ pulse w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision (eg_ augmentation_ division of tether)_ replacement_ or removal of thoracolumbar or lumbar vertebral body tethering_ including thoracoscopy_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0790T","description":"Revision (eg_ augmentation_ division of tether)_ replacement_ or removal of thoracolumbar or lumbar vertebral body tethering_ including thoracoscopy_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of silver diamine fluoride 38%_ by a physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0792T","description":"Application of silver diamine fluoride 38%_ by a physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor-cognitive_ semi-immersive virtual reality-facilitated gait training_ each 15 minutes (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0791T","description":"Motor-cognitive_ semi-immersive virtual reality-facilitated gait training_ each 15 minutes (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries_ including right heart catheterization_ pulmonary artery angiography_ and all imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0793T","description":"Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries_ including right heart catheterization_ pulmonary artery angiography_ and all imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0798T","description":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0796T","description":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0797T","description":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0795T","description":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0799T","description":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0802T","description":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient-specific_ assistive_ rules-based algorithm for ranking pharmaco-oncologic treatment options based on the patient_s tumor-specific cancer marker information obtained fr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0794T","description":"Patient-specific_ assistive_ rules-based algorithm for ranking pharmaco-oncologic treatment options based on the patient_s tumor-specific cancer marker information obtained fr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0800T","description":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0803T","description":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of implantable device to test the function of device and to select optimal permanent programmed values_ wit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0804T","description":"Programming device evaluation (in person) with iterative adjustment of implantable device to test the function of device and to select optimal permanent programmed values_ wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0801T","description":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie_ caval valve implantation [CAVI]); percutaneous femoral vein approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0805T","description":"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie_ caval valve implantation [CAVI]); percutaneous femoral vein approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ sacroiliac joint_ percutaneous or minimally invasive (indirect visualization)_ with image guidance_ placement of transfixing device(s) and intra-articular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0809T","description":"Arthrodesis_ sacroiliac joint_ percutaneous or minimally invasive (indirect visualization)_ with image guidance_ placement of transfixing device(s) and intra-articular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie_ caval valve implantation [CAVI]); open femoral vein approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0806T","description":"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie_ caval valve implantation [CAVI]); open femoral vein approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with previously acquired computed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0807T","description":"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with previously acquired computed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent_ including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent_ including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote multi-day complex uroflowmetry (eg_ calibrated electronic equipment); set-up and patient education on use of equipment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0811T","description":"Remote multi-day complex uroflowmetry (eg_ calibrated electronic equipment); set-up and patient education on use of equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote multi-day complex uroflowmetry (eg_ calibrated electronic equipment); device supply with automated report generation_ up to 10 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0812T","description":"Remote multi-day complex uroflowmetry (eg_ calibrated electronic equipment); device supply with automated report generation_ up to 10 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with computed tomography (CT) ima","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0808T","description":"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with computed tomography (CT) ima","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transoral_ with volume adjustment of intragastric bariatric balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0813T","description":"Esophagogastroduodenoscopy_ flexible_ transoral_ with volume adjustment of intragastric bariatric balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous injection of calcium-based biodegradable osteoconductive material_ proximal femur_ including imaging guidance_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0814T","description":"Percutaneous injection of calcium-based biodegradable osteoconductive material_ proximal femur_ including imaging guidance_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound-based radiofrequency echographic multi-spectrometry (REMS)_ bone-density study and fracture-risk assessment_ 1 or more sites_ hips_ pelvis_ or spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0815T","description":"Ultrasound-based radiofrequency echographic multi-spectrometry (REMS)_ bone-density study and fracture-risk assessment_ 1 or more sites_ hips_ pelvis_ or spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0816T","description":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of integrated neurostimulation system for bladder dysfunction_ including analysis_ programming_ and imaging_ when performed_ posterior tibial nerve; subcut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0818T","description":"Revision or removal of integrated neurostimulation system for bladder dysfunction_ including analysis_ programming_ and imaging_ when performed_ posterior tibial nerve; subcut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0817T","description":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of integrated neurostimulation system for bladder dysfunction_ including analysis_ programming_ and imaging_ when performed_ posterior tibial nerve; subfas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0819T","description":"Revision or removal of integrated neurostimulation system for bladder dysfunction_ including analysis_ programming_ and imaging_ when performed_ posterior tibial nerve; subfas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; first physician or other qualified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0820T","description":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; first physician or other qualified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0823T","description":"Transcatheter insertion of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; clinical staff under the direction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0822T","description":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; clinical staff under the direction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; second physician or other qualifie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0821T","description":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; second physician or other qualifie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0824T","description":"Transcatheter removal of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0826T","description":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; smears with interpretation (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0827T","description":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; smears with interpretation (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal and replacement of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0825T","description":"Transcatheter removal and replacement of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; simple filter method with interpretation (List separatel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0828T","description":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; simple filter method with interpretation (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; screening and interpretation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0832T","description":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; screening and interpretation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ concentration technique_ smears_ and interpretation (eg_ Saccomanno technique) (List separately in addition to code","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0829T","description":"Digitization of glass microscope slides for cytopathology_ concentration technique_ smears_ and interpretation (eg_ Saccomanno technique) (List separately in addition to code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ selective-cellular enhancement technique with interpretation (eg_ liquid-based slide preparation method)_ except cer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0830T","description":"Digitization of glass microscope slides for cytopathology_ selective-cellular enhancement technique with interpretation (eg_ liquid-based slide preparation method)_ except cer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; preparation_ screening and interpretation (List separately in addition to code for primary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0833T","description":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; preparation_ screening and interpretation (List separately in addition to code for primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ cervical or vaginal (any reporting system)_ requiring interpretation by physician (List separately in addition to co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0831T","description":"Digitization of glass microscope slides for cytopathology_ cervical or vaginal (any reporting system)_ requiring interpretation by physician (List separately in addition to co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; extended study involving over 5 slides and/or multiple stains (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0834T","description":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; extended study involving over 5 slides and/or multiple stains (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of neurostimulator electrode array_ spinal_ with integrated neurostimulator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0785T","description":"Revision or removal of neurostimulator electrode array_ spinal_ with integrated neurostimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem oct rta phys/qhp ea 30d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0606T","description":"Rem oct rta phys/qhp ea 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis_ first evalua","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0835T","description":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis_ first evalua","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; interpretation and report (List separately in addition to code for primary proce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0837T","description":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; interpretation and report (List separately in addition to code for primary proce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for consultation and report on referred material requiring preparation of slides (List separately in addition to code for primary proce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0839T","description":"Digitization of glass microscope slides for consultation and report on referred material requiring preparation of slides (List separately in addition to code for primary proce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis_ each separat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0836T","description":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis_ each separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for consultation and report on referred slides prepared elsewhere (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0838T","description":"Digitization of glass microscope slides for consultation and report on referred slides prepared elsewhere (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; first tissue block_ with frozen section(s)_ single specimen (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0841T","description":"Digitization of glass microscope slides for pathology consultation during surgery; first tissue block_ with frozen section(s)_ single specimen (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0842T","description":"Digitization of glass microscope slides for pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg_ touch preparation_ squash preparation)_ each additional site (Lis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0844T","description":"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg_ touch preparation_ squash preparation)_ each additional site (Lis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg_ touch preparation_ squash preparation)_ initial site (List separa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0843T","description":"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg_ touch preparation_ squash preparation)_ initial site (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for consultation_ comprehensive_ with review of records and specimens_ with report on referred material (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0840T","description":"Digitization of glass microscope slides for consultation_ comprehensive_ with review of records and specimens_ with report on referred material (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunofluorescence_ per specimen; initial single antibody stain procedure (List separately in addition to code for primary procedur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0845T","description":"Digitization of glass microscope slides for immunofluorescence_ per specimen; initial single antibody stain procedure (List separately in addition to code for primary procedur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunofluorescence_ per specimen; each additional single antibody stain procedure (List separately in addition to code for primary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0846T","description":"Digitization of glass microscope slides for immunofluorescence_ per specimen; each additional single antibody stain procedure (List separately in addition to code for primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for examination and selection of retrieved archival (ie_ previously diagnosed) tissue(s) for molecular analysis (eg_ KRAS mutational an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0847T","description":"Digitization of glass microscope slides for examination and selection of retrieved archival (ie_ previously diagnosed) tissue(s) for molecular analysis (eg_ KRAS mutational an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; initial single probe stain procedure (List separately in addition to code for prima","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0848T","description":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; initial single probe stain procedure (List separately in addition to code for prima","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; each multiplex probe stain procedure (List separately in addition to code for prima","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0850T","description":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; each multiplex probe stain procedure (List separately in addition to code for prima","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each multiplex probe stain p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0853T","description":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each multiplex probe stain p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each additional single probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0852T","description":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each additional single probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; each additional single probe stain procedure (List separately in addition to code f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0849T","description":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; each additional single probe stain procedure (List separately in addition to code f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; initial single probe stain p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0851T","description":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; initial single probe stain p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for bone marrow_ smear interpretation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0855T","description":"Digitization of glass microscope slides for bone marrow_ smear interpretation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for electron microscopy_ diagnostic (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0856T","description":"Digitization of glass microscope slides for electron microscopy_ diagnostic (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opto-acoustic imaging_ breast_ unilateral_ including axilla when performed_ real-time with image documentation_ augmentative analysis and report (List separately in addition t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0857T","description":"Opto-acoustic imaging_ breast_ unilateral_ including axilla when performed_ real-time with image documentation_ augmentative analysis and report (List separately in addition t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both components (battery and transmitter)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0861T","description":"Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both components (battery and transmitter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming; battery component only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0862T","description":"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming; battery component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation)_ for screening for peripheral arterial disease_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0860T","description":"Noncontact near-infrared spectroscopy (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation)_ for screening for peripheral arterial disease_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation)_ other than for screening for peripheral arteria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0859T","description":"Noncontact near-infrared spectroscopy (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation)_ other than for screening for peripheral arteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low-intensity extracorporeal shock wave therapy involving corpus cavernosum_ low energy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0864T","description":"Low-intensity extracorporeal shock wave therapy involving corpus cavernosum_ low energy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming; transmitter component only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0863T","description":"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming; transmitter component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Externally applied transcranial magnetic stimulation with concomitant measurement of evoked cortical potentials with automated report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0858T","description":"Externally applied transcranial magnetic stimulation with concomitant measurement of evoked cortical potentials with automated report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies)_ including lesion identification_ characterizatio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0865T","description":"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies)_ including lesion identification_ characterizatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies)_ including lesion detection_ characterization_ an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0866T","description":"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies)_ including lesion detection_ characterization_ an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High-resolution gastric electrophysiology mapping with simultaneous patient-symptom profiling_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0868T","description":"High-resolution gastric electrophysiology mapping with simultaneous patient-symptom profiling_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal laser ablation of benign prostatic hyperplasia_ including imaging guidance; prostate volume greater or equal to 50 mL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0867T","description":"Transperineal laser ablation of benign prostatic hyperplasia_ including imaging guidance; prostate volume greater or equal to 50 mL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for blood smear_ peripheral_ interpretation by physician with written report (List separately in addition to code for primary procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0854T","description":"Digitization of glass microscope slides for blood smear_ peripheral_ interpretation by physician with written report (List separately in addition to code for primary procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of subcutaneous peritoneal ascites pump system_ percutaneous_ including pump-pocket creation_ insertion of tunneled indwelling bladder and peritoneal catheters wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0870T","description":"Implantation of subcutaneous peritoneal ascites pump system_ percutaneous_ including pump-pocket creation_ insertion of tunneled indwelling bladder and peritoneal catheters wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ bone-substitute material for bone and/or soft tissue hardware fixation augmentation_ including intraoperative imaging guidance_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0869T","description":"Injection(s)_ bone-substitute material for bone and/or soft tissue hardware fixation augmentation_ including intraoperative imaging guidance_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of a subcutaneously implanted peritoneal ascites pump system_ any component (ascites pump_ associated peritoneal catheter_ associated bladder catheter)_ including ima","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0873T","description":"Revision of a subcutaneously implanted peritoneal ascites pump system_ any component (ascites pump_ associated peritoneal catheter_ associated bladder catheter)_ including ima","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of indwelling bladder and peritoneal catheters_ including tunneling of catheter(s) and connection with previously implanted peritoneal ascites pump_ including imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0872T","description":"Replacement of indwelling bladder and peritoneal catheters_ including tunneling of catheter(s) and connection with previously implanted peritoneal ascites pump_ including imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of a peritoneal ascites pump system_ including implanted peritoneal ascites pump and indwelling bladder and peritoneal catheters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0874T","description":"Removal of a peritoneal ascites pump system_ including implanted peritoneal ascites pump and indwelling bladder and peritoneal catheters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0875T","description":"Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained without co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0877T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained without co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0879T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained with concu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0878T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained with concu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Duplex scan of hemodialysis fistula_ computer-aided_ limited (volume flow_ diameter_ and depth_ including only body of fistula)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0876T","description":"Duplex scan of hemodialysis fistula_ computer-aided_ limited (volume flow_ diameter_ and depth_ including only body of fistula)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryotherapy of the oral cavity using temperature regulated fluid cooling system_ including placement of an oral device_ monitoring of patient tolerance to treatment_ and remov","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0881T","description":"Cryotherapy of the oral cavity using temperature regulated fluid cooling system_ including placement of an oral device_ monitoring of patient tolerance to treatment_ and remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0880T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration_ including lead placement and removal_ upper extremity_ minimum of 10 minut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0882T","description":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration_ including lead placement and removal_ upper extremity_ minimum of 10 minut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy_ flexible_ transoral_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0884T","description":"Esophagoscopy_ flexible_ transoral_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration_ including lead placement and removal_ upper extremity_ minimum of 10 minut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0883T","description":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration_ including lead placement and removal_ upper extremity_ minimum of 10 minut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy_ flexible_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0885T","description":"Colonoscopy_ flexible_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"End-tidal control of inhaled anesthetic agents and oxygen to assist anesthesia care delivery (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0887T","description":"End-tidal control of inhaled anesthetic agents and oxygen to assist anesthesia care delivery (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy_ flexible_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter fo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0886T","description":"Sigmoidoscopy_ flexible_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Histotripsy (ie_ non-thermal ablation via acoustic energy delivery) of malignant renal tissue_ including imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0888T","description":"Histotripsy (ie_ non-thermal ablation via acoustic energy delivery) of malignant renal tissue_ including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Personalized target development for accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation derived from a structural and resting-state fu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0889T","description":"Personalized target development for accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation derived from a structural and resting-state fu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including target assessment_ initial motor threshold determination_ neuronavigati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0890T","description":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including target assessment_ initial motor threshold determination_ neuronavigati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent treatment day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0891T","description":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent treatment day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent motor threshold re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0892T","description":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent motor threshold re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive assessment of blood oxygenation_ gas exchange efficiency_ and cardiorespiratory status_ with physician or other qualified health care professional interpretation a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0893T","description":"Noninvasive assessment of blood oxygenation_ gas exchange efficiency_ and cardiorespiratory status_ with physician or other qualified health care professional interpretation a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0894T","description":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; initial 4 hours of monitoring time_ including hourly physiological and laboratory a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0895T","description":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; initial 4 hours of monitoring time_ including hourly physiological and laboratory a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimate of absolute quantitation of myocardial blood flow (AQMBF)_ derived from assistive algorithmic analysis of the dataset acquired via contrast cardiac magnet","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0900T","description":"Noninvasive estimate of absolute quantitation of myocardial blood flow (AQMBF)_ derived from assistive algorithmic analysis of the dataset acquired via contrast cardiac magnet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive prostate cancer estimation map_ derived from augmentative analysis of image-guided fusion biopsy and pathology_ including visualization of margin volume and locati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0898T","description":"Noninvasive prostate cancer estimation map_ derived from augmentative analysis of image-guided fusion biopsy and pathology_ including visualization of margin volume and locati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; each additional hour_ including physiological and laboratory assessments (eg_ perfu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0896T","description":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; each additional hour_ including physiological and laboratory assessments (eg_ perfu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive augmentative arrhythmia analysis derived from quantitative computational cardiac arrhythmia simulations_ based on selected intervals of interest from 12-lead elect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0897T","description":"Noninvasive augmentative arrhythmia analysis derived from quantitative computational cardiac arrhythmia simulations_ based on selected intervals of interest from 12-lead elect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive determination of absolute quantitation of myocardial blood flow (AQMBF)_ derived from augmentative algorithmic analysis of the dataset acquired via contrast cardia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0899T","description":"Noninvasive determination of absolute quantitation of myocardial blood flow (AQMBF)_ derived from augmentative algorithmic analysis of the dataset acquired via contrast cardia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0903T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0903T","description":"CPT-0903T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0902T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0902T","description":"CPT-0902T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0901T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0901T","description":"CPT-0901T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0906T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0906T","description":"CPT-0906T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0907T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0907T","description":"CPT-0907T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0904T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0904T","description":"CPT-0904T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0905T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0905T","description":"CPT-0905T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0909T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0909T","description":"CPT-0909T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0908T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0908T","description":"CPT-0908T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0910T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0910T","description":"CPT-0910T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0911T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0911T","description":"CPT-0911T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0912T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0912T","description":"CPT-0912T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0913T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0913T","description":"CPT-0913T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0915T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0915T","description":"CPT-0915T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0914T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0914T","description":"CPT-0914T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0916T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0916T","description":"CPT-0916T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0918T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0918T","description":"CPT-0918T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0919T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0919T","description":"CPT-0919T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0917T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0917T","description":"CPT-0917T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0920T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0920T","description":"CPT-0920T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0921T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0921T","description":"CPT-0921T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0922T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0922T","description":"CPT-0922T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0924T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0924T","description":"CPT-0924T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0923T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0923T","description":"CPT-0923T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0925T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0925T","description":"CPT-0925T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0926T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0926T","description":"CPT-0926T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0929T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0929T","description":"CPT-0929T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0927T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0927T","description":"CPT-0927T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0928T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0928T","description":"CPT-0928T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0930T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0930T","description":"CPT-0930T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0931T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0931T","description":"CPT-0931T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0932T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0932T","description":"CPT-0932T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0934T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0934T","description":"CPT-0934T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0933T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0933T","description":"CPT-0933T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0935T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0935T","description":"CPT-0935T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0936T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0936T","description":"CPT-0936T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0940T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0940T","description":"CPT-0940T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0937T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0937T","description":"CPT-0937T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0942T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0942T","description":"CPT-0942T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0941T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0941T","description":"CPT-0941T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0943T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0943T","description":"CPT-0943T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0939T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0939T","description":"CPT-0939T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0944T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0944T","description":"CPT-0944T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0946T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0946T","description":"CPT-0946T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0949T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0949T","description":"CPT-0949T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0945T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0945T","description":"CPT-0945T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0947T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0947T","description":"CPT-0947T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0950T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0950T","description":"CPT-0950T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0948T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0948T","description":"CPT-0948T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0952T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0952T","description":"CPT-0952T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81413","description":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ secukinumab_ intravenous_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9166","description":"Injection_ secukinumab_ intravenous_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0953T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0953T","description":"CPT-0953T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0954T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0954T","description":"CPT-0954T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0951T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0951T","description":"CPT-0951T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0956T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0956T","description":"CPT-0956T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0955T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0955T","description":"CPT-0955T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0101","description":"HCPCS-A0101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFKW","description":"HIPPS-5CFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0957T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0957T","description":"CPT-0957T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0959T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0959T","description":"CPT-0959T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0958T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0958T","description":"CPT-0958T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0960T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0960T","description":"CPT-0960T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0961T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0961T","description":"CPT-0961T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl& replc pulse gen 1 lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33262","description":"Rmvl& replc pulse gen 1 lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0962T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0962T","description":"CPT-0962T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0963T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0963T","description":"CPT-0963T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0964T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0964T","description":"CPT-0964T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0966T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0966T","description":"CPT-0966T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0965T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0965T","description":"CPT-0965T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0969T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0969T","description":"CPT-0969T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0967T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0967T","description":"CPT-0967T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE22B","description":"HIPPS-PE22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0970T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0970T","description":"CPT-0970T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0968T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0968T","description":"CPT-0968T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0971T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0971T","description":"CPT-0971T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol 74-100 gm pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4197","description":"Parenteral sol 74-100 gm pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0972T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0972T","description":"CPT-0972T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0975T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0975T","description":"CPT-0975T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0974T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0974T","description":"CPT-0974T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0973T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0973T","description":"CPT-0973T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0976T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0976T","description":"CPT-0976T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8C","description":"HIPPS-RVL8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGNT","description":"HIPPS-3CGNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB221","description":"HIPPS-PB221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension_ percutaneous_ including imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32998","description":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension_ percutaneous_ including imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0977T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0977T","description":"CPT-0977T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0938T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0938T","description":"CPT-0938T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0978T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0978T","description":"CPT-0978T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0979T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0979T","description":"CPT-0979T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0980T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0980T","description":"CPT-0980T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0981T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0981T","description":"CPT-0981T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SkinTE_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4200","description":"SkinTE_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0982T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0982T","description":"CPT-0982T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0983T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0983T","description":"CPT-0983T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ilr device interrogat remote","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93298","description":"Ilr device interrogat remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0985T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0985T","description":"CPT-0985T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0984T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0984T","description":"CPT-0984T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect neck thorax tumor<5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21557","description":"Resect neck thorax tumor<5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue localization-excision","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1819","description":"Tissue localization-excision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy thigh soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27323","description":"Biopsy thigh soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part removal hip bone deep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27071","description":"Part removal hip bone deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0986T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0986T","description":"CPT-0986T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0987T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0987T","description":"CPT-0987T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0988T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0988T","description":"CPT-0988T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0989T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0989T","description":"CPT-0989T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair septal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33814","description":"Repair septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFMV","description":"HIPPS-3CFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pasrr level ii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2011","description":"Pasrr level ii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscop w/vc inj + scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31571","description":"Laryngoscop w/vc inj + scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLS","description":"HIPPS-3CGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cva device obstruct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75901","description":"Remove cva device obstruct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC15D","description":"HIPPS-PC15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper gi endo not barrtts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3141F","description":"Upper gi endo not barrtts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Did Not Receive At Least One Dose Of The Herpes Zoster Live Vaccine Or Two Doses Of The Herpes Zoster Recombinant Vaccine (At Least 28 Days Apart) Anytime On Or After","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2162","description":"Patient Did Not Receive At Least One Dose Of The Herpes Zoster Live Vaccine Or Two Doses Of The Herpes Zoster Recombinant Vaccine (At Least 28 Days Apart) Anytime On Or After","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 iobenguane_ diagnostic_ 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9407","description":"Iodine I-131 iobenguane_ diagnostic_ 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93970","description":"Extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplj hematopoietic boost","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38243","description":"Transplj hematopoietic boost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Procalcitonin (pct)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84145","description":"Procalcitonin (pct)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMS","description":"HIPPS-3CHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev care mg qual act perfrm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8496","description":"Prev care mg qual act perfrm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1128","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Single energy x-ray study","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0130","description":"Single energy x-ray study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0203","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0203","description":"HCPCS-B0203","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0495T","description":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNS","description":"HIPPS-3AFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corf skilled nursing service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0128","description":"Corf skilled nursing service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB226","description":"HIPPS-HB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNT","description":"HIPPS-1CFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01936","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01936","description":"CPT-01936","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC156","description":"HIPPS-CC156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoluminal bx urtr rnl plvs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50606","description":"Endoluminal bx urtr rnl plvs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8C","description":"HIPPS-RUB8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins bone device for rsa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0347T","description":"Ins bone device for rsa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33641","description":"Repair heart septum defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC134","description":"HIPPS-LC134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1170","description":"Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srs linear based","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77372","description":"Srs linear based","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone biopsy excisional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20245","description":"Bone biopsy excisional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trnscth renal symp denrv bil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0339T","description":"Trnscth renal symp denrv bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFP3","description":"HIPPS-3CFP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.6-1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11306","description":"Shave skin lesion 0.6-1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 25 MCG/0.25 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91314","description":"SARSCOV2 VACCINE BIVALENT 25 MCG/0.25 ML IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA4C","description":"HIPPS-AAA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67805","description":"Remove eyelid lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Number of patients screened for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1207","description":"Number of patients screened for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA20B","description":"HIPPS-BA20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transport port x-ray multipl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"R0075","description":"Transport port x-ray multipl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD145","description":"HIPPS-CD145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES325","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES325","description":"HIPPS-ES325","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trnslum dil eye canal w/stnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66175","description":"Trnslum dil eye canal w/stnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Legg perthes orth newington","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1710","description":"Legg perthes orth newington","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext ecg complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0295T","description":"Ext ecg complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phospholipid pltlt neutraliz","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85597","description":"Phospholipid pltlt neutraliz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK4","description":"HIPPS-5CHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHM6","description":"HIPPS-3CHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insitu hybridization auto","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88367","description":"Insitu hybridization auto","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD217","description":"HIPPS-PD217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC45","description":"HIPPS-RUC45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7610","description":"Albuterol comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vaginal endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95051","description":"Anesth vaginal endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC45","description":"HIPPS-RHC45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thawing cryopresrved embryo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89352","description":"Thawing cryopresrved embryo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastoid surgery revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69604","description":"Mastoid surgery revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient responded as completely true for the question of patient felt heard and understood by this provider and team","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1250","description":"Patient responded as completely true for the question of patient felt heard and understood by this provider and team","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinal female jug-type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0326","description":"Urinal female jug-type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC11C","description":"HIPPS-PC11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37266","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37266","description":"CPT-37266","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of anal tags","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46230","description":"Removal of anal tags","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc deglycerolized","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9039","description":"Rbc deglycerolized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disconnect locking wrist uni","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6615","description":"Disconnect locking wrist uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mech remov tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36595","description":"Mech remov tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct sft tsue nck w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70492","description":"Ct sft tsue nck w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99244","description":"Office consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFKT","description":"HIPPS-3AFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap inc hernia repair recur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49656","description":"Lap inc hernia repair recur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLU","description":"HIPPS-3AGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK2","description":"HIPPS-5BFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx head/neck t3-4 noprog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9110","description":"Onc dx head/neck t3-4 noprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB1B","description":"HIPPS-RLB1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0990T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0990T","description":"CPT-0990T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr angiography neck w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70548","description":"Mr angiography neck w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame attachmnts ce","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0948","description":"Fracture frame attachmnts ce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-2 quant&revrse trnscripj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87539","description":"Hiv-2 quant&revrse trnscripj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-surg tx root canal obs","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3331","description":"Non-surg tx root canal obs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Truskin_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4167","description":"Truskin_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth insert penis device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93851","description":"Anesth insert penis device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58152","description":"Total hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8C","description":"HIPPS-RUX8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnio tri-core amniotic_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4295","description":"Amnio tri-core amniotic_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE24A","description":"HIPPS-HE24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression glove_ custom_ medium weight_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6579","description":"Gradient compression glove_ custom_ medium weight_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31370","description":"Partial removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculostomy Ab Interno By Laser; With Use Of Ophthalmic Endoscope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0622T","description":"Trabeculostomy Ab Interno By Laser; With Use Of Ophthalmic Endoscope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bowel pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44800","description":"Excision of bowel pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise circulation to head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61705","description":"Revise circulation to head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy and biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45331","description":"Sigmoidoscopy and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caster wheel excludes tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2225","description":"Caster wheel excludes tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lev 5 hosp type b ed visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0384","description":"Lev 5 hosp type b ed visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC120","description":"HIPPS-CC120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ faricimab-svoa_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9097","description":"Injection_ faricimab-svoa_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knuckle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26700","description":"Treat knuckle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anes spine tranthor w/o vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62551","description":"Anes spine tranthor w/o vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-surg eye measures docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3073F","description":"Pre-surg eye measures docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Femoral lgth sock fx or equa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2850","description":"Femoral lgth sock fx or equa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onlay cst nbl mtl >=3 surfac","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6615","description":"Onlay cst nbl mtl >=3 surfac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct malrotation of bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44055","description":"Correct malrotation of bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise/repair mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40812","description":"Excise/repair mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychia sympts assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1181F","description":"Neuropsychia sympts assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLX","description":"HIPPS-4AGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health club membership yr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9970","description":"Health club membership yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18B","description":"HIPPS-HD18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amphotericin b liposome inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0289","description":"Amphotericin b liposome inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bethanechol chloride inject","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0520","description":"Bethanechol chloride inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Aim Specialty Health_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1007","description":"Clinical Decision Support Mechanism Aim Specialty Health_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0571U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0571U","description":"CPT-0571U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous Cellular Implant Derived From Adipose Tissue For The Treatment Of Osteoarthritis Of The Knees; Tissue Harvesting And Cellular Implant Creation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0565T","description":"Autologous Cellular Implant Derived From Adipose Tissue For The Treatment Of Osteoarthritis Of The Knees; Tissue Harvesting And Cellular Implant Creation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous blood op salvage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86891","description":"Autologous blood op salvage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65850","description":"Incision of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-stranded_i-125","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2639","description":"Brachytx_ non-stranded_i-125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1 crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63045","description":"Remove spine lamina 1 crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp cont lens eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0592","description":"Comp cont lens eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gammaplex injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1557","description":"Gammaplex injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tendon excision palm/finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26145","description":"Tendon excision palm/finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx vert fx w/manj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22315","description":"Closed tx vert fx w/manj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv unsure baby of hiv+moms","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3491F","description":"Hiv unsure baby of hiv+moms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Not disch home by day #2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8838","description":"Not disch home by day #2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina >2 crvcl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63015","description":"Remove spine lamina >2 crvcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP6","description":"HIPPS-3CHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood glucose/reagent strips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4253","description":"Blood glucose/reagent strips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD111","description":"HIPPS-LD111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subtalar arthro w/exc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29905","description":"Subtalar arthro w/exc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specimen fat stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89125","description":"Specimen fat stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj arthroscopy lysis adhesn","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7873","description":"Tmj arthroscopy lysis adhesn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lysis of labial lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56441","description":"Lysis of labial lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhc lpn/rn obs/asses ea 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0163","description":"Hhc lpn/rn obs/asses ea 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay blood catecholamines","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82383","description":"Assay blood catecholamines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carbidopa levodopa enteral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7340","description":"Carbidopa levodopa enteral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42830","description":"Removal of adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rigid wheeled walker adj/fix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0141","description":"Rigid wheeled walker adj/fix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home sleep test/type 3 porta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0399","description":"Home sleep test/type 3 porta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telehealth consultation_ critical care_ subsequent_ physicians typically spend 50 minutes communicating with the patient and providers via telehealth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0509","description":"Telehealth consultation_ critical care_ subsequent_ physicians typically spend 50 minutes communicating with the patient and providers via telehealth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht irrigation diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9590","description":"Ht irrigation diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28B","description":"HIPPS-HD28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand restoration no fingers","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6910","description":"Hand restoration no fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLX","description":"HIPPS-2CHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening cocaine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80353","description":"Drug screening cocaine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder universal joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6650","description":"Shoulder universal joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ complete joint (ie_ joint space and peri-articular soft tissue structures) real-time with image documentation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76881","description":"Ultrasound_ complete joint (ie_ joint space and peri-articular soft tissue structures) real-time with image documentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Padding for comprssn bdg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8430","description":"Padding for comprssn bdg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beta blckr admin w/in 24 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4115F","description":"Beta blckr admin w/in 24 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drnble ostomy pouch w/o barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5062","description":"Drnble ostomy pouch w/o barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA13D","description":"HIPPS-CA13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE154","description":"HIPPS-LE154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; coronary sinus (List separately in addition to code f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93586","description":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; coronary sinus (List separately in addition to code f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6609","description":"Gradient compression bandaging supply_ not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66170","description":"Glaucoma surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGMV","description":"HIPPS-1CGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ring flange plastic/leather","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1100","description":"Ring flange plastic/leather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I&d absc intraoral soft tiss","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7510","description":"I&d absc intraoral soft tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht hem horm inj diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9537","description":"Ht hem horm inj diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHM3","description":"HIPPS-3BHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj open reduct-dislocation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7810","description":"Tmj open reduct-dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Batt pack/cart_ port conc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1356","description":"Batt pack/cart_ port conc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0916T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0916T","description":"CPT-0916T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cyclophosphamide_ (dr. reddy_s)_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9072","description":"Injection_ cyclophosphamide_ (dr. reddy_s)_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8F","description":"HIPPS-RML8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interro eval npgs sleep apne","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0434T","description":"Interro eval npgs sleep apne","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1388","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1388","description":"HCPCS-M1388","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK5","description":"HIPPS-1AHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 10 MCG/0.2 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91315","description":"SARSCOV2 VACCINE BIVALENT 10 MCG/0.2 ML IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med rsn no stat tx/presc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9667","description":"Doc med rsn no stat tx/presc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spinal disk surgery add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63035","description":"Spinal disk surgery add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Set-up cardiovert-defibrill","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93745","description":"Set-up cardiovert-defibrill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin peel therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17360","description":"Skin peel therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-cov proc_ clinical trial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0294","description":"Non-cov proc_ clinical trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncoprotein dcp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83951","description":"Oncoprotein dcp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD25B","description":"HIPPS-CD25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress forearm 2 spaces","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25024","description":"Decompress forearm 2 spaces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Colorectal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1086","description":"Radiation Therapy For Colorectal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy implant stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52282","description":"Cystoscopy implant stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD21C","description":"HIPPS-LD21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB121","description":"HIPPS-PB121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX41","description":"HIPPS-RHX41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thermal Destruction Of Intraosseous Basivertebral Nerve_ Including All Imaging Guidance; First 2 Vertebral Bodies_ Lumbar Or Sacral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64628","description":"Thermal Destruction Of Intraosseous Basivertebral Nerve_ Including All Imaging Guidance; First 2 Vertebral Bodies_ Lumbar Or Sacral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise stomach-bowel fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43860","description":"Revise stomach-bowel fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of chronic kidney disease (ckd) stage 5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1188","description":"Patients with a diagnosis of chronic kidney disease (ckd) stage 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB13","description":"HIPPS-RHB13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ankle arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29898","description":"Ankle arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1902","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1902","description":"CDT-D1902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther/prop/diag inj/inf proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96379","description":"Ther/prop/diag inj/inf proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone mineral dual photon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78351","description":"Bone mineral dual photon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o cont_ lwr ext","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8913","description":"Mra w/o cont_ lwr ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj reconstruction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7858","description":"Tmj reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB155","description":"HIPPS-HB155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair major blood vessel(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33320","description":"Repair major blood vessel(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo doub solid stirrup calf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1990","description":"Afo doub solid stirrup calf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand restoration replacmnt g","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6915","description":"Hand restoration replacmnt g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_thinlayer_rescr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0144","description":"Scr c/v cyto_thinlayer_rescr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of a subcutaneous peritoneal ascites pump_ including reconnection between pump and indwelling bladder and peritoneal catheters_ including initial programming and i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0871T","description":"Replacement of a subcutaneous peritoneal ascites pump_ including reconnection between pump and indwelling bladder and peritoneal catheters_ including initial programming and i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pafolacianine_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9603","description":"Injection_ pafolacianine_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment_ sensor placement_ hook-u","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95249","description":"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment_ sensor placement_ hook-u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23470","description":"Reconstruct shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI lower extremity w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73718","description":"MRI lower extremity w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild eardrum structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69636","description":"Rebuild eardrum structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy_ includes angioplasty within the same vessel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9774","description":"Revascularization_ endovascular_ open or percutaneous_ tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy_ includes angioplasty within the same vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrocardiogram tracing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93005","description":"Electrocardiogram tracing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29824","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tofersen_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1304","description":"Injection_ tofersen_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA13A","description":"HIPPS-CA13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA22","description":"HIPPS-AAA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo dbl solid stirrup band/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2020","description":"Kafo dbl solid stirrup band/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0601","description":"HCPCS-B0601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0721","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0721","description":"HCPCS-E0721","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Healthcare Professional Online Assessment Service_ For An Established Patient_ For Up To Seven Days_ Cumulative Time During The 7 Days; 11-20 Minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2062","description":"Qualified Nonphysician Healthcare Professional Online Assessment Service_ For An Established Patient_ For Up To Seven Days_ Cumulative Time During The 7 Days; 11-20 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped size pull-on sm/med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4531","description":"Ped size pull-on sm/med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75825","description":"Vein x-ray trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease_ intracranial_ coronary_ pulmonary_ or dialysis circuit)_ initial artery_ open or pe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7532","description":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease_ intracranial_ coronary_ pulmonary_ or dialysis circuit)_ initial artery_ open or pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr angiograph head w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70546","description":"Mr angiograph head w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Take-Home Supply Of Nasal Naloxone; 2-Pack Of 8Mg Per 0.1 Ml Nasal Spray (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Additi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1028","description":"Take-Home Supply Of Nasal Naloxone; 2-Pack Of 8Mg Per 0.1 Ml Nasal Spray (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Additi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iv chelationtherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0300","description":"Iv chelationtherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE12C","description":"HIPPS-CE12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mucopolysaccharides","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83864","description":"Mucopolysaccharides","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Critical care first hour","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99291","description":"Critical care first hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heel leather reinforced","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3440","description":"Heel leather reinforced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28D","description":"HIPPS-CD28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient lift electric","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0635","description":"Patient lift electric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of sperm duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55200","description":"Incision of sperm duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB26","description":"HIPPS-RVB26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trim nail(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0127","description":"Trim nail(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mosunetuzumab-axgb_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9350","description":"Injection_ mosunetuzumab-axgb_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE231","description":"HIPPS-HE231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med reason for no ceph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9196","description":"Med reason for no ceph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGMX","description":"HIPPS-3AGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Centruroides immune f(ab)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0716","description":"Centruroides immune f(ab)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1704","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1704","description":"HCPCS-A1704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pul art balloon repr percut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92997","description":"Pul art balloon repr percut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE215","description":"HIPPS-LE215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chloroprocaine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2400","description":"Chloroprocaine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy bowel pouch/biop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44386","description":"Endoscopy bowel pouch/biop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Initial Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0569T","description":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Initial Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33929","description":"Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy_ and transluminal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9765","description":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy_ and transluminal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFK3","description":"HIPPS-3CFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS CODE","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAA1","description":"SNF PDPM HIPPS CODE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD246","description":"HIPPS-LD246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl spine lesn thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63281","description":"Bx/exc idrl spine lesn thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"corticotomy - one to three teeth or tooth spaces_ per quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7296","description":"corticotomy - one to three teeth or tooth spaces_ per quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFKW","description":"HIPPS-2CFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nurse practr visit outs cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0274","description":"Nurse practr visit outs cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Volume deplete of harvest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38214","description":"Volume deplete of harvest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of myoglobin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83874","description":"Assay of myoglobin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nontherm electromgntc device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0761","description":"Nontherm electromgntc device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28072","description":"Removal of foot joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vancomycin hcl (mylan) not therapeutically equivalent to j3370_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3371","description":"Injection_ vancomycin hcl (mylan) not therapeutically equivalent to j3370_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Administration of respiratory syncytial virus_ monoclonal antibody_ seasonal dose by intramuscular injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96381","description":"Administration of respiratory syncytial virus_ monoclonal antibody_ seasonal dose by intramuscular injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optx medial ankle fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27766","description":"Optx medial ankle fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK2","description":"HIPPS-3AHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39010","description":"Exploration of chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable home suction pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0743","description":"Portable home suction pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial (index visit) numeric rating scale (nrs)_ visual rating scale (vrs)_ or itchyquant assessment score of greater than or equal to 4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1196","description":"Initial (index visit) numeric rating scale (nrs)_ visual rating scale (vrs)_ or itchyquant assessment score of greater than or equal to 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lactation class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9443","description":"Lactation class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cocoon membrane_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4264","description":"Cocoon membrane_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0898","description":"Power wheelchair noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Omnicardiogram/cardiointegra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9025","description":"Omnicardiogram/cardiointegra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo torsion bil rot straps","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2040","description":"Hkafo torsion bil rot straps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX35","description":"HIPPS-RUX35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB22D","description":"HIPPS-BB22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE14D","description":"HIPPS-LE14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27284","description":"Fusion of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt=d(rh)- and unsensitized","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3290F","description":"Pt=d(rh)- and unsensitized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert knee articulat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5656","description":"Socket insert knee articulat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC254","description":"HIPPS-PC254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stereotactic biopsy_ aspiration_ or excision of lesion_ spinal cord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63615","description":"Stereotactic biopsy_ aspiration_ or excision of lesion_ spinal cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Repair Of Iliac Artery_ Not Associated With Placement Of An Aorto-Iliac Artery Endograft At The Same Session_ By Deployment Of An Iliac Branched Endograft_ Includ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34718","description":"Endovascular Repair Of Iliac Artery_ Not Associated With Placement Of An Aorto-Iliac Artery Endograft At The Same Session_ By Deployment Of An Iliac Branched Endograft_ Includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Filter gone aft 3mos placmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9541","description":"Filter gone aft 3mos placmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1464","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1464","description":"HCPCS-M1464","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical opening of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43500","description":"Surgical opening of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"intravenous moderate  (conscious) sedation/analgesia- first 15 minutes","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9239","description":"intravenous moderate  (conscious) sedation/analgesia- first 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA15","description":"HIPPS-AAA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext wear ost skn barr >4sqin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4408","description":"Ext wear ost skn barr >4sqin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood_ l/r_ cmv-neg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9051","description":"Blood_ l/r_ cmv-neg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE211","description":"HIPPS-HE211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calr gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81219","description":"Calr gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens lenticular bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2115","description":"Lens lenticular bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC21A","description":"HIPPS-PC21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67880","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB114","description":"HIPPS-CB114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathogen(s) test for platelets","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9100","description":"Pathogen(s) test for platelets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC226","description":"HIPPS-HC226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35151","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tremelimumab-actl_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9347","description":"Injection_ tremelimumab-actl_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ntrk2 (Neurotrophic Receptor Tyrosine Kinase 2) (Eg_ Solid Tumors) Translocation Analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81192","description":"Ntrk2 (Neurotrophic Receptor Tyrosine Kinase 2) (Eg_ Solid Tumors) Translocation Analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFM5","description":"HIPPS-1BFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periacetabular osteotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2115","description":"Periacetabular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap revision perm ip cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49325","description":"Lap revision perm ip cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD25B","description":"HIPPS-PD25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid frame pre subclav","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0470","description":"Tlso rigid frame pre subclav","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD124","description":"HIPPS-CD124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transfer with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26492","description":"Tendon transfer with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ventral hern init reduc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49560","description":"Rpr ventral hern init reduc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 0.6-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11641","description":"Exc f/e/e/n/l mal+mrg 0.6-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat midfoot fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28465","description":"Treat midfoot fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD117","description":"HIPPS-HD117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0681U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0681U","description":"CPT-0681U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB15","description":"HIPPS-RUB15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No sent lymph node biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8882","description":"No sent lymph node biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscp guide wire dilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43196","description":"Esophagoscp guide wire dilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Financial mgt waiver/15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2040","description":"Financial mgt waiver/15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0304","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0304","description":"CDT-D0304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9936","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9936","description":"CDT-D9936","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFKU","description":"HIPPS-5CFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home modifications per serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5165","description":"Home modifications per serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smear gram stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87205","description":"Smear gram stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dispensing fee_ monaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5241","description":"Dispensing fee_ monaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0493U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0493U","description":"CPT-0493U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ inf_ per/cent/midline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1751","description":"Cath_ inf_ per/cent/midline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth amputation of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93251","description":"Anesth amputation of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of knee cartilage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27403","description":"Repair of knee cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC160","description":"HIPPS-LC160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Create tear duct drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68750","description":"Create tear duct drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFPS","description":"HIPPS-1CFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr pack base elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0488","description":"Pwr pack base elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB135","description":"HIPPS-PB135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frozen cell preparation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88241","description":"Frozen cell preparation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Baclofen 10 mg injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0475","description":"Baclofen 10 mg injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant auditory brain imp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2235","description":"Implant auditory brain imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28E","description":"HIPPS-PD28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp fem-ant-post tib/prl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35666","description":"Art byp fem-ant-post tib/prl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC5C","description":"HIPPS-RVC5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB21C","description":"HIPPS-BB21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Days; 21 Or More Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99423","description":"Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Days; 21 Or More Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex for speech device rx 1hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92607","description":"Ex for speech device rx 1hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of parastomal hernia_ any approach (ie_ open_ laparoscopic_ robotic)_ initial or recurrent_ including implantation of mesh or other prosthesis_ when performed; reducibl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49621","description":"Repair of parastomal hernia_ any approach (ie_ open_ laparoscopic_ robotic)_ initial or recurrent_ including implantation of mesh or other prosthesis_ when performed; reducibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr umbil hern block < 5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49582","description":"Rpr umbil hern block < 5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FUT2 GNOTYP FUT2 EXON 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0186U","description":"FUT2 GNOTYP FUT2 EXON 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of troponin qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84512","description":"Assay of troponin qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam establish patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92012","description":"Eye exam establish patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of scrotum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55180","description":"Revision of scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72170","description":"X-ray exam of pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genetic test brugada","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3861","description":"Genetic test brugada","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ranibizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2778","description":"Ranibizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0990T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0990T","description":"CPT-0990T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL1C","description":"HIPPS-RHL1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0991T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0991T","description":"CPT-0991T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of arm infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73092","description":"X-ray exam of arm infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0992T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0992T","description":"CPT-0992T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological testing (includes psychodiagnostic assessment of emotionality_ intellectual abilities_ personality and psychopathology_ eg_ MMPI)_ administered by a computer_ wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96103","description":"Psychological testing (includes psychodiagnostic assessment of emotionality_ intellectual abilities_ personality and psychopathology_ eg_ MMPI)_ administered by a computer_ wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0993T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0993T","description":"CPT-0993T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA10","description":"HIPPS-RLA10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology gynecologic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81535","description":"Oncology gynecologic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0995T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0995T","description":"CPT-0995T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0994T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0994T","description":"CPT-0994T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21263","description":"Revise eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0997T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0997T","description":"CPT-0997T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0996T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0996T","description":"CPT-0996T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1 med visit in 24mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9247","description":"1 med visit in 24mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice in snf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5004","description":"Hospice in snf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0998T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0998T","description":"CPT-0998T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were not listed on the kidney-pancreas transplant waitlist or patients who did not receive a living donor transplant within the first year following initiation of","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1260","description":"Patients who were not listed on the kidney-pancreas transplant waitlist or patients who did not receive a living donor transplant within the first year following initiation of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLT","description":"HIPPS-1CGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0999T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0999T","description":"CPT-0999T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preparation palate mold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42280","description":"Preparation palate mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX40","description":"HIPPS-RMX40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1601","description":"HCPCS-C1601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10004","description":"Fine needle aspiration biopsy_ without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including ultrasound guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10005","description":"Fine needle aspiration biopsy_ including ultrasound guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB0C","description":"HIPPS-RHB0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including fluoroscopic guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10007","description":"Fine needle aspiration biopsy_ including fluoroscopic guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10006","description":"Fine needle aspiration biopsy_ including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Precision attachment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6950","description":"Precision attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including CT guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10009","description":"Fine needle aspiration biopsy_ including CT guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ below knee_ 30-40 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6553","description":"Gradient compression stocking_ below knee_ 30-40 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specimen site not esophagus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8797","description":"Specimen site not esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10008","description":"Fine needle aspiration biopsy_ including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1000T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1000T","description":"CPT-1000T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco use assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1000F","description":"Tobacco use assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft arm/leg <4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64892","description":"Nerve graft arm/leg <4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA213","description":"HIPPS-CA213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adenoma(s) or colorectal cancer detected during screening colonoscopy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9933","description":"Adenoma(s) or colorectal cancer detected during screening colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including CT guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10010","description":"Fine needle aspiration biopsy_ including CT guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic laryngoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31505","description":"Diagnostic laryngoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Including Data Preparation And Transmission_ Quan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0710T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Including Data Preparation And Transmission_ Quan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including MR guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10011","description":"Fine needle aspiration biopsy_ including MR guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1001T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1001T","description":"CPT-1001T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including MR guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10012","description":"Fine needle aspiration biopsy_ including MR guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye service or procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92499","description":"Eye service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC22A","description":"HIPPS-LC22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD155","description":"HIPPS-PD155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fna w/o image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10021","description":"Fna w/o image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt ref pulm fx test/peakflow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3758F","description":"Pt ref pulm fx test/peakflow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration; with imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10022","description":"Fine needle aspiration; with imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess anginal symptom/level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1002F","description":"Assess anginal symptom/level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1002T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1002T","description":"CPT-1002T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23140","description":"Removal of bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration; with imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10022","description":"Fine needle aspiration; with imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guide cathet fluid drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10030","description":"Guide cathet fluid drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other immunoelectrophoresis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86325","description":"Other immunoelectrophoresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev soft tiss 1st imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10035","description":"Perq dev soft tiss 1st imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Persistent asthma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1038F","description":"Persistent asthma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-ray each vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75774","description":"Artery x-ray each vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev soft tiss add imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10036","description":"Perq dev soft tiss add imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Level of activity assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1003F","description":"Level of activity assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1003T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1003T","description":"CPT-1003T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy resect septum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58560","description":"Hysteroscopy resect septum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin symp vol ovrld assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1004F","description":"Clin symp vol ovrld assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microslide consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88323","description":"Microslide consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Habil sup empl waiver 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2019","description":"Habil sup empl waiver 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acne surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10040","description":"Acne surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1004T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1004T","description":"CPT-1004T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ppps_ subseq visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0439","description":"Ppps_ subseq visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dopamine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1265","description":"Dopamine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB14","description":"HIPPS-RUB14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma symptoms evaluate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1005F","description":"Asthma symptoms evaluate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis test procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81099","description":"Urinalysis test procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10051","description":"Anesth salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible mic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87186","description":"Microbe susceptible mic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB2A","description":"HIPPS-RMB2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth lung chest wall surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54651","description":"Anesth lung chest wall surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01400","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01400","description":"CPT-01400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of skin abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10060","description":"Drainage of skin abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1005T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1005T","description":"CPT-1005T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheal suction tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4624","description":"Tracheal suction tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2105","description":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng ace/arb blker <3mos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4481F","description":"Pt rcvng ace/arb blker <3mos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of skin abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10061","description":"Drainage of skin abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1006F","description":"Osteoarthritis assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ carboxydextran-coated superparamagnetic iron oxide_ per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9697","description":"Injection_ carboxydextran-coated superparamagnetic iron oxide_ per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1006T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1006T","description":"CPT-1006T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anti-inflm/anlgsc otc assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1007F","description":"Anti-inflm/anlgsc otc assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cyp2d6 gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81226","description":"Cyp2d6 gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1007T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1007T","description":"CPT-1007T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pilonidal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10080","description":"Drainage of pilonidal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2351","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2351","description":"HCPCS-J2351","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC55","description":"HIPPS-RHC55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pilonidal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10081","description":"Drainage of pilonidal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj phrenic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64410","description":"N block inj phrenic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tap block bi injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64488","description":"Tap block bi injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98013","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98013","description":"CPT-98013","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retreat root canal anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3346","description":"Retreat root canal anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gi/renal risk assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1008F","description":"Gi/renal risk assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physician Or Other Qualified Health Care Professional Services For Outpatient Pulmonary Rehabilitation; Without Continuous Oximetry Monitoring (Per Session)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94625","description":"Physician Or Other Qualified Health Care Professional Services For Outpatient Pulmonary Rehabilitation; Without Continuous Oximetry Monitoring (Per Session)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Additional supplies_ materials_ and clinical staff time over and above those usually included in an office visit or other non-facility service(s)_ when performed during a PHE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99072","description":"Additional supplies_ materials_ and clinical staff time over and above those usually included in an office visit or other non-facility service(s)_ when performed during a PHE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doppler echo exam heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93321","description":"Doppler echo exam heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35246","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amino acids single quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82131","description":"Amino acids single quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice/home hlth_ place nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5009","description":"Hospice/home hlth_ place nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1008T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1008T","description":"CPT-1008T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of mesentery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44850","description":"Repair of mesentery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinogen antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85385","description":"Fibrinogen antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severity angina by actvty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1010F","description":"Severity angina by actvty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23020","description":"Release shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0530U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0530U","description":"CPT-0530U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1010T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1010T","description":"CPT-1010T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1009T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1009T","description":"CPT-1009T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK4","description":"HIPPS-5AHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-invasive vagus nerve stimulator (GammaCore-S)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1020","description":"Non-invasive vagus nerve stimulator (GammaCore-S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28A","description":"HIPPS-HC28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1011T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1011T","description":"CPT-1011T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording and disconnection per patient encounter_ leadless pacemaker system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0391T","description":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording and disconnection per patient encounter_ leadless pacemaker system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0988T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0988T","description":"CPT-0988T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP1","description":"HIPPS-1AHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Angina present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1011F","description":"Angina present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; stable isotope dilution_ single analyte_ quantitative_ single st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82543","description":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; stable isotope dilution_ single analyte_ quantitative_ single st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8I","description":"HIPPS-RVL8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee control condylar pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2810","description":"Knee control condylar pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE104","description":"HIPPS-PE104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10121","description":"Remove foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC40","description":"HIPPS-RMC40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10120","description":"Remove foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28E","description":"HIPPS-CA28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1012T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1012T","description":"CPT-1012T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of hematoma/fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10140","description":"Drainage of hematoma/fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1013T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1013T","description":"CPT-1013T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44950","description":"Appendectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Angina absent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1012F","description":"Angina absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1014T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1014T","description":"CPT-1014T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Copd symptoms assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1015F","description":"Copd symptoms assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain imaging (pet)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78608","description":"Brain imaging (pet)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo radical prostatectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55866","description":"Laparo radical prostatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venous mech thrombectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37187","description":"Venous mech thrombectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB15C","description":"HIPPS-BB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC126","description":"HIPPS-HC126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1015T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1015T","description":"CPT-1015T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Puncture drainage of lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10160","description":"Puncture drainage of lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Salicylate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80179","description":"Salicylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splint elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8452","description":"Splint elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0662","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0662","description":"HCPCS-G0662","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1016T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1016T","description":"CPT-1016T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice home care in hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5010","description":"Hospice home care in hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1017T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1017T","description":"CPT-1017T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64469","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64469","description":"CPT-64469","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complex drainage wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10180","description":"Complex drainage wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Atten current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9165","description":"Atten current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6062","description":"Abutment supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Satisfy survey not complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0917","description":"Satisfy survey not complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1018T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1018T","description":"CPT-1018T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess dyspnea not present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1018F","description":"Assess dyspnea not present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy contrl bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32654","description":"Thoracoscopy contrl bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess dyspnea present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1019F","description":"Assess dyspnea present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1019T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1019T","description":"CPT-1019T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; adipose tissue harvesting_ isolation and preparation of harvested cells including incubation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0489T","description":"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; adipose tissue harvesting_ isolation and preparation of harvested cells including incubation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0554","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0554","description":"HCPCS-G0554","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/o dye_ upper extr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8935","description":"Mra_ w/o dye_ upper extr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit cath maintain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99507","description":"Home visit cath maintain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Root canal therapy 3 canals","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3330","description":"Root canal therapy 3 canals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1021T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1021T","description":"CPT-1021T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1020T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1020T","description":"CPT-1020T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90635","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90635","description":"CPT-90635","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93930","description":"Upper extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens fitting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92313","description":"Contact lens fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC4D","description":"HIPPS-RMC4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m labeled rbc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9560","description":"Tc99m labeled rbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES136","description":"HIPPS-ES136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exome re-evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81417","description":"Exome re-evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of stomach lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43840","description":"Repair of stomach lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (renal transplant)_ RNA expression by select transcriptome sequencing_ using posttransplant peripheral blood_ algorithm reported as a risk score for acute cellular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0320U","description":"Nephrology (renal transplant)_ RNA expression by select transcriptome sequencing_ using posttransplant peripheral blood_ algorithm reported as a risk score for acute cellular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Quantification Of The Structure And Composition O","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0712T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Quantification Of The Structure And Composition O","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM4","description":"HIPPS-3AFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub graft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15271","description":"Skin sub graft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr ang lwr ext w or w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73725","description":"Mr ang lwr ext w or w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of cloacal anomaly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46746","description":"Repair of cloacal anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Powered upper extremity range of motion assist device_ elbow_ wrist_ hand_ finger_ single or double upright(s)_ includes microp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8702","description":"Powered upper extremity range of motion assist device_ elbow_ wrist_ hand_ finger_ single or double upright(s)_ includes microp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hfo without joints pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3924","description":"Hfo without joints pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice evaluation preelecti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0337","description":"Hospice evaluation preelecti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq sacral augmt bilat inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0201T","description":"Perq sacral augmt bilat inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl tip cane/crutch/walker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4637","description":"Repl tip cane/crutch/walker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement bulb th lightbox","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4634","description":"Replacement bulb th lightbox","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infrared therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97026","description":"Infrared therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB14D","description":"HIPPS-PB14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lev 1 hosp type b ed visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0380","description":"Lev 1 hosp type b ed visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53415","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB0D","description":"HIPPS-RLB0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"L/s ratio fetal lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83661","description":"L/s ratio fetal lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8A","description":"HIPPS-RML8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inhaled corticosteroids rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4140F","description":"Inhaled corticosteroids rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8610","description":"Ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1126","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ethinyl estradiol and etonogestrel 0.015 mg_ 0.12 mg per 24hours; monthly vaginal ring_ ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7295","description":"Ethinyl estradiol and etonogestrel 0.015 mg_ 0.12 mg per 24hours; monthly vaginal ring_ ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antepartum manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59412","description":"Antepartum manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 120 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0143U","description":"Drug assay_ definitive_ 120 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe molded plastazote cust","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3253","description":"Shoe molded plastazote cust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal intraop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93318","description":"Echo transesophageal intraop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of hemoglobin heat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83065","description":"Assay of hemoglobin heat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9187","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9187","description":"HCPCS-J9187","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dihydrotestosterone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6047","description":"Dihydrotestosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB22D","description":"HIPPS-CB22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK6","description":"HIPPS-1CFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dextranomer/hyaluronic acid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8604","description":"Dextranomer/hyaluronic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of quinine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84228","description":"Assay of quinine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polysom any age 1-3> param","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95808","description":"Polysom any age 1-3> param","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB20A","description":"HIPPS-BB20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8X","description":"HIPPS-RVA8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove by ligat int hem grps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46946","description":"Remove by ligat int hem grps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal neck/armpit lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38555","description":"Removal neck/armpit lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28A","description":"HIPPS-PC28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Percutaneous Right Heart Ventricular Assist Device_ Venous Cannula_ At Separate And Distinct Session From Insertion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33997","description":"Removal Of Percutaneous Right Heart Ventricular Assist Device_ Venous Cannula_ At Separate And Distinct Session From Insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Massage therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97124","description":"Massage therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lamellas_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4292","description":"Lamellas_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX45","description":"HIPPS-RUX45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB15A","description":"HIPPS-BB15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01935","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01935","description":"CPT-01935","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht muscle image spect sing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78451","description":"Ht muscle image spect sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetic study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88299","description":"Cytogenetic study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18G","description":"HIPPS-CA18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB4A","description":"HIPPS-RVB4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alert device_ noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9280","description":"Alert device_ noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC217","description":"HIPPS-CC217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 90-days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0518","description":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 90-days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm_ genomic sequence analysis panel_ cell-free nucleic acid (eg_ plasma)_ interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81464","description":"Solid organ neoplasm_ genomic sequence analysis panel_ cell-free nucleic acid (eg_ plasma)_ interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pacemaker system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33234","description":"Removal of pacemaker system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bile duct tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47712","description":"Excision of bile duct tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 60th birthday and before the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1177","description":"Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 60th birthday and before the end of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drop lock retainer each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2785","description":"Drop lock retainer each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paramedicintercep nonhospals","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0207","description":"Paramedicintercep nonhospals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delayed breast prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19342","description":"Delayed breast prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nasal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30540","description":"Repair nasal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA2B","description":"HIPPS-RHA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ascent_ 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4213","description":"Ascent_ 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No bp measure doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8756","description":"No bp measure doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reimplantation of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50380","description":"Reimplantation of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and identified as a tobacco non-user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1282","description":"Patient screened for tobacco use and identified as a tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58563","description":"Hysteroscopy ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of pharynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42890","description":"Partial removal of pharynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tafasitamab-cxix_ 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9349","description":"Injection_ tafasitamab-cxix_ 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo sprng wir drsflx calf bd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1900","description":"Afo sprng wir drsflx calf bd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sleeve lobectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32486","description":"Sleeve lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNS","description":"HIPPS-1CFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00192","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00192","description":"CPT-00192","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plasma volume single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78110","description":"Plasma volume single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE210","description":"HIPPS-PE210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remis 6m w/o 6mos phq-9 <5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9574","description":"Remis 6m w/o 6mos phq-9 <5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary angiography of major aortopulmonary colla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93575","description":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary angiography of major aortopulmonary colla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair umbilical lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49606","description":"Repair umbilical lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel-bladder fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44660","description":"Repair bowel-bladder fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection estrone per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1435","description":"Injection estrone per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of spinal herniation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63704","description":"Repair of spinal herniation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of web finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26561","description":"Repair of web finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair mouth laceration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40831","description":"Repair mouth laceration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L5657","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5657","description":"HCPCS-L5657","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Full mouth x-ray of teeth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70320","description":"Full mouth x-ray of teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special med equip_ noswaiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2029","description":"Special med equip_ noswaiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93616","description":"Esophageal recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGMV","description":"HIPPS-4AGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fats/lipids feces qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82705","description":"Fats/lipids feces qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0669U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0669U","description":"CPT-0669U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Atrial Septostomy (Tas) For Congenital Cardiac Anomalies To Create Effective Atrial Flow_ Including All Imaging Guidance By The Proceduralist_ When Performed_ An","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33741","description":"Transcatheter Atrial Septostomy (Tas) For Congenital Cardiac Anomalies To Create Effective Atrial Flow_ Including All Imaging Guidance By The Proceduralist_ When Performed_ An","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK3","description":"HIPPS-5CGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ toe caps_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6573","description":"Gradient compression garment_ toe caps_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18X","description":"HIPPS-LE18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLV","description":"HIPPS-1BGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove tunneled ip cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49422","description":"Remove tunneled ip cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNU","description":"HIPPS-1CFNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKX","description":"HIPPS-4AHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ ado-trastuzumab emt 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9354","description":"Inj_ ado-trastuzumab emt 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8500","description":"Hiv meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adalimumab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80145","description":"Adalimumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of orbit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21256","description":"Reconstruction of orbit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64640","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0515U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0515U","description":"CPT-0515U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50561","description":"Kidney endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove knee joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27335","description":"Remove knee joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ casimersen_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9075","description":"Injection_ casimersen_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA23D","description":"HIPPS-CA23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ initial treatment_ with identification and marking of the treatment locat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0766T","description":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ initial treatment_ with identification and marking of the treatment locat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"EpiFix or Epicord_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4131","description":"EpiFix or Epicord_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc death after cas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9256","description":"Doc death after cas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of pelvis brace","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20662","description":"Application of pelvis brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4037","description":"Urology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surveillance colonoscopy - personal history of colonic polyps_ colon cancer_ or other malignant neoplasm of rectum_ rectosigmoid junction_ and anus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9936","description":"Surveillance colonoscopy - personal history of colonic polyps_ colon cancer_ or other malignant neoplasm of rectum_ rectosigmoid junction_ and anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vasc embolize/occlude bleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37244","description":"Vasc embolize/occlude bleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC13","description":"HIPPS-RMC13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ikbkap gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81260","description":"Ikbkap gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHNS","description":"HIPPS-1CHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC25","description":"HIPPS-RMC25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos pain assess no f/u doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8509","description":"Pos pain assess no f/u doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agents (sexually transmitted infection)_ Chlamydia trachomatis_ Neisseria gonorrhoeae_ and Trichomonas vaginalis_ multiplex amplified probe technique_ vaginal_ endo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0455U","description":"Infectious agents (sexually transmitted infection)_ Chlamydia trachomatis_ Neisseria gonorrhoeae_ and Trichomonas vaginalis_ multiplex amplified probe technique_ vaginal_ endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ptfalls assess-docd ge2>/yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1100F","description":"Ptfalls assess-docd ge2>/yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Room and Board Rate - A flat per diem rate before area wage adjustment for patients whose home is a nursing home.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0606","description":"Room and Board Rate - A flat per diem rate before area wage adjustment for patients whose home is a nursing home.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Desoxycorticosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82633","description":"Desoxycorticosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heredtry nurondcrn tum dsrdr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81437","description":"Heredtry nurondcrn tum dsrdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD23A","description":"HIPPS-CD23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES254","description":"HIPPS-ES254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla ii type 1 ag equiv lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81377","description":"Hla ii type 1 ag equiv lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute resp synd coronavirus 2 (SARS-CoV-2) ([COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preserv free_ 30 mcg/0.3 mL dosage_ tris-sucrose formula formula_ for intramus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91305","description":"Severe acute resp synd coronavirus 2 (SARS-CoV-2) ([COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preserv free_ 30 mcg/0.3 mL dosage_ tris-sucrose formula formula_ for intramus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smear complex stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87209","description":"Smear complex stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthe <60 min as docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4256F","description":"Anesthe <60 min as docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33470","description":"Revision of pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1701","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1701","description":"HCPCS-B1701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB111","description":"HIPPS-LB111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lyme disease antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86617","description":"Lyme disease antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGK2","description":"HIPPS-4AGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL21","description":"HIPPS-RUL21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI abdomen w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74182","description":"MRI abdomen w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise ileoanal reservior","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45136","description":"Excise ileoanal reservior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99347","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xray place dist ext thor ao","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75959","description":"Xray place dist ext thor ao","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise bladder/drain ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51045","description":"Incise bladder/drain ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ bin_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5251","description":"Hearing aid_ prog_ bin_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J8522","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8522","description":"HCPCS-J8522","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA36","description":"HIPPS-RMA36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX05","description":"HIPPS-RMX05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25275","description":"Repair forearm tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physical therapy evaluation: high complexity_ requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the pla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97163","description":"Physical therapy evaluation: high complexity_ requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the pla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult companioncare per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5136","description":"Adult companioncare per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD15D","description":"HIPPS-HD15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy balloon <30mm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43220","description":"Esophagoscopy balloon <30mm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens_ hydrophilic_ with blue-violet filter_ per lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2526","description":"Contact lens_ hydrophilic_ with blue-violet filter_ per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA30","description":"HIPPS-AAA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee control full kneecap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2795","description":"Knee control full kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temperature gradient studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93740","description":"Temperature gradient studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No scr utr malig/us/samp rng","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9620","description":"No scr utr malig/us/samp rng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC230","description":"HIPPS-CC230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB121","description":"HIPPS-CB121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27509","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42300","description":"Drainage of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway press chinstrap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7036","description":"Pos airway press chinstrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01474","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01474","description":"CPT-01474","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/o dye_ spinal canal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8932","description":"Mra_ w/o dye_ spinal canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe clubfoot wedge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3380","description":"Shoe clubfoot wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41009","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant tcat pulm vlv perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33477","description":"Implant tcat pulm vlv perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunotherapy one injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95120","description":"Immunotherapy one injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0484U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0484U","description":"CPT-0484U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replc vagus nerve pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0316T","description":"Replc vagus nerve pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caffeine citrate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0706","description":"Caffeine citrate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic bone marrow; biopsy(ies)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38221","description":"Diagnostic bone marrow; biopsy(ies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tongue suspension","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41512","description":"Tongue suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98971","description":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive (75 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2013","description":"Extensive (75 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg artery-vein three","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33519","description":"Cabg artery-vein three","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biliary duct stone extraction_ percutaneous via t-tube tract_ basket_ o snare (eg_ burhenne technique)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47630","description":"Biliary duct stone extraction_ percutaneous via t-tube tract_ basket_ o snare (eg_ burhenne technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-Cement Or Re-Bond Fixed Retainer - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8699","description":"Re-Cement Or Re-Bond Fixed Retainer - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolong service w/o contact","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99358","description":"Prolong service w/o contact","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1014T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1014T","description":"CPT-1014T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft hip bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27067","description":"Remove/graft hip bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM2","description":"HIPPS-4AFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating The Patient Has Received Or Is Currently Receiving Palliative Or Hospice Care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9996","description":"Documentation Stating The Patient Has Received Or Is Currently Receiving Palliative Or Hospice Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intro/sheath_ non-laser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1894","description":"Intro/sheath_ non-laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suspension of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57280","description":"Suspension of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLV","description":"HIPPS-4BGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES114","description":"HIPPS-ES114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1432","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1432","description":"HCPCS-M1432","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult size brief/diaper sm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4521","description":"Adult size brief/diaper sm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Personal care ser per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1019","description":"Personal care ser per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA115","description":"HIPPS-BA115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM3","description":"HIPPS-3BGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whole body photography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96904","description":"Whole body photography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21081","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office-Based Treatment For Opioid Use Disorder_ Including Care Coordination_ Individual Therapy And Group Therapy And Counseling; Each Additional 30 Minutes Beyond The First 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2088","description":"Office-Based Treatment For Opioid Use Disorder_ Including Care Coordination_ Individual Therapy And Group Therapy And Counseling; Each Additional 30 Minutes Beyond The First 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE216","description":"HIPPS-HE216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above knee leather socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5642","description":"Above knee leather socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27428","description":"Reconstruction knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD22A","description":"HIPPS-PD22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0703","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0703","description":"CDT-D0703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair lumbar hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49540","description":"Repair lumbar hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anal pressure record","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91122","description":"Anal pressure record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp periodontal evaluation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0180","description":"Comp periodontal evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27394","description":"Lengthening of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ loncastuximab tesirine-lpyl_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9084","description":"Injection_ loncastuximab tesirine-lpyl_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of epiglottis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31420","description":"Removal of epiglottis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD13A","description":"HIPPS-HD13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGMU","description":"HIPPS-3AGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg 1.1-2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11402","description":"Exc tr-ext b9+marg 1.1-2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM5","description":"HIPPS-2CGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES317","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES317","description":"HIPPS-ES317","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hgb lvl >/= 13 g/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3279F","description":"Hgb lvl >/= 13 g/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psy evaluation of records","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90885","description":"Psy evaluation of records","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bupivicaine hydro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0020","description":"Injection_ bupivicaine hydro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision Of Chest Wall Tumor Involving Rib(S)_ With Plastic Reconstruction; Without Mediastinal Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21602","description":"Excision Of Chest Wall Tumor Involving Rib(S)_ With Plastic Reconstruction; Without Mediastinal Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0525","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0525","description":"HCPCS-J0525","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Path consult introp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88329","description":"Path consult introp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK2","description":"HIPPS-4AFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trac stand free stand extrem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0880","description":"Trac stand free stand extrem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX55","description":"HIPPS-RVX55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47612","description":"Removal of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0750T","description":"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g._ general_ intravenous sedation (monitored anesthesia ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0330","description":"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g._ general_ intravenous sedation (monitored anesthesia ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phleb veins - extrem 20+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37766","description":"Phleb veins - extrem 20+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ subsequent treatment_ including noninvasive electroneurographic localizat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0768T","description":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ subsequent treatment_ including noninvasive electroneurographic localizat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trb@ gene rearrange dirprobe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81341","description":"Trb@ gene rearrange dirprobe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag-coronal panel custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0638","description":"Lso sag-coronal panel custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scap thorac prosth tiss shap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6570","description":"Scap thorac prosth tiss shap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cannabinoids natural","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80349","description":"Cannabinoids natural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX3A","description":"HIPPS-RVX3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vehicle Modifications","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0139","description":"Vehicle Modifications","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML17","description":"HIPPS-RML17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX05","description":"HIPPS-RHX05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sps wrist device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1806","description":"Sps wrist device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sho insert w arch toe filler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5000","description":"Sho insert w arch toe filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RenoGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4321","description":"RenoGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0601","description":"HCPCS-J0601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthro_ loose body + chondro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0289","description":"Arthro_ loose body + chondro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB206","description":"HIPPS-CB206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lo sag rig pnl stays pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0626","description":"Lo sag rig pnl stays pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO elbow_ wrist or hand intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9737","description":"Patient unable to complete the FOTO elbow_ wrist or hand intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2004","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2004","description":"HCPCS-A2004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of unstable kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27420","description":"Revision of unstable kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl measr scales jaw motion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1702","description":"Repl measr scales jaw motion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sclerotx fluid collection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49185","description":"Sclerotx fluid collection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0402","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0402","description":"CDT-D0402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat metacarpal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26615","description":"Treat metacarpal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mpl (Mpl Proto-Oncogene_ Thrombopoietin Receptor) (Eg_ Myeloproliferative Disorder) Gene Analysis; Sequence Analysis_ Exon 10","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81339","description":"Mpl (Mpl Proto-Oncogene_ Thrombopoietin Receptor) (Eg_ Myeloproliferative Disorder) Gene Analysis; Sequence Analysis_ Exon 10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt w cath maint dia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9240","description":"Doc pt w cath maint dia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost sknbar w/o conv<=4 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4414","description":"Ost sknbar w/o conv<=4 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis scale","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1639","description":"Dialysis scale","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0979T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0979T","description":"CPT-0979T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In111 ibritumomab_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9542","description":"In111 ibritumomab_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL3C","description":"HIPPS-RUL3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bio-connekt per square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4161","description":"Bio-connekt per square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray guide intestinal tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74355","description":"X-ray guide intestinal tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nicardipine_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2404","description":"Injection_ nicardipine_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adj motion knee jnt lerman t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2186","description":"Adj motion knee jnt lerman t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc hip pelvis les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27043","description":"Exc hip pelvis les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Measure kidney pressure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50396","description":"Measure kidney pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pms2 gene full seq analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81317","description":"Pms2 gene full seq analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit new age 12-17","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99384","description":"Prev visit new age 12-17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ATXN8OS (ATXN8 opposite strand [non-protein coding]) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81182","description":"ATXN8OS (ATXN8 opposite strand [non-protein coding]) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB130","description":"HIPPS-CB130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0989T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0989T","description":"CPT-0989T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair venous blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35460","description":"Repair venous blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic ring fracture uni/bil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0413","description":"Pelvic ring fracture uni/bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rollabout chair with casters","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1031","description":"Rollabout chair with casters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ 10 mcg/0.3 mL dosage_ tris-sucrose formulation_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91319","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ 10 mcg/0.3 mL dosage_ tris-sucrose formulation_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0694U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0694U","description":"CPT-0694U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens hydrophil extend","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2523","description":"Cntct lens hydrophil extend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspir/inj thyroid cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60300","description":"Aspir/inj thyroid cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Fixed Unilateral Space Maintainer - Per Quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1556","description":"Removal Of Fixed Unilateral Space Maintainer - Per Quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace lensshield cartridge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4257","description":"Replace lensshield cartridge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq plmt bile duct stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47539","description":"Perq plmt bile duct stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orphenadrine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2360","description":"Orphenadrine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA13C","description":"HIPPS-CA13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metaproterenol non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7668","description":"Metaproterenol non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coch implant microphone repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8616","description":"Coch implant microphone repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES22B","description":"HIPPS-ES22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11470","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLW","description":"HIPPS-4BGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18F","description":"HIPPS-CC18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trilaciclib_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1448","description":"Injection_ trilaciclib_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC214","description":"HIPPS-LC214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of small bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44010","description":"Incision of small bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hsv dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87528","description":"Hsv dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0489U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0489U","description":"CPT-0489U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD13C","description":"HIPPS-PD13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD156","description":"HIPPS-HD156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29880","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB23D","description":"HIPPS-HB23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc sickle cell test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85660","description":"Rbc sickle cell test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening of thigh tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27393","description":"Lengthening of thigh tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of chloramphenicol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82415","description":"Assay of chloramphenicol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Positional nystagmus test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92532","description":"Positional nystagmus test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-91124","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91124","description":"CPT-91124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2110","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0956T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0956T","description":"CPT-0956T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat spinal cord lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62280","description":"Treat spinal cord lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Out of office emerg med serv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99060","description":"Out of office emerg med serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise cerv artific disc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22861","description":"Revise cerv artific disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert intracorporeal device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33979","description":"Insert intracorporeal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply finger cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29086","description":"Apply finger cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain aneurysm repr complx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61698","description":"Brain aneurysm repr complx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc prac mgmt dif pt comorb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9060","description":"Onc prac mgmt dif pt comorb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1552","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1552","description":"HCPCS-J1552","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SC GNOTYP ERMAP EXONS 4 12","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0199U","description":"SC GNOTYP ERMAP EXONS 4 12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE10B","description":"HIPPS-PE10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 15 genotyping (HPA-15)_ CD109 (CD109 molecule) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post-transfusion purpura)_ gene analysis_ common varian","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81112","description":"Human Platelet Antigen 15 genotyping (HPA-15)_ CD109 (CD109 molecule) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post-transfusion purpura)_ gene analysis_ common varian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gallium Ga-68 gozetotide_ diagnostic_ (Illuccix)_ 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9596","description":"Gallium Ga-68 gozetotide_ diagnostic_ (Illuccix)_ 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Detach adjust armrst upper","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0018","description":"Detach adjust armrst upper","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB51","description":"HIPPS-RMB51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wireless pressure sensor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2624","description":"Wireless pressure sensor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92019","description":"Eye exam & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strep a dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87650","description":"Strep a dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion/graft of finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26862","description":"Fusion/graft of finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKS","description":"HIPPS-5CGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc pretreatment serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86978","description":"Rbc pretreatment serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumo imm status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1022F","description":"Pneumo imm status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1022T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1022T","description":"CPT-1022T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1024T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1024T","description":"CPT-1024T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMS","description":"HIPPS-2BHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1023T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1023T","description":"CPT-1023T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mohs addl stage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17312","description":"Mohs addl stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins)_ endovascular_ including all imaging and radiological supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36909","description":"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins)_ endovascular_ including all imaging and radiological supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Helicobacter pylori antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86677","description":"Helicobacter pylori antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tcranial magn stim tx plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90867","description":"Tcranial magn stim tx plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heterophile antibody absrbj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86310","description":"Heterophile antibody absrbj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert picc cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36568","description":"Insert picc cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric electric hook","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7045","description":"Pediatric electric hook","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of cleft lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10251","description":"Anesth repair of cleft lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1025T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1025T","description":"CPT-1025T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1026T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1026T","description":"CPT-1026T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Co-morbid condition assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1026F","description":"Co-morbid condition assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove elbow joint implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24160","description":"Remove elbow joint implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1027T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1027T","description":"CPT-1027T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1029T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1029T","description":"CPT-1029T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1028T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1028T","description":"CPT-1028T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1030T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1030T","description":"CPT-1030T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza imm status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1030F","description":"Influenza imm status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0519U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0519U","description":"CPT-0519U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smoking & 2nd hand assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1031F","description":"Smoking & 2nd hand assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA20D","description":"HIPPS-CA20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/control bleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45382","description":"Colonoscopy w/control bleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1031T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1031T","description":"CPT-1031T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smoker/exposed 2nd hnd smoke","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1032F","description":"Smoker/exposed 2nd hnd smoke","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1032T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1032T","description":"CPT-1032T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco nonsmoker nor 2ndhnd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1033F","description":"Tobacco nonsmoker nor 2ndhnd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth spine cord surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63051","description":"Anesth spine cord surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1033T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1033T","description":"CPT-1033T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphere trifocal 4.12-7.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2301","description":"Lens sphere trifocal 4.12-7.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Current tobacco smoker","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1034F","description":"Current tobacco smoker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1034T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1034T","description":"CPT-1034T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smokeless tobacco user","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1035F","description":"Smokeless tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth blepharoplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10351","description":"Anesth blepharoplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1035T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1035T","description":"CPT-1035T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML1B","description":"HIPPS-RML1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for spleen x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38200","description":"Injection for spleen x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metabolic panel ionized ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80047","description":"Metabolic panel ionized ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of nasal vestibular lateral wall stenosis with implant(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9749","description":"Repair of nasal vestibular lateral wall stenosis with implant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1036T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1036T","description":"CPT-1036T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco non-user","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1036F","description":"Tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rsk fx ref w/n 24 hrs xray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5100F","description":"Rsk fx ref w/n 24 hrs xray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sugars single quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84378","description":"Sugars single quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1037T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1037T","description":"CPT-1037T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1038T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1038T","description":"CPT-1038T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFLX","description":"HIPPS-2BFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Born 1945-1965","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9448","description":"Born 1945-1965","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Persistent asthma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1038F","description":"Persistent asthma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25530","description":"Treat fracture of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intermittent asthma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1039F","description":"Intermittent asthma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1039T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1039T","description":"CPT-1039T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC5A","description":"HIPPS-RUC5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dsm-5 info mdd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1040F","description":"Dsm-5 info mdd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1040T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1040T","description":"CPT-1040T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1041T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1041T","description":"CPT-1041T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ femur_ two views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73550","description":"Radiologic examination_ femur_ two views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whole mitochondrial genome","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81465","description":"Whole mitochondrial genome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1042T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1042T","description":"CPT-1042T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntrng sys device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0304T","description":"Icar ischm mntrng sys device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1043T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1043T","description":"CPT-1043T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; simple filter method with interpretation (List separatel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0828T","description":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; simple filter method with interpretation (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1044T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1044T","description":"CPT-1044T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth electroshock","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10451","description":"Anesth electroshock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1045T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1045T","description":"CPT-1045T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and patient education","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0740T","description":"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and patient education","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ full length/chap style_ 30-40 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6560","description":"Gradient compression stocking_ full length/chap style_ 30-40 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1046T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1046T","description":"CPT-1046T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1047T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1047T","description":"CPT-1047T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1048T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1048T","description":"CPT-1048T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1049T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1049T","description":"CPT-1049T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC23A","description":"HIPPS-CC23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collect & prep genetic samp","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0422","description":"Collect & prep genetic samp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"History of mole changes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1050F","description":"History of mole changes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relieve pressure on nerve(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64722","description":"Relieve pressure on nerve(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1050T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1050T","description":"CPT-1050T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinusoidal rotational test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92546","description":"Sinusoidal rotational test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"guided tissue regeneration - resorbable barrier_ per implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6106","description":"guided tissue regeneration - resorbable barrier_ per implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1051T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1051T","description":"CPT-1051T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous external component_ supply or accessory for use with the Argus II Retinal Prosthesis System","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8608","description":"Miscellaneous external component_ supply or accessory for use with the Argus II Retinal Prosthesis System","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Type location activityassess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1052F","description":"Type location activityassess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1052T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1052T","description":"CPT-1052T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1053T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1053T","description":"CPT-1053T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1054T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1054T","description":"CPT-1054T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1056T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1056T","description":"CPT-1056T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair oviduct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58750","description":"Repair oviduct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00546","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00546","description":"CPT-00546","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1380","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1380","description":"HCPCS-M1380","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual funct status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1055F","description":"Visual funct status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1055T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1055T","description":"CPT-1055T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1500","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1500","description":"HCPCS-M1500","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe molded to pt silicone s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3251","description":"Shoe molded to pt silicone s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate t2no progres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9078","description":"Onc dx prostate t2no progres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1057T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1057T","description":"CPT-1057T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB02","description":"HIPPS-RMB02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1059T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1059T","description":"CPT-1059T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1058T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1058T","description":"CPT-1058T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc perm/cont/parox atr fib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1060F","description":"Doc perm/cont/parox atr fib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1060T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1060T","description":"CPT-1060T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 vhd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0860","description":"Pwc gp3 vhd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"C-1 esterase_ berinert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0597","description":"C-1 esterase_ berinert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1061T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1061T","description":"CPT-1061T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc lack perm&cont&parox fib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1061F","description":"Doc lack perm&cont&parox fib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No syst antimicrobial thx rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4132F","description":"No syst antimicrobial thx rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator_ dual lead system_ with insertion of pacing electrode_ cardiac venous system_ for","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7540","description":"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator_ dual lead system_ with insertion of pacing electrode_ cardiac venous system_ for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Salivary gland function exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78232","description":"Salivary gland function exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1062T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1062T","description":"CPT-1062T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1064T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1064T","description":"CPT-1064T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1063T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1063T","description":"CPT-1063T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt nrostm pls gen dua rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8687","description":"Implt nrostm pls gen dua rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fos c chld non-ther per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0041","description":"Fos c chld non-ther per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suture small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44603","description":"Suture small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ischm stroke symp lt3 hrsb/4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1065F","description":"Ischm stroke symp lt3 hrsb/4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1065T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1065T","description":"CPT-1065T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1067T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1067T","description":"CPT-1067T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ischm stroke symp ge3 hrsb/4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1066F","description":"Ischm stroke symp ge3 hrsb/4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75746","description":"Artery x-rays lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1066T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1066T","description":"CPT-1066T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mepolizumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2182","description":"Injection_ mepolizumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelashes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67830","description":"Revise eyelashes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1068T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1068T","description":"CPT-1068T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1069T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1069T","description":"CPT-1069T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath therapeutic irrig agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4321","description":"Cath therapeutic irrig agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alarm symp assessed-absent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1070F","description":"Alarm symp assessed-absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of breath ethanol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82075","description":"Assay of breath ethanol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of salivary stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42330","description":"Removal of salivary stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1070T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1070T","description":"CPT-1070T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alarm symp assessed-1+ prsnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1071F","description":"Alarm symp assessed-1+ prsnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (thyroid)_ DNA and mRNA of 112 genes_ next-generation sequencing_ fine needle aspirate of thyroid nodule_ algorithmic analysis reported as a categorical result (Posi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0026U","description":"Oncology (thyroid)_ DNA and mRNA of 112 genes_ next-generation sequencing_ fine needle aspirate of thyroid nodule_ algorithmic analysis reported as a categorical result (Posi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply rigid leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29445","description":"Apply rigid leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB56","description":"HIPPS-RHB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMS","description":"HIPPS-1BGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove electrode/thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33237","description":"Remove electrode/thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasia)_ JAK2 mutation_ DNA_ PCR amplification of exons 12-14 and sequence analysis_ blood or bone marrow_ report of JAK2 mutation not detected or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0017U","description":"Oncology (hematolymphoid neoplasia)_ JAK2 mutation_ DNA_ PCR amplification of exons 12-14 and sequence analysis_ blood or bone marrow_ report of JAK2 mutation not detected or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1072T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1072T","description":"CPT-1072T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Receiving esrd mcp dialysis services by the provider on the last day of the reporting month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1269","description":"Receiving esrd mcp dialysis services by the provider on the last day of the reporting month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1073T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1073T","description":"CPT-1073T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1071T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1071T","description":"CPT-1071T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1074T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1074T","description":"CPT-1074T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1076T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1076T","description":"CPT-1076T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1078T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1078T","description":"CPT-1078T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1077T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1077T","description":"CPT-1077T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1079T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1079T","description":"CPT-1079T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB13C","description":"HIPPS-BB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1080T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1080T","description":"CPT-1080T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us guide vascular access","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76937","description":"Us guide vascular access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42235","description":"Repair palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1081T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1081T","description":"CPT-1081T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion_ subcutaneous cardiac rhythm monitor_ including programming","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33285","description":"Insertion_ subcutaneous cardiac rhythm monitor_ including programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1082T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1082T","description":"CPT-1082T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking waistlngth 18-30","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6539","description":"Gc stocking waistlngth 18-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1083T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1083T","description":"CPT-1083T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1084T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1084T","description":"CPT-1084T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1085T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1085T","description":"CPT-1085T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1086T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1086T","description":"CPT-1086T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1087T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1087T","description":"CPT-1087T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of skull/sutures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61559","description":"Excision of skull/sutures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1088T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1088T","description":"CPT-1088T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse liver ducts & bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47765","description":"Fuse liver ducts & bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pres/absn urine incon assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1090F","description":"Pres/absn urine incon assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1089T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1089T","description":"CPT-1089T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine incon characterized","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1091F","description":"Urine incon characterized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1090T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1090T","description":"CPT-1090T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1092T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1092T","description":"CPT-1092T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1093T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1093T","description":"CPT-1093T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red Cell Antigen (Mns Blood Group) Genotyping (Gypa)_ Gene Analysis_ Gypa (Glycophorin A [Mns Blood Group]) Introns 1_ 5_ Exon 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1089U","description":"Red Cell Antigen (Mns Blood Group) Genotyping (Gypa)_ Gene Analysis_ Gypa (Glycophorin A [Mns Blood Group]) Introns 1_ 5_ Exon 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1095T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1095T","description":"CPT-1095T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1094T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1094T","description":"CPT-1094T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1096T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1096T","description":"CPT-1096T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25455","description":"Revision of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1097T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1097T","description":"CPT-1097T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB141","description":"HIPPS-BB141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1099T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1099T","description":"CPT-1099T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1098T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1098T","description":"CPT-1098T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride infected skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11000","description":"Debride infected skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride abdom wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11005","description":"Debride abdom wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride infected skin add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11001","description":"Debride infected skin add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct lwr extremity w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73702","description":"Ct lwr extremity w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride genitalia & perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11004","description":"Debride genitalia & perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove mesh from abd wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11008","description":"Remove mesh from abd wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride genit/per/abdom wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11006","description":"Debride genit/per/abdom wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ptfalls assess-docd ge2>/yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1100F","description":"Ptfalls assess-docd ge2>/yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt has docd immun to hep c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3515F","description":"Pt has docd immun to hep c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert body dcmprn thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63101","description":"Remove vert body dcmprn thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC24A","description":"HIPPS-HC24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride skin musc at fx site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11011","description":"Debride skin musc at fx site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1100T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1100T","description":"CPT-1100T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27307","description":"Incision of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride skin at fx site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11010","description":"Debride skin at fx site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb skin bone at fx site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11012","description":"Deb skin bone at fx site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1101T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1101T","description":"CPT-1101T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1102T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1102T","description":"CPT-1102T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt falls assess-docd le1/yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1101F","description":"Pt falls assess-docd le1/yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bitolterol mesylate comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7628","description":"Bitolterol mesylate comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1103T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1103T","description":"CPT-1103T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb subq tissue 20 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11042","description":"Deb subq tissue 20 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair diaphragm laceration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39501","description":"Repair diaphragm laceration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb musc/fascia 20 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11043","description":"Deb musc/fascia 20 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pacemaker monitr digital/vis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0615","description":"Pacemaker monitr digital/vis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36013","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb subq tissue add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11045","description":"Deb subq tissue add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb bone 20 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11044","description":"Deb bone 20 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1608","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1608","description":"HCPCS-C1608","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1091T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1091T","description":"CPT-1091T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb bone add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11047","description":"Deb bone add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1104T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1104T","description":"CPT-1104T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb musc/fascia add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11046","description":"Deb musc/fascia add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trim skin lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11055","description":"Trim skin lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trim skin lesions 2 to 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11056","description":"Trim skin lesions 2 to 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB135","description":"HIPPS-LB135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delay flap trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15600","description":"Delay flap trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trim skin lesions over 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11057","description":"Trim skin lesions over 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1106T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1106T","description":"CPT-1106T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1105T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1105T","description":"CPT-1105T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Legionella micdadei ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87277","description":"Legionella micdadei ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert electrodes for eeg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95830","description":"Insert electrodes for eeg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA15C","description":"HIPPS-CA15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1108T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1108T","description":"CPT-1108T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1107T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1107T","description":"CPT-1107T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1109T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1109T","description":"CPT-1109T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flu vacc iiv4 no preserv id","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90630","description":"Flu vacc iiv4 no preserv id","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; each separate/additional lesion (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11101","description":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; each separate/additional lesion (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11100","description":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tangential biopsy of skin (eg_ shave_ scoop_ saucerize_ curette); single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11102","description":"Tangential biopsy of skin (eg_ shave_ scoop_ saucerize_ curette); single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tangential biopsy of skin (eg_ shave_ scoop_ saucerize_ curette); each separate/additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11103","description":"Tangential biopsy of skin (eg_ shave_ scoop_ saucerize_ curette); each separate/additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Punch biopsy of skin (including simple closure_ when performed); single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11104","description":"Punch biopsy of skin (including simple closure_ when performed); single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Punch biopsy of skin (including simple closure_ when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11105","description":"Punch biopsy of skin (including simple closure_ when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49428","description":"Ligation of shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hgb >= 10 g/dl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8976","description":"Hgb >= 10 g/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incisional biopsy of skin (eg_ wedge) (including simple closure_ when performed); single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11106","description":"Incisional biopsy of skin (eg_ wedge) (including simple closure_ when performed); single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad w backup invasive intrfc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0472","description":"Rad w backup invasive intrfc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incisional biopsy of skin (eg_ wedge) (including simple closure_ when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11107","description":"Incisional biopsy of skin (eg_ wedge) (including simple closure_ when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25680","description":"Treat wrist fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt lft inpt fac w/in 60 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1110F","description":"Pt lft inpt fac w/in 60 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1110T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1110T","description":"CPT-1110T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1111T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1111T","description":"CPT-1111T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dschrg med/current med merge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1111F","description":"Dschrg med/current med merge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gerd symps assessed 12 month","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1118F","description":"Gerd symps assessed 12 month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auric/peri pain assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1116F","description":"Auric/peri pain assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB126","description":"HIPPS-LB126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of skin tags <w/15","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11200","description":"Removal of skin tags <w/15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Init eval for condition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1119F","description":"Init eval for condition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MOST_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4328","description":"MOST_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD224","description":"HIPPS-LD224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove skin tags add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11201","description":"Remove skin tags add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brca1&2 185&5385&6174 var","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81212","description":"Brca1&2 185&5385&6174 var","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anti-reflective coating","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2750","description":"Anti-reflective coating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subs eval for condition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1121F","description":"Subs eval for condition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acp discuss-no dscnmkr docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1124F","description":"Acp discuss-no dscnmkr docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acp discuss/dscn mkr docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1123F","description":"Acp discuss/dscn mkr docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnt pain noted pain prsnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1125F","description":"Amnt pain noted pain prsnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnt pain noted none prsnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1126F","description":"Amnt pain noted none prsnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subs episode for condition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1128F","description":"Subs episode for condition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11300","description":"Shave skin lesion 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"New episode for condition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1127F","description":"New episode for condition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0103","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0103","description":"HCPCS-C0103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Umbilical cord occlud w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59072","description":"Umbilical cord occlud w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lockingelbow forearm cntrbal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6693","description":"Lockingelbow forearm cntrbal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.6-1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11301","description":"Shave skin lesion 0.6-1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco nonsmoker nor 2ndhnd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1033F","description":"Tobacco nonsmoker nor 2ndhnd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-sterile gloves","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4927","description":"Non-sterile gloves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 1.1-2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11302","description":"Shave skin lesion 1.1-2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion >2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11303","description":"Shave skin lesion >2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11305","description":"Shave skin lesion 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99309","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Combined Perfusion With Metabolic Evaluation Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ W","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78433","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Combined Perfusion With Metabolic Evaluation Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ W","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthodontic procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8999","description":"Orthodontic procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.6-1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11306","description":"Shave skin lesion 0.6-1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.6-1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11311","description":"Shave skin lesion 0.6-1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 1.1-2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11307","description":"Shave skin lesion 1.1-2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11310","description":"Shave skin lesion 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 1.1-2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11312","description":"Shave skin lesion 1.1-2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion >2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11308","description":"Shave skin lesion >2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18X","description":"HIPPS-CD18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk pain & fxn assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1130F","description":"Bk pain & fxn assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for 6 wks/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1134F","description":"Epsd bk pain for 6 wks/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low extemity neur not perfor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8405","description":"Low extemity neur not perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for >6 wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1135F","description":"Epsd bk pain for >6 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for 12 wks/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1136F","description":"Epsd bk pain for 12 wks/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01212","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01212","description":"CPT-01212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg 0.5 cm<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11400","description":"Exc tr-ext b9+marg 0.5 cm<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion >2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11313","description":"Shave skin lesion >2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg 0.6-1 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11401","description":"Exc tr-ext b9+marg 0.6-1 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sleeve_ inter limb comp dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4600","description":"Sleeve_ inter limb comp dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for >12 wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1137F","description":"Epsd bk pain for >12 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg 1.1-2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11402","description":"Exc tr-ext b9+marg 1.1-2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mt bone graft microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20957","description":"Mt bone graft microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Minimally invasive direct co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2205","description":"Minimally invasive direct co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision_ benign lesion including margins_ except skin tag (unless listed elsewhere)_ trunk_ arms or legs; excised diameter 2.1 to 3.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11403","description":"Excision_ benign lesion including margins_ except skin tag (unless listed elsewhere)_ trunk_ arms or legs; excised diameter 2.1 to 3.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg 3.1-4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11404","description":"Exc tr-ext b9+marg 3.1-4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg >4.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11406","description":"Exc tr-ext b9+marg >4.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim-bmez_ biosimilar_ (ziextenzo)_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5120","description":"Injection_ pegfilgrastim-bmez_ biosimilar_ (ziextenzo)_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB53","description":"HIPPS-RHB53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 0.5/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11420","description":"Exc h-f-nk-sp b9+marg 0.5/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture anaerobe ident each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87076","description":"Culture anaerobe ident each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 0.6-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11421","description":"Exc h-f-nk-sp b9+marg 0.6-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 0.6-1 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11441","description":"Exc face-mm b9+marg 0.6-1 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 3.1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11424","description":"Exc h-f-nk-sp b9+marg 3.1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11426","description":"Exc h-f-nk-sp b9+marg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ankle arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29891","description":"Ankle arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 1.1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11422","description":"Exc h-f-nk-sp b9+marg 1.1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11440","description":"Exc face-mm b9+marg 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 1.1-2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11442","description":"Exc face-mm b9+marg 1.1-2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1 (BRCA1_ DNA repair associated)_ BRCA2 (BRCA2_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81163","description":"BRCA1 (BRCA1_ DNA repair associated)_ BRCA2 (BRCA2_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 2.1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11423","description":"Exc h-f-nk-sp b9+marg 2.1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1075T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1075T","description":"CPT-1075T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close bladder-uterus fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51920","description":"Close bladder-uterus fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month) following only one surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9376","description":"Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month) following only one surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 2.1-3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11443","description":"Exc face-mm b9+marg 2.1-3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36218","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11451","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 3.1-4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11444","description":"Exc face-mm b9+marg 3.1-4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11446","description":"Exc face-mm b9+marg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11462","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11450","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound filler gel/paste /oz","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6261","description":"Wound filler gel/paste /oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11470","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11463","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11471","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dihydrotestosterone (DHT)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82642","description":"Dihydrotestosterone (DHT)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA114","description":"HIPPS-CA114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of large breast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19318","description":"Reduction of large breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt rsk death w/in 1yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1150F","description":"Doc pt rsk death w/in 1yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc no pt rsk death w/in 1yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1151F","description":"Doc no pt rsk death w/in 1yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ampicillin 500 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0290","description":"Ampicillin 500 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc advncd dis comfort 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1152F","description":"Doc advncd dis comfort 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc advncd dis cmfrt not 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1153F","description":"Doc advncd dis cmfrt not 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advnc care plan in rcrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1157F","description":"Advnc care plan in rcrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11600","description":"Exc tr-ext mal+marg 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of etiocholanolone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82696","description":"Assay of etiocholanolone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med list docd in rcrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1159F","description":"Med list docd in rcrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery correction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33502","description":"Coronary artery correction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 1.1-2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11602","description":"Exc tr-ext mal+marg 1.1-2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Volume control ventilator_ without pressure support mode_ may include pressure control mode_ used with invasive interface (e.g._ tracheostomy tube)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0450","description":"Volume control ventilator_ without pressure support mode_ may include pressure control mode_ used with invasive interface (e.g._ tracheostomy tube)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 0.6-1 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11601","description":"Exc tr-ext mal+marg 0.6-1 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 2.1-3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11603","description":"Exc tr-ext mal+marg 2.1-3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 3.1-4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11604","description":"Exc tr-ext mal+marg 3.1-4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advnc care plan tlk docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1158F","description":"Advnc care plan tlk docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11606","description":"Exc tr-ext mal+marg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with thepower source and control electronics unit_ controlled by hardw","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0491","description":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with thepower source and control electronics unit_ controlled by hardw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rvw meds by rx/dr in rcrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1160F","description":"Rvw meds by rx/dr in rcrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp mal+marg 0.5/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11620","description":"Exc h-f-nk-sp mal+marg 0.5/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spinal canal catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62355","description":"Remove spinal canal catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 0.6-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11621","description":"Exc s/n/h/f/g mal+mrg 0.6-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 1.1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11622","description":"Exc s/n/h/f/g mal+mrg 1.1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 2.1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11623","description":"Exc s/n/h/f/g mal+mrg 2.1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 3.1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11624","description":"Exc s/n/h/f/g mal+mrg 3.1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35241","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11626","description":"Exc s/n/h/f/g mal+mrg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant/replace hearing aid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69710","description":"Implant/replace hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65091","description":"Revise eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 0.5cm<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11640","description":"Exc f/e/e/n/l mal+mrg 0.5cm<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 0.6-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11641","description":"Exc f/e/e/n/l mal+mrg 0.6-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 1.1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11642","description":"Exc f/e/e/n/l mal+mrg 1.1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 2.1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11643","description":"Exc f/e/e/n/l mal+mrg 2.1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 3.1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11644","description":"Exc f/e/e/n/l mal+mrg 3.1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glucarpidase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9293","description":"Injection_ glucarpidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11646","description":"Exc f/e/e/n/l mal+mrg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride nail 6 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11721","description":"Debride nail 6 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trim nail(s) any number","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11719","description":"Trim nail(s) any number","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride nail 1-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11720","description":"Debride nail 1-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fxnl status assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1170F","description":"Fxnl status assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC15C","description":"HIPPS-HC15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genesis Amniotic Membrane_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4198","description":"Genesis Amniotic Membrane_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous Visible Light Hyperspectral Imaging Measurement Of Oxyhemoglobin_ Deoxyhemoglobin_ And Tissue Oxygenation_ With Interpretation And Report_ Per Extremity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0631T","description":"Transcutaneous Visible Light Hyperspectral Imaging Measurement Of Oxyhemoglobin_ Deoxyhemoglobin_ And Tissue Oxygenation_ With Interpretation And Report_ Per Extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nail plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11730","description":"Removal of nail plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC3B","description":"HIPPS-RMC3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant ureter in bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50800","description":"Implant ureter in bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove nail plate add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11732","description":"Remove nail plate add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain blood from under nail","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11740","description":"Drain blood from under nail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19366","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nail bed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11750","description":"Removal of nail bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33031","description":"Partial removal of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33476","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove nail bed/tip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11752","description":"Remove nail bed/tip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of nail bed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11762","description":"Reconstruction of nail bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy nail unit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11755","description":"Biopsy nail unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of nail bed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11760","description":"Repair of nail bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Function stat assessed rvwd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1175F","description":"Function stat assessed rvwd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90613","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90613","description":"CPT-90613","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX42","description":"HIPPS-RUX42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of nail fold toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11765","description":"Excision of nail fold toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pos elder mal scrn plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8733","description":"Doc pos elder mal scrn plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change g-tube to g-j perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49446","description":"Change g-tube to g-j perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pilonidal cyst simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11770","description":"Remove pilonidal cyst simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pilonidal cyst compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11772","description":"Remove pilonidal cyst compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pilonidal cyst exten","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11771","description":"Remove pilonidal cyst exten","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1465","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1465","description":"HCPCS-M1465","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thromboemb risk assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1180F","description":"Thromboemb risk assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychiatric symp absent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1183F","description":"Neuropsychiatric symp absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychia sympts assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1181F","description":"Neuropsychia sympts assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of c-peptide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84681","description":"Assay of c-peptide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychi sympt 1+present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1182F","description":"Neuropsychi sympt 1+present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject skin lesions </w 7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11900","description":"Inject skin lesions </w 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject skin lesions >7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11901","description":"Inject skin lesions >7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct skin color 6.0 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11920","description":"Correct skin color 6.0 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sc ther infusion up to 1 hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96369","description":"Sc ther infusion up to 1 hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dysphag test done b/4 eating","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6010F","description":"Dysphag test done b/4 eating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct skn color 6.1-20.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11921","description":"Correct skn color 6.1-20.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct skin color ea 20.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11922","description":"Correct skin color ea 20.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sperm procure subs visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4031","description":"Sperm procure subs visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx contour defects 1 cc/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11950","description":"Tx contour defects 1 cc/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx contour defects 1.1-5.0cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11951","description":"Tx contour defects 1.1-5.0cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0804","description":"HCPCS-A0804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0404","description":"HCPCS-C0404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx contour defects 5.1-10cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11952","description":"Tx contour defects 5.1-10cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tissue expander(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11960","description":"Insert tissue expander(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace tissue expander","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11970","description":"Replace tissue expander","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx contour defects >10.0 cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11954","description":"Tx contour defects >10.0 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiographic procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76499","description":"Radiographic procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove tissue expander(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11971","description":"Remove tissue expander(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB17","description":"HIPPS-RVB17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove contraceptive capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11976","description":"Remove contraceptive capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fev <40% predicted value","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3040F","description":"Fev <40% predicted value","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant hormone pellet(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11980","description":"Implant hormone pellet(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert drug implant device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11981","description":"Insert drug implant device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove drug implant device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11982","description":"Remove drug implant device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/insert drug implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11983","description":"Remove/insert drug implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/ax/gen/trnk 2.5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12001","description":"Rpr s/n/ax/gen/trnk 2.5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj foramen epidural add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64484","description":"Inj foramen epidural add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy through stoma; with ablation of tumor(s)_ polyp(s)_ or other lesion(s) not amenable to removal by hot biopsy forceps_ bipolar cautery or snare technique","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6019","description":"Colonoscopy through stoma; with ablation of tumor(s)_ polyp(s)_ or other lesion(s) not amenable to removal by hot biopsy forceps_ bipolar cautery or snare technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/a/gen/trk12.6-20.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12005","description":"Rpr s/n/a/gen/trk12.6-20.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/ax/gen/trnk2.6-7.5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12002","description":"Rpr s/n/ax/gen/trnk2.6-7.5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/ax/gen/trk7.6-12.5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12004","description":"Rpr s/n/ax/gen/trk7.6-12.5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/a/gen/trk20.1-30.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12006","description":"Rpr s/n/a/gen/trk20.1-30.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/ax/gen/trnk >30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12007","description":"Rpr s/n/ax/gen/trnk >30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vis field assmnt tech suppt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0379T","description":"Vis field assmnt tech suppt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seizure type& frequ docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1200F","description":"Seizure type& frequ docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 2.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12011","description":"Rpr f/e/e/n/l/m 2.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 2.6-5.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12013","description":"Rpr f/e/e/n/l/m 2.6-5.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palliative care services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1309","description":"Palliative care services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 5.1-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12014","description":"Rpr f/e/e/n/l/m 5.1-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 7.6-12.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12015","description":"Rpr f/e/e/n/l/m 7.6-12.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr fe/e/en/l/m 12.6-20.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12016","description":"Rpr fe/e/en/l/m 12.6-20.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr fe/e/en/l/m 20.1-30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12017","description":"Rpr fe/e/en/l/m 20.1-30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv 1 extremity 1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64642","description":"Chemodenerv 1 extremity 1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m >30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12018","description":"Rpr f/e/e/n/l/m >30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of split wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12020","description":"Closure of split wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA111","description":"HIPPS-CA111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 2.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12031","description":"Intmd rpr s/a/t/ext 2.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of split wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12021","description":"Closure of split wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open tx septal fx w/wo stabj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21336","description":"Open tx septal fx w/wo stabj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 2.6-7.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12032","description":"Intmd rpr s/a/t/ext 2.6-7.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/tr/ext 7.6-12.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12034","description":"Intmd rpr s/tr/ext 7.6-12.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam pelvic complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76856","description":"Us exam pelvic complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 12.6-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12035","description":"Intmd rpr s/a/t/ext 12.6-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB25D","description":"HIPPS-HB25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 20.1-30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12036","description":"Intmd rpr s/a/t/ext 20.1-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit 2.5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12041","description":"Intmd rpr n-hf/genit 2.5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/tr/ext >30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12037","description":"Intmd rpr s/tr/ext >30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit2.6-7.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12042","description":"Intmd rpr n-hf/genit2.6-7.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit7.6-12.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12044","description":"Intmd rpr n-hf/genit7.6-12.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01680","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01680","description":"CPT-01680","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis_ interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95251","description":"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis_ interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit12.6-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12045","description":"Intmd rpr n-hf/genit12.6-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial amputation of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28825","description":"Partial amputation of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit20.1-30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12046","description":"Intmd rpr n-hf/genit20.1-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen dressing <=16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6021","description":"Collagen dressing <=16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit >30.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12047","description":"Intmd rpr n-hf/genit >30.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth ear surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12051","description":"Anesth ear surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 2.6-5.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12052","description":"Intmd rpr face/mm 2.6-5.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 12.6-20 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12055","description":"Intmd rpr face/mm 12.6-20 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 7.6-12.5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12054","description":"Intmd rpr face/mm 7.6-12.5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm >30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12057","description":"Intmd rpr face/mm >30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligate/strip short leg vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37718","description":"Ligate/strip short leg vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 20.1-30.0","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12056","description":"Intmd rpr face/mm 20.1-30.0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9819","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epi etiol synd rvwd and docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1205F","description":"Epi etiol synd rvwd and docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 5.1-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12053","description":"Intmd rpr face/mm 5.1-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt screened for depression","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1220F","description":"Pt screened for depression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth ear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12451","description":"Anesth ear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth tympanotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12651","description":"Anesth tympanotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr trunk 1.1-2.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13100","description":"Cmplx rpr trunk 1.1-2.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr trunk 2.6-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13101","description":"Cmplx rpr trunk 2.6-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr trunk addl 5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13102","description":"Cmplx rpr trunk addl 5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of renin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84244","description":"Assay of renin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr s/a/l 1.1-2.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13120","description":"Cmplx rpr s/a/l 1.1-2.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr s/a/l 2.6-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13121","description":"Cmplx rpr s/a/l 2.6-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr s/a/l addl 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13122","description":"Cmplx rpr s/a/l addl 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optimizing Chronic Disease Management Mips Value Pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0056","description":"Optimizing Chronic Disease Management Mips Value Pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFP6","description":"HIPPS-3BFP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr f/c/c/m/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13131","description":"Cmplx rpr f/c/c/m/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr f/c/c/m/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13132","description":"Cmplx rpr f/c/c/m/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5162","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5162","description":"HCPCS-Q5162","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr f/c/c/m/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13133","description":"Cmplx rpr f/c/c/m/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr e/n/e/l 1.1-2.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13151","description":"Cmplx rpr e/n/e/l 1.1-2.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4424","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4424","description":"HCPCS-Q4424","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr e/n/e/l 2.6-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13152","description":"Cmplx rpr e/n/e/l 2.6-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr e/n/e/l addl 5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13153","description":"Cmplx rpr e/n/e/l addl 5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC3C","description":"HIPPS-RVC3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Late closure of wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13160","description":"Late closure of wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr trunk 10 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14000","description":"Tis trnfr trunk 10 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr trunk 10.1-30sqcm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14001","description":"Tis trnfr trunk 10.1-30sqcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6004","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29807","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ stranded_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2698","description":"Brachytx_ stranded_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNT","description":"HIPPS-1BFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No hist type doc on report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9284","description":"No hist type doc on report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prkns diag rviewed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1400F","description":"Prkns diag rviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES120","description":"HIPPS-ES120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr s/a/l 10 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14020","description":"Tis trnfr s/a/l 10 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr f/c/c/m/n/a/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14041","description":"Tis trnfr f/c/c/m/n/a/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr s/a/l 10.1-30 sqcm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14021","description":"Tis trnfr s/a/l 10.1-30 sqcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr f/c/c/m/n/a/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14040","description":"Tis trnfr f/c/c/m/n/a/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth procedures on eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14051","description":"Anesth procedures on eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Piflufolastat F-18_ Diagnostic_ 1 Millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9595","description":"Piflufolastat F-18_ Diagnostic_ 1 Millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr e/n/e/l 10 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14060","description":"Tis trnfr e/n/e/l 10 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr e/n/e/l10.1-30sqcm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14061","description":"Tis trnfr e/n/e/l10.1-30sqcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ankle bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28130","description":"Removal of ankle bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr any 30.1-60 sq cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14301","description":"Tis trnfr any 30.1-60 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth lens surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14251","description":"Anesth lens surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair throat wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42900","description":"Repair throat wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjacent tissue transfer or rearrangement_ any area; each additional 30.0 sq cm_ or part thereof (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14302","description":"Adjacent tissue transfer or rearrangement_ any area; each additional 30.0 sq cm_ or part thereof (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Filleted finger/toe flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14350","description":"Filleted finger/toe flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth corneal transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14451","description":"Anesth corneal transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of fetal heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76827","description":"Echo exam of fetal heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symptoms improved/consist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1450F","description":"Symptoms improved/consist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sympt show clin import drop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1451F","description":"Sympt show clin import drop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vitreoretinal surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14551","description":"Anesth vitreoretinal surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal and replacement of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0825T","description":"Transcatheter removal and replacement of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qual card diag prior 12 mons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1460F","description":"Qual card diag prior 12 mons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth iridectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14751","description":"Anesth iridectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage mouth roof lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42000","description":"Drainage mouth roof lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No qual card diag prior12mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1461F","description":"No qual card diag prior12mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth eye exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14851","description":"Anesth eye exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj codeine phosphate /30 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0745","description":"Inj codeine phosphate /30 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dem severity classified mild","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1490F","description":"Dem severity classified mild","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit est age 40-64","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99396","description":"Prev visit est age 40-64","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dem severity classified mod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1491F","description":"Dem severity classified mod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert pulse gen dual leads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33213","description":"Insert pulse gen dual leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound prep trk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15002","description":"Wound prep trk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dem severity class severe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1493F","description":"Dem severity class severe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cognit assessed and reviewed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1494F","description":"Cognit assessed and reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23520","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound prep f/n/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15004","description":"Wound prep f/n/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wnd prep f/n/hf/g addl cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15005","description":"Wnd prep f/n/hf/g addl cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symptom&sign symm polyneuro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1500F","description":"Symptom&sign symm polyneuro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9959","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9959","description":"CDT-D9959","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15011","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15011","description":"CPT-15011","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not providing safety concerns screen or for not providing recommendations_ orders or referrals for positive screen (e.g._ patient in pal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9924","description":"Documentation of medical reason(s) for not providing safety concerns screen or for not providing recommendations_ orders or referrals for positive screen (e.g._ patient in pal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt alive 3 mos post proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9540","description":"Pt alive 3 mos post proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chiropract manj 3-4 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98941","description":"Chiropract manj 3-4 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15012","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15012","description":"CPT-15012","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15013","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15013","description":"CPT-15013","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15014","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15014","description":"CPT-15014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15015","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15015","description":"CPT-15015","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15016","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15016","description":"CPT-15016","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery_ procedure or test with analysis_ review and report_ leadle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0390T","description":"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery_ procedure or test with analysis_ review and report_ leadle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lyme disease antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86618","description":"Lyme disease antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conformal radn thxpy rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4181F","description":"Conformal radn thxpy rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15018","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15018","description":"CPT-15018","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15017","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15017","description":"CPT-15017","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt queried symp resp insuff","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1503F","description":"Pt queried symp resp insuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Not initial eval for cond","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1501F","description":"Not initial eval for cond","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt queried pain fxn w/ instr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1502F","description":"Pt queried pain fxn w/ instr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFM3","description":"HIPPS-4CFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHM1","description":"HIPPS-1CHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest cultured skin graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15040","description":"Harvest cultured skin graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin pinch graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15050","description":"Skin pinch graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt has resp insufficiency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1504F","description":"Pt has resp insufficiency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt has no resp insufficiency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1505F","description":"Pt has no resp insufficiency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45499","description":"Laparoscope proc rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin splt grft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15100","description":"Skin splt grft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inactivated je vacc im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90738","description":"Inactivated je vacc im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ blinatumomab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9039","description":"Injection_ blinatumomab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidrm autogrft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15110","description":"Epidrm autogrft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin splt grft t/a/l add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15101","description":"Skin splt grft t/a/l add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv musc migraine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64615","description":"Chemodenerv musc migraine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical services after hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99050","description":"Medical services after hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidrm autogrft t/a/l add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15111","description":"Epidrm autogrft t/a/l add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA35","description":"HIPPS-RMA35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidrm a-grft face/nck/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15115","description":"Epidrm a-grft face/nck/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5939","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5939","description":"CDT-D5939","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA25B","description":"HIPPS-PA25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skn splt a-grft fac/nck/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15120","description":"Skn splt a-grft fac/nck/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18G","description":"HIPPS-PC18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive assessment of blood oxygenation_ gas exchange efficiency_ and cardiorespiratory status_ with physician or other qualified health care professional interpretation a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0893T","description":"Noninvasive assessment of blood oxygenation_ gas exchange efficiency_ and cardiorespiratory status_ with physician or other qualified health care professional interpretation a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidrm a-grft f/n/hf/g addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15116","description":"Epidrm a-grft f/n/hf/g addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skn splt a-grft f/n/hf/g add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15121","description":"Skn splt a-grft f/n/hf/g add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Derm autograft t/a/l add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15131","description":"Derm autograft t/a/l add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Derm autograft face/nck/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15135","description":"Derm autograft face/nck/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Derm autograft f/n/hf/g add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15136","description":"Derm autograft f/n/hf/g add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin grft t/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15150","description":"Cult skin grft t/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice refer visit nonmd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0255","description":"Hospice refer visit nonmd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot inhibit prot c antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85302","description":"Clot inhibit prot c antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin grft t/a/l addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15151","description":"Cult skin grft t/a/l addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Derm autograft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15130","description":"Derm autograft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC24","description":"HIPPS-RHC24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin graft t/a/l +%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15152","description":"Cult skin graft t/a/l +%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dornase alfa non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7639","description":"Dornase alfa non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Right heart cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93451","description":"Right heart cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1398","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1398","description":"HCPCS-M1398","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin grft f/n/hfg add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15156","description":"Cult skin grft f/n/hfg add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin graft f/n/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15155","description":"Cult skin graft f/n/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cult epiderm grft f/n/hfg +%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15157","description":"Cult epiderm grft f/n/hfg +%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht hemodialysis diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9335","description":"Ht hemodialysis diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Panoramic x-ray of jaws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70355","description":"Panoramic x-ray of jaws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15200","description":"Skin full graft trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc drug-el cor stent sing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9600","description":"Perc drug-el cor stent sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKT","description":"HIPPS-5AFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PrecisionBlood™_ San Diego Blood Bank","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0246U","description":"PrecisionBlood™_ San Diego Blood Bank","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full grft face/genit/hf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15240","description":"Skin full grft face/genit/hf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15221","description":"Skin full graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft trunk add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15201","description":"Skin full graft trunk add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA15D","description":"HIPPS-CA15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft sclp/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15220","description":"Skin full graft sclp/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15241","description":"Skin full graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interface_ cough stim device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7020","description":"Interface_ cough stim device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft een & lips","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15260","description":"Skin full graft een & lips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx cml blast phase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9125","description":"Onc dx cml blast phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES113","description":"HIPPS-ES113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34701","description":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15261","description":"Skin full graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub graft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15271","description":"Skin sub graft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext breastprosthesis garment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8015","description":"Ext breastprosthesis garment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub grft t/arm/lg child","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15273","description":"Skin sub grft t/arm/lg child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub graft t/a/l add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15272","description":"Skin sub graft t/a/l add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver & spleen image/flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78216","description":"Liver & spleen image/flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub graft face/nk/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15275","description":"Skin sub graft face/nk/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skn sub grft t/a/l child add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15274","description":"Skn sub grft t/a/l child add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub graft f/n/hf/g addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15276","description":"Skin sub graft f/n/hf/g addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skn sub grft f/n/hf/g ch add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15278","description":"Skn sub grft f/n/hf/g ch add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9806","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9806","description":"HCPCS-C9806","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skn sub grft f/n/hf/g child","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15277","description":"Skn sub grft f/n/hf/g child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin pedicle flap trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15570","description":"Skin pedicle flap trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shrinker below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8440","description":"Shrinker below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB20D","description":"HIPPS-HB20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin pedicle flap arms/legs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15572","description":"Skin pedicle flap arms/legs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pedcle fh/ch/ch/m/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15574","description":"Pedcle fh/ch/ch/m/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pedicle e/n/e/l/ntroral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15576","description":"Pedicle e/n/e/l/ntroral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conditioning play audiometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92582","description":"Conditioning play audiometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delay flap trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15600","description":"Delay flap trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delay flap arms/legs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15610","description":"Delay flap arms/legs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj pantoprazole sodium_ via","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9113","description":"Inj pantoprazole sodium_ via","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Habil res waiver per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2016","description":"Habil res waiver per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delay flap f/c/c/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15620","description":"Delay flap f/c/c/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delay flap eye/nos/ear/lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15630","description":"Delay flap eye/nos/ear/lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01810","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01810","description":"CPT-01810","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8I","description":"HIPPS-RLA8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB210","description":"HIPPS-CB210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not performing a dilated macular examination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9892","description":"Documentation of patient reason(s) for not performing a dilated macular examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Midface flap (ie_ zygomaticofacial flap) with preservation of vascular pedicle(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15730","description":"Midface flap (ie_ zygomaticofacial flap) with preservation of vascular pedicle(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft head/neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15732","description":"Muscle-skin graft head/neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special eye exam subsequent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92226","description":"Special eye exam subsequent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle_ myocutaneous_ or fasciocutaneous flap; head and neck with named vascular pedicle (ie_ buccinators_ genioglossus_ temporalis_ masseter_ sternocleidomastoid_ levator sca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15733","description":"Muscle_ myocutaneous_ or fasciocutaneous flap; head and neck with named vascular pedicle (ie_ buccinators_ genioglossus_ temporalis_ masseter_ sternocleidomastoid_ levator sca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic implant nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8699","description":"Prosthetic implant nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer skin pedicle flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15650","description":"Transfer skin pedicle flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15734","description":"Muscle-skin graft trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext h rate sz 14 day ri only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0382T","description":"Ext h rate sz 14 day ri only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15736","description":"Muscle-skin graft arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15738","description":"Muscle-skin graft leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Island pedicle flap graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15740","description":"Island pedicle flap graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (melanoma)_ autophagy and beclin 1 regulator 1 (AMBRA1) and loricrin (AMLo) by immunohistochemistry_ formalin-fixed paraffin-embedded (FFPE) tissue_ report for risk o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0387U","description":"Oncology (melanoma)_ autophagy and beclin 1 regulator 1 (AMBRA1) and loricrin (AMLo) by immunohistochemistry_ formalin-fixed paraffin-embedded (FFPE) tissue_ report for risk o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Erythro lactobionate /500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1364","description":"Erythro lactobionate /500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurovascular pedicle flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15750","description":"Neurovascular pedicle flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair Of Orthodontic Appliance - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8697","description":"Repair Of Orthodontic Appliance - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Free myo/skin flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15756","description":"Free myo/skin flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ruptured uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58520","description":"Repair of ruptured uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Free fascial flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15758","description":"Free fascial flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Derma-fat-fascia graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15770","description":"Derma-fat-fascia graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB4C","description":"HIPPS-RVB4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forehead flap w/vasc pedicle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15731","description":"Forehead flap w/vasc pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHLV","description":"HIPPS-3AHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Soft Tissue_ Other_ Harvested By Direct Excision (Eg_ Fat_ Dermis_ Fascia)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15769","description":"Grafting Of Autologous Soft Tissue_ Other_ Harvested By Direct Excision (Eg_ Fat_ Dermis_ Fascia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Composite skin graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15760","description":"Composite skin graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk_ Breasts_ Scalp_ Arms_ And/Or Legs; 50 Cc Or Less Injectate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15771","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk_ Breasts_ Scalp_ Arms_ And/Or Legs; 50 Cc Or Less Injectate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; 25 Cc Or Less Injectate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15773","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; 25 Cc Or Less Injectate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; Each Additional 25 Cc Injectate_ Or P","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15774","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; Each Additional 25 Cc Injectate_ Or P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carbamazepine; -10_11-Epoxide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80161","description":"Carbamazepine; -10_11-Epoxide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hair trnspl 1-15 punch grfts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15775","description":"Hair trnspl 1-15 punch grfts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk_ Breasts_ Scalp_ Arms_ And/Or Legs; Each Additional 50 Cc Injectate_ Or Part Thereof (List Separately In","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15772","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk_ Breasts_ Scalp_ Arms_ And/Or Legs; Each Additional 50 Cc Injectate_ Or Part Thereof (List Separately In","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vertebroplasty addl inject","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22512","description":"Vertebroplasty addl inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hair trnspl >15 punch grafts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15776","description":"Hair trnspl >15 punch grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX5D","description":"HIPPS-RUX5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test rbc protoporphyrin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84203","description":"Test rbc protoporphyrin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0105","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0105","description":"HCPCS-A0105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acellular derm matrix implt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15777","description":"Acellular derm matrix implt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie_ external genitalia_ perineum_ abdominal wall) due to soft tissue infection or trauma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15778","description":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie_ external genitalia_ perineum_ abdominal wall) due to soft tissue infection or trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26352","description":"Repair/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermabrasion other than face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15782","description":"Dermabrasion other than face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Care management services for behavioral health conditions_ at least 20 minutes of clinical staff time_ directed by a physician or other qualified health care professional_ per","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0507","description":"Care management services for behavioral health conditions_ at least 20 minutes of clinical staff time_ directed by a physician or other qualified health care professional_ per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermabrasion total face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15780","description":"Dermabrasion total face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermabrasion segmental face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15781","description":"Dermabrasion segmental face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermabrasion suprfl any site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15783","description":"Dermabrasion suprfl any site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98979","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98979","description":"CPT-98979","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abrasion lesions add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15787","description":"Abrasion lesions add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behavior identification assessment_ by the physician or other qualified health care professional_ face-to-face with patient and caregiver(s)_ includes administration of standa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0359T","description":"Behavior identification assessment_ by the physician or other qualified health care professional_ face-to-face with patient and caregiver(s)_ includes administration of standa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemical peel nonfacial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15792","description":"Chemical peel nonfacial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0110","description":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2211","description":"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at 12 months as demonstrated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1019","description":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at 12 months as demonstrated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abrasion lesion single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15786","description":"Abrasion lesion single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemical peel nonfacial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15793","description":"Chemical peel nonfacial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plastic surgery neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15819","description":"Plastic surgery neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemical peel face epiderm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15788","description":"Chemical peel face epiderm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of lower eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15820","description":"Revision of lower eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above elbow prosth tiss shap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6500","description":"Above elbow prosth tiss shap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of upper eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15822","description":"Revision of upper eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analysis skeletal muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88355","description":"Analysis skeletal muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of lower eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15821","description":"Revision of lower eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK2","description":"HIPPS-1BGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of spinal shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63746","description":"Removal of spinal shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of forehead wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15824","description":"Removal of forehead wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of upper eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15823","description":"Revision of upper eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nicotine patch nonlegend","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4991","description":"Nicotine patch nonlegend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of neck wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15825","description":"Removal of neck wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brow wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15826","description":"Removal of brow wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1240","description":"Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Data Preparation And Transmission","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0711T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Data Preparation And Transmission","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of face wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15828","description":"Removal of face wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA20","description":"HIPPS-RUA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of skin wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15829","description":"Removal of skin wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc skin abd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15830","description":"Exc skin abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flotufolastat f 18_ diagnostic_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9608","description":"Flotufolastat f 18_ diagnostic_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15833","description":"Excise excessive skin leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15832","description":"Excise excessive skin thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin hip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15834","description":"Excise excessive skin hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Free skin flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15757","description":"Free skin flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin buttck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15835","description":"Excise excessive skin buttck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit cont anticoag diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9336","description":"Hit cont anticoag diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8I","description":"HIPPS-RMB8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At Three Months (6 ? 20 Weeks) Postoperatively Was Less Than Or Equal To 22 Or Functional Status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2144","description":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At Three Months (6 ? 20 Weeks) Postoperatively Was Less Than Or Equal To 22 Or Functional Status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15836","description":"Excise excessive skin arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excess skin arm/hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15837","description":"Excise excess skin arm/hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/decompression","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45393","description":"Colonoscopy w/decompression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excess skin fat pad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15838","description":"Excise excess skin fat pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGMX","description":"HIPPS-3CGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD121","description":"HIPPS-HD121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve palsy fascial graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15840","description":"Nerve palsy fascial graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve palsy microsurg graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15842","description":"Nerve palsy microsurg graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald blu tooth fm/dm receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5286","description":"Ald blu tooth fm/dm receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve palsy muscle graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15841","description":"Nerve palsy muscle graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin and muscle repair face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15845","description":"Skin and muscle repair face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1303","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1303","description":"CDT-D1303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC244","description":"HIPPS-PC244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC116","description":"HIPPS-LC116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc skin abd add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15847","description":"Exc skin abd add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sutures same surgeon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15850","description":"Remove sutures same surgeon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE141","description":"HIPPS-LE141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excess skin & tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15839","description":"Excise excess skin & tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00144","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00144","description":"CPT-00144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sutures diff surgeon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15851","description":"Remove sutures diff surgeon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dressing change not for burn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15852","description":"Dressing change not for burn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15853","description":"Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy upr extrem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15878","description":"Suction lipectomy upr extrem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test for blood flow in graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15860","description":"Test for blood flow in graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15854","description":"Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monosuspension arm/hand supp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2630","description":"Monosuspension arm/hand supp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tail bone ulcer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15920","description":"Removal of tail bone ulcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy lwr extrem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15879","description":"Suction lipectomy lwr extrem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beta-2 glycoprotein antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86146","description":"Beta-2 glycoprotein antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy head&neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15876","description":"Suction lipectomy head&neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15877","description":"Suction lipectomy trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15931","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15933","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15934","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tail bone ulcer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15922","description":"Removal of tail bone ulcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15935","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15936","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15937","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15941","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15940","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15944","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15945","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15951","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15950","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15946","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15958","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dress/debrid p-thick burn s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16020","description":"Dress/debrid p-thick burn s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dress/debrid p-thick burn l","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16030","description":"Dress/debrid p-thick burn l","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15999","description":"Removal of pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15952","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15953","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15956","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of burn scab initi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16035","description":"Incision of burn scab initi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dress/debrid p-thick burn m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16025","description":"Dress/debrid p-thick burn m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial treatment of burn(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16000","description":"Initial treatment of burn(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16071","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16071","description":"CPT-16071","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16072","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16072","description":"CPT-16072","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Escharotomy addl incision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16036","description":"Escharotomy addl incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16073","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16073","description":"CPT-16073","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16074","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16074","description":"CPT-16074","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16070","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16070","description":"CPT-16070","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth nose/sinus surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16051","description":"Anesth nose/sinus surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16075","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16075","description":"CPT-16075","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth nose/sinus surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16076","description":"Anesth nose/sinus surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16078","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16078","description":"CPT-16078","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16370","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16370","description":"CPT-16370","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth nose/sinus surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16077","description":"Anesth nose/sinus surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth biopsy of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16451","description":"Anesth biopsy of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruct premalg les 2-14","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17003","description":"Destruct premalg les 2-14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16374","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16374","description":"CPT-16374","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16372","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16372","description":"CPT-16372","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16378","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16378","description":"CPT-16378","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16377","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16377","description":"CPT-16377","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16376","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16376","description":"CPT-16376","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16371","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16371","description":"CPT-16371","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16375","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16375","description":"CPT-16375","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy premal lesions 15/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17004","description":"Destroy premal lesions 15/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruct premalg lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17000","description":"Destruct premalg lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17106","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth procedure on mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17051","description":"Anesth procedure on mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17108","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cleft palate repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17251","description":"Anesth cleft palate repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruct lesion 15 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17111","description":"Destruct lesion 15 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruct b9 lesion 1-14","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17110","description":"Destruct b9 lesion 1-14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17261","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17107","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17262","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17263","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemical cauterization of granulation tissue (ie_ proud flesh)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17250","description":"Chemical cauterization of granulation tissue (ie_ proud flesh)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17264","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17260","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17266","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17270","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17271","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17273","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17272","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17274","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17276","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17280","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17281","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound prep addl 100 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15003","description":"Wound prep addl 100 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17282","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23552","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Take-Home Supply Of Buprenorphine (Oral); Up To 7 Additional Day Supply (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Additio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2079","description":"Take-Home Supply Of Buprenorphine (Oral); Up To 7 Additional Day Supply (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Additio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES35D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES35D","description":"HIPPS-ES35D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy lysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58660","description":"Laparoscopy lysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth nose/sinus surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16251","description":"Anesth nose/sinus surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemical peel face dermal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15789","description":"Chemical peel face dermal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35286","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit7.6-12.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12044","description":"Intmd rpr n-hf/genit7.6-12.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmptr ophth img optic nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92133","description":"Cmptr ophth img optic nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0205","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0205","description":"HCPCS-C0205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bladder defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51940","description":"Correction of bladder defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0389T","description":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforced solid stirrup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2260","description":"Reinforced solid stirrup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastro-Enterology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4006","description":"Gastro-Enterology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Cervical Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1083","description":"Radiation Therapy For Cervical Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE22A","description":"HIPPS-LE22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat uterus infection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59830","description":"Treat uterus infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screw retained plate","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7292","description":"Screw retained plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abduct rotation bar w/o shoe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3150","description":"Abduct rotation bar w/o shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK6","description":"HIPPS-5CHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA125","description":"HIPPS-PA125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC14A","description":"HIPPS-HC14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of jaw joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70330","description":"X-ray exam of jaw joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc Lung 5 Clinical Risk Factors Alg Prblty Mal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0080U","description":"Onc Lung 5 Clinical Risk Factors Alg Prblty Mal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy_ shoulder_ surgical; with implantation of subacromial spacer (e.g._ balloon)_ includes debridement (e.g._ limited or extensive)_ subacromial decompression_ acromio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9781","description":"Arthroscopy_ shoulder_ surgical; with implantation of subacromial spacer (e.g._ balloon)_ includes debridement (e.g._ limited or extensive)_ subacromial decompression_ acromio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFMU","description":"HIPPS-4CFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval aud status rehab add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92627","description":"Eval aud status rehab add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00450","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00450","description":"CPT-00450","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Head And Neck Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1088","description":"Radiation Therapy For Head And Neck Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Transcriptome Sequencing Of Paired Malignant And Normal Rna Specimens_ Fresh Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Blood Or Bone Marro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0298U","description":"Oncology (Pan Tumor)_ Whole Transcriptome Sequencing Of Paired Malignant And Normal Rna Specimens_ Fresh Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Blood Or Bone Marro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85018","description":"Hemoglobin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iiv4 vaccine 3 yrs plus im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90688","description":"Iiv4 vaccine 3 yrs plus im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD23D","description":"HIPPS-CD23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor ix recombinan rixubis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7200","description":"Factor ix recombinan rixubis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep c rna done prior to med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9203","description":"Hep c rna done prior to med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1300","description":"Whirlpool portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73620","description":"X-ray exam of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental saliography","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0310","description":"Dental saliography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray adrenal gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75840","description":"Vein x-ray adrenal gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravascular ultrasound (non-coronary vessel) during diagnostic evaluation and/or therapeutic intervention; initial vessel (list separately in addition to code f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37250","description":"Intravascular ultrasound (non-coronary vessel) during diagnostic evaluation and/or therapeutic intervention; initial vessel (list separately in addition to code f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were in hospice at any time during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1025","description":"Patients who were in hospice at any time during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mdd in remission","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3092F","description":"Mdd in remission","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32999","description":"Chest surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther injection carp tunnel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20526","description":"Ther injection carp tunnel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg >16 <=48 w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6252","description":"Absorpt drg >16 <=48 w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX43","description":"HIPPS-RHX43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC201","description":"HIPPS-CC201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Varicella-zoster antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86787","description":"Varicella-zoster antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34201","description":"Removal of artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx orbit w/manipulj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21401","description":"Closed tx orbit w/manipulj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ spine; scoliosis study_ including supine and erect studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72090","description":"Radiologic examination_ spine; scoliosis study_ including supine and erect studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-49188","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49188","description":"CPT-49188","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol (ethanol); any specimen except breath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6040","description":"Alcohol (ethanol); any specimen except breath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn 1 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9365","description":"Hit tpn 1 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Strain Imaging Using Speckle Tracking-Derived Assessment Of Myocardial Mechanics (List Separately In Addition To Codes For Echocardiography Imaging)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93356","description":"Myocardial Strain Imaging Using Speckle Tracking-Derived Assessment Of Myocardial Mechanics (List Separately In Addition To Codes For Echocardiography Imaging)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology report diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma (to include in situ disease) sent from the pathologist/dermatopathologist to the biopsyin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9785","description":"Pathology report diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma (to include in situ disease) sent from the pathologist/dermatopathologist to the biopsyin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95144","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg 0.5 cm<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11400","description":"Exc tr-ext b9+marg 0.5 cm<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic hyperfibrinolysis_ delayed bleeding)_ genomic sequence analysis of 8 genes (F13A1_ F13B_ FGA_ FGB_ FGG_ SERPINA1_ SERPINE1_ SERPINF2_ PLAU)_ blood_ buccal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0273U","description":"Hematology (genetic hyperfibrinolysis_ delayed bleeding)_ genomic sequence analysis of 8 genes (F13A1_ F13B_ FGA_ FGB_ FGG_ SERPINA1_ SERPINE1_ SERPINF2_ PLAU)_ blood_ buccal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing care in home rn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9123","description":"Nursing care in home rn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of psa total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84153","description":"Assay of psa total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph imped funct test > 1hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91038","description":"Esoph imped funct test > 1hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92653","description":"Anesth removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK3","description":"HIPPS-3AGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67412","description":"Explore/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat eyelid lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67850","description":"Treat eyelid lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received bone marrow transplant any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1157","description":"Patient received bone marrow transplant any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFLW","description":"HIPPS-2BFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Molecular Fluorescent Imaging Of Suspicious Nevus; First Lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0700T","description":"Molecular Fluorescent Imaging Of Suspicious Nevus; First Lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB15D","description":"HIPPS-LB15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hallux implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8642","description":"Hallux implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngotomy (thyrotomy_ laryngofissure)_ with removal of tumor or laryngocele_ cordectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31300","description":"Laryngotomy (thyrotomy_ laryngofissure)_ with removal of tumor or laryngocele_ cordectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fr frz plasma donor retested","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9060","description":"Fr frz plasma donor retested","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place cath intracranial art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36228","description":"Place cath intracranial art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart-vein defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33732","description":"Repair heart-vein defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosnetupitant 235 mg and palonosetron 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9033","description":"Injection_ fosnetupitant 235 mg and palonosetron 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Of Anterior Segment Aqueous Drainage Device Into The Trabecular Meshwork_ Without External Reservoir_ And Without Concomitant Cataract Removal_ One Or More","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0671T","description":"Insertion Of Anterior Segment Aqueous Drainage Device Into The Trabecular Meshwork_ Without External Reservoir_ And Without Concomitant Cataract Removal_ One Or More","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct inverted nipple(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19355","description":"Correct inverted nipple(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX4C","description":"HIPPS-RVX4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33681","description":"Repair heart septum defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25660","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mandibular part denture flex","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5226","description":"Mandibular part denture flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo w/ankle joint_ prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1971","description":"Afo w/ankle joint_ prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin beta non esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0888","description":"Epoetin beta non esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK4","description":"HIPPS-1CGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete cbc automated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85027","description":"Complete cbc automated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy thru skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47555","description":"Biliary endoscopy thru skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA05","description":"HIPPS-RMA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess dyspnea present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1019F","description":"Assess dyspnea present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proton trmt simple w/o comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77520","description":"Proton trmt simple w/o comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX44","description":"HIPPS-RUX44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65765","description":"Revision of cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso a-p-l control molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0700","description":"Ctlso a-p-l control molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj iris prosth w/rmvl&insj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0617T","description":"Insj iris prosth w/rmvl&insj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg ped fbrgls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4032","description":"Cast sup lng leg ped fbrgls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"JR GNOTYP ABCG2 EXONS 2-26","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0193U","description":"JR GNOTYP ABCG2 EXONS 2-26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl spine lesn scrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63283","description":"Bx/exc idrl spine lesn scrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX32","description":"HIPPS-RLX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression gauntlet_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6582","description":"Gradient compression gauntlet_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB40","description":"HIPPS-RUB40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare donor heart/lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33933","description":"Prepare donor heart/lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt talk psychsoc&rx oh dpnd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4320F","description":"Pt talk psychsoc&rx oh dpnd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spirometry up to 2 yrs old","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94011","description":"Spirometry up to 2 yrs old","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD246","description":"HIPPS-PD246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0536","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0536","description":"HCPCS-G0536","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow mold doub splt soc ste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6120","description":"Elbow mold doub splt soc ste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay porcelin 2 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2642","description":"Dental onlay porcelin 2 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9986","description":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1176","description":"Patient did not receive at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained without co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0877T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained without co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0237","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0237","description":"HCPCS-Q0237","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rolapitant_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9464","description":"Injection_ rolapitant_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zaire ebolavirus vaccine_ live_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90758","description":"Zaire ebolavirus vaccine_ live_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0696U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0696U","description":"CPT-0696U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0525T","description":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anterior thoracic extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1220","description":"Anterior thoracic extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFLT","description":"HIPPS-1BFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelets_ hla-m_ l/r_ unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9052","description":"Platelets_ hla-m_ l/r_ unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate (Jylamvo)_ oral_ 2.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8611","description":"Methotrexate (Jylamvo)_ oral_ 2.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped home apnea rec report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94777","description":"Ped home apnea rec report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO lumbar intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an ade","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9733","description":"Patient unable to complete the FOTO lumbar intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an ade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4415","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4415","description":"HCPCS-Q4415","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7562","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7562","description":"HCPCS-C7562","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip bone les deep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27066","description":"Remove hip bone les deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advanced brain imaging (CTA_ CT_ MRA or MRI) was ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9538","description":"Advanced brain imaging (CTA_ CT_ MRA or MRI) was ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telehealth consultation_ critical care_ initial_ physicians typically spend 60 minutes communicating with the patient and providers via telehealth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0508","description":"Telehealth consultation_ critical care_ initial_ physicians typically spend 60 minutes communicating with the patient and providers via telehealth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD225","description":"HIPPS-PD225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd serv 1 visit p mo <2yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90953","description":"Esrd serv 1 visit p mo <2yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3387","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3387","description":"HCPCS-J3387","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC3A","description":"HIPPS-RUC3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity prosthes nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7499","description":"Upper extremity prosthes nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinus aug w bone/bone sup","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7951","description":"Sinus aug w bone/bone sup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray bile duct endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74328","description":"X-ray bile duct endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair fistula w/colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45805","description":"Repair fistula w/colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE14D","description":"HIPPS-PE14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RHD&RHCE GNTYP RHD1-10&RHCE5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0198U","description":"RHD&RHCE GNTYP RHD1-10&RHCE5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18B","description":"HIPPS-LB18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zoledronic acid 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3489","description":"Zoledronic acid 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC22A","description":"HIPPS-HC22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ CROS_ behind the ear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5180","description":"Hearing aid_ CROS_ behind the ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch clsd for bar w lk fl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4420","description":"Ost pch clsd for bar w lk fl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunofix e-phoresis serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86334","description":"Immunofix e-phoresis serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18F","description":"HIPPS-PB18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Trivisc_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7329","description":"Hyaluronan or derivative_ Trivisc_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt no ther chg or contra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9650","description":"Doc pt no ther chg or contra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"guided tissue regeneration_ edentulous area - non-resorbable barrier_ per site","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7957","description":"guided tissue regeneration_ edentulous area - non-resorbable barrier_ per site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oocyte identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89254","description":"Oocyte identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN5","description":"HIPPS-1CHN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mobilize erupted/malpos toot","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7282","description":"Mobilize erupted/malpos toot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpneumatic sequential compression garment_ half leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1033","description":"Nonpneumatic sequential compression garment_ half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB10B","description":"HIPPS-BB10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFM3","description":"HIPPS-4BFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC15C","description":"HIPPS-LC15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC255","description":"HIPPS-LC255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24635","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sub pt/ot goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8994","description":"Sub pt/ot goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ factor IX_ albumin fusion protein_ (recombinant)_ Idelvion_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7202","description":"Injection_ factor IX_ albumin fusion protein_ (recombinant)_ Idelvion_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18F","description":"HIPPS-HD18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal endoscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31231","description":"Nasal endoscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto w/renal stricture tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52343","description":"Cysto w/renal stricture tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKV","description":"HIPPS-1CGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX03","description":"HIPPS-RMX03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD211","description":"HIPPS-LD211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"DermaBind FM_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4313","description":"DermaBind FM_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aac non-electronic board","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1902","description":"Aac non-electronic board","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peri-px pacemaker device evl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93286","description":"Peri-px pacemaker device evl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0584U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0584U","description":"CPT-0584U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB105","description":"HIPPS-CB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-51721","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51721","description":"CPT-51721","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93017","description":"Cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin splt grft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15100","description":"Skin splt grft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic Surgery Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4021","description":"Orthopedic Surgery Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin symp vol ovrld assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1004F","description":"Clin symp vol ovrld assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0016","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telescop/othr compound lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2615","description":"Telescop/othr compound lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8F","description":"HIPPS-RVX8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diphenhydramine hcl injectio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1200","description":"Diphenhydramine hcl injectio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22844","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES14A","description":"HIPPS-ES14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0924T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0924T","description":"CPT-0924T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair hvy duty detach a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1290","description":"Wheelchair hvy duty detach a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intrinsic factor antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86340","description":"Intrinsic factor antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pseudoaneurysm injection trt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36002","description":"Pseudoaneurysm injection trt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmprsburngarment glove-wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6504","description":"Cmprsburngarment glove-wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recd cortico >=10mg/day >60d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9467","description":"Recd cortico >=10mg/day >60d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt/rpl crtd sns dev lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0267T","description":"Implt/rpl crtd sns dev lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLW","description":"HIPPS-2CHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AJCC stage at breast cancer diagnosis = I (Ia or Ib) and T-stage at breast cancer diagnosis does not equal = T1_ T1a_ T1b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9832","description":"AJCC stage at breast cancer diagnosis = I (Ia or Ib) and T-stage at breast cancer diagnosis does not equal = T1_ T1a_ T1b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC14A","description":"HIPPS-CC14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9743","description":"Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated diff wbc count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85004","description":"Automated diff wbc count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angiography head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70496","description":"Ct angiography head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction pump_ home model_ portable or stationary_ electric_ any type_ for use with external urine management system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1006","description":"Suction pump_ home model_ portable or stationary_ electric_ any type_ for use with external urine management system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2980","description":"Crown repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8A","description":"HIPPS-RUB8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imp/abut fixed dent part max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6116","description":"Imp/abut fixed dent part max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemagglutination inhibition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86280","description":"Hemagglutination inhibition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suture large intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44604","description":"Suture large intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sargramostim injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2820","description":"Sargramostim injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ra disease activity mod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3471F","description":"Ra disease activity mod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC236","description":"HIPPS-PC236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ betibeglogene autotemcel_ per treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3393","description":"Injection_ betibeglogene autotemcel_ per treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cemiplimab-rwlc_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9044","description":"Injection_ cemiplimab-rwlc_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentur repr broken compl bas","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5510","description":"Dentur repr broken compl bas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Off assis eol iss","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9380","description":"Off assis eol iss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18I","description":"HIPPS-CB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA20B","description":"HIPPS-PA20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16373","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16373","description":"CPT-16373","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Child sitting services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1009","description":"Child sitting services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex h rate sz 30+ day ri only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0386T","description":"Ex h rate sz 30+ day ri only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abobotulinumtoxina","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0586","description":"Abobotulinumtoxina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Yersinia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86793","description":"Yersinia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation shield","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5984","description":"Radiation shield","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA4C","description":"HIPPS-RMA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC36","description":"HIPPS-RVC36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair brow defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67900","description":"Repair brow defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL20","description":"HIPPS-RVL20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHM2","description":"HIPPS-4CHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28X","description":"HIPPS-BA28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ methylprednisolone acetate_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1010","description":"Injection_ methylprednisolone acetate_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0608","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0608","description":"HCPCS-J0608","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion scrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63273","description":"Excise intrspinl lesion scrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC2C","description":"HIPPS-RVC2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close mult vsd w/resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33676","description":"Close mult vsd w/resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25274","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18A","description":"HIPPS-PB18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0010","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylergonovin maleate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2210","description":"Methylergonovin maleate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"So cap design w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3671","description":"So cap design w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gen_ neuro_ hf_ rechg bat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1822","description":"Gen_ neuro_ hf_ rechg bat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28G","description":"HIPPS-LC28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN5","description":"HIPPS-3CGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures rebase cmplt maxil","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5710","description":"Dentures rebase cmplt maxil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB124","description":"HIPPS-CB124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc 2x re-assess filt remov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9543","description":"Doc 2x re-assess filt remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calculus analysis qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82355","description":"Calculus analysis qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0659","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0659","description":"HCPCS-E0659","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25365","description":"Revise radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFKW","description":"HIPPS-3AFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beta-bloc rx pt w/abn lvef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8450","description":"Beta-bloc rx pt w/abn lvef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In-home respite care_ 4-hour unit_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0529","description":"In-home respite care_ 4-hour unit_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxymorphone hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2410","description":"Oxymorphone hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31288","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC146","description":"HIPPS-CC146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of skull defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62140","description":"Repair of skull defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whelchr fxd full length arms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1050","description":"Whelchr fxd full length arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert symes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5654","description":"Socket insert symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat chest lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32215","description":"Treat chest lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pilonidal cyst exten","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11771","description":"Remove pilonidal cyst exten","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0680","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0680","description":"HCPCS-G0680","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52281","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27580","description":"Fusion of knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Male sling procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53440","description":"Male sling procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28515","description":"Treatment of toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMT","description":"HIPPS-1BGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diazepam injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3360","description":"Diazepam injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC5B","description":"HIPPS-RMC5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recording of fetal magnetic cardiac signal using at least 3 channels; review_ interpretation_ report by physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0478T","description":"Recording of fetal magnetic cardiac signal using at least 3 channels; review_ interpretation_ report by physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth neck organ 1yr/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32051","description":"Anesth neck organ 1yr/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1470","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1470","description":"HCPCS-M1470","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1045T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1045T","description":"CPT-1045T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Breast Diagnostic Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0619","description":"Hospital Special Treatment Room Support Component (Hstrsc) Breast Diagnostic Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50900","description":"Repair of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8544","description":"Cabg measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"GYPB GNOTYP NTRNS 1 5 SEUX 3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0190U","description":"GYPB GNOTYP NTRNS 1 5 SEUX 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8G","description":"HIPPS-RLA8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB20","description":"HIPPS-RLB20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLV","description":"HIPPS-3BFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35266","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC25D","description":"HIPPS-HC25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9601","description":"HCPCS-J9601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB105","description":"HIPPS-LB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0675T","description":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL3","description":"HIPPS-4BFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPT","description":"HIPPS-3BFPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0564","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0564","description":"HCPCS-G0564","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abduction rotation bar shoe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3140","description":"Abduction rotation bar shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3 cc sterile syringe&needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4208","description":"3 cc sterile syringe&needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32671","description":"Thoracoscopy pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diaphragm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4266","description":"Diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion 2 or more 3d images","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0395","description":"Fusion 2 or more 3d images","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient-caregiver dyad with dementia_ high complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0526","description":"Management of established patient-caregiver dyad with dementia_ high complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q8h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9502","description":"Hit antibiotic q8h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of bladder/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51800","description":"Revision of bladder/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gr 34 nonsealed leadacid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2358","description":"Gr 34 nonsealed leadacid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32851","description":"Lung transplant single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ventricular device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33977","description":"Remove ventricular device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX54","description":"HIPPS-RHX54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radial keratotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65771","description":"Radial keratotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC115","description":"HIPPS-HC115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthro w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29861","description":"Hip arthro w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anal/urinary muscle study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51785","description":"Anal/urinary muscle study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 2.6-5.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12013","description":"Rpr f/e/e/n/l/m 2.6-5.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chloramphenicol sodium injec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0720","description":"Chloramphenicol sodium injec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6031","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6031","description":"HCPCS-L6031","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB23A","description":"HIPPS-HB23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26437","description":"Realignment of tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap colectomy w/proctectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44211","description":"Lap colectomy w/proctectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28B","description":"HIPPS-PD28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert body dcmprn lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63090","description":"Remove vert body dcmprn lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Precision attachment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5862","description":"Precision attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of femur 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73551","description":"X-ray exam of femur 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0934T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0934T","description":"CPT-0934T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC11","description":"HIPPS-RHC11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65760","description":"Revision of cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6039","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6039","description":"HCPCS-L6039","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB151","description":"HIPPS-PB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj reshaping components","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7865","description":"Tmj reshaping components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27357","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology (irritable bowel syndrome [IBS])_ immunoassay for anti-CdtB and anti-vinculin antibodies_ utilizing plasma_ algorithm for elevated or not elevated qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0164U","description":"Gastroenterology (irritable bowel syndrome [IBS])_ immunoassay for anti-CdtB and anti-vinculin antibodies_ utilizing plasma_ algorithm for elevated or not elevated qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC01","description":"HIPPS-RVC01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9715","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01380","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01380","description":"CPT-01380","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGKV","description":"HIPPS-3AGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0609","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0609","description":"HCPCS-J0609","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tocilizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3262","description":"Tocilizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31582","description":"Revision of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls repos perph cnula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33963","description":"Ecmo/ecls repos perph cnula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithymocyte globuln rabbit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7511","description":"Antithymocyte globuln rabbit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abduct control hip semi-flex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1630","description":"Abduct control hip semi-flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BCG live intravesical instillation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9030","description":"BCG live intravesical instillation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMV","description":"HIPPS-4AFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL3","description":"HIPPS-2BHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clean out mastoid cavity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69222","description":"Clean out mastoid cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular reconst transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65782","description":"Ocular reconst transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protein e-phoresis serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84165","description":"Protein e-phoresis serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA2C","description":"HIPPS-AAA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sc r pos/lat pnl pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0649","description":"Lso sc r pos/lat pnl pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear medicine therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79999","description":"Nuclear medicine therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit device repair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5036","description":"Hit device repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC110","description":"HIPPS-LC110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained With Diagnostic Ultrasound Examination Of The Same Anatomy (","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0690T","description":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained With Diagnostic Ultrasound Examination Of The Same Anatomy (","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coagulation time lee & white","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85345","description":"Coagulation time lee & white","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental film skull/facial bon","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0290","description":"Dental film skull/facial bon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-electronic spirometer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9284","description":"Non-electronic spirometer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ remimazolam_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2249","description":"Injection_ remimazolam_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd lesion ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43270","description":"Egd lesion ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4370","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4370","description":"HCPCS-Q4370","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE236","description":"HIPPS-PE236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52007","description":"Cystoscopy and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrotherapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97036","description":"Hydrotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1946","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1946","description":"HCPCS-J1946","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); common variant(s) (eg_ HbS_ HbC_ HbE)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81361","description":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); common variant(s) (eg_ HbS_ HbC_ HbE)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anaphylaxis due to the vaccine on or before the date of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1219","description":"Anaphylaxis due to the vaccine on or before the date of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthotic(s)/prosthetic(s) management and/or training_ upper extremity(ies)_ lower extremity(ies)_ and/or trunk_ subsequent orthotic(s)/prosthetic(s) encounter_ each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97763","description":"Orthotic(s)/prosthetic(s) management and/or training_ upper extremity(ies)_ lower extremity(ies)_ and/or trunk_ subsequent orthotic(s)/prosthetic(s) encounter_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermagraft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4106","description":"Dermagraft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients not on any kidney or kidney-pancreas transplant waitlist or is not in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1267","description":"Patients not on any kidney or kidney-pancreas transplant waitlist or is not in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE155","description":"HIPPS-PE155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision/drain abscess intra","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7511","description":"Incision/drain abscess intra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collect sweat for test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89230","description":"Collect sweat for test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lecanemab-irmb_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0174","description":"Injection_ lecanemab-irmb_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1119","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interim labor facility globa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4005","description":"Interim labor facility globa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No pcp proph low cd4 norsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9217","description":"No pcp proph low cd4 norsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59151","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemorrhoidopexy by stapling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46947","description":"Hemorrhoidopexy by stapling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD11C","description":"HIPPS-CD11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration carotid artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35701","description":"Exploration carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24365","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep b core antibody total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86704","description":"Hep b core antibody total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGNW","description":"HIPPS-3CGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28234","description":"Incision of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB160","description":"HIPPS-PB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp multiplane ext fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20696","description":"Comp multiplane ext fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii recombinant nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7192","description":"Factor viii recombinant nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0535","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0535","description":"HCPCS-G0535","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ 5-50 genes (eg_ ALK_ BRAF_ CDKN2A_ EGFR_ ERBB2_ KIT_ KRAS_ MET_ NRAS_ PDGFRA_ PDGFRB_ PGR_ PIK3CA_ PTEN_ RET)_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81449","description":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ 5-50 genes (eg_ ALK_ BRAF_ CDKN2A_ EGFR_ ERBB2_ KIT_ KRAS_ MET_ NRAS_ PDGFRA_ PDGFRB_ PGR_ PIK3CA_ PTEN_ RET)_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj beta interferon im 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q3027","description":"Inj beta interferon im 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat neck spine fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22326","description":"Treat neck spine fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 100 mcg/0.5mL dosage_ for in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91301","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 100 mcg/0.5mL dosage_ for in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bladder wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51860","description":"Repair of bladder wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sutures same surgeon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15850","description":"Remove sutures same surgeon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01472","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01472","description":"CPT-01472","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Per pm reeval est pat 65+ yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99397","description":"Per pm reeval est pat 65+ yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft arm/leg </4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64897","description":"Nerve graft arm/leg </4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ binaural_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5249","description":"Hearing aid_ binaural_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP04","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP04","description":"HIPPS-ATP04","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymph vessel x-ray trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75807","description":"Lymph vessel x-ray trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nesiritide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2325","description":"Nesiritide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63271","description":"Excise intrspinl lesion thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back pain was not measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 - 20 weeks) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9943","description":"Back pain was not measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 - 20 weeks) postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB12C","description":"HIPPS-CB12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37256","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37256","description":"CPT-37256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acylcarnitines qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82016","description":"Acylcarnitines qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endodontic procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3999","description":"Endodontic procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow-up recommendations according to recommended guidelines for incidentally detected pulmonary nodules not documented due to medical reasons (eg_patients with malignant)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9346","description":"Follow-up recommendations according to recommended guidelines for incidentally detected pulmonary nodules not documented due to medical reasons (eg_patients with malignant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8003","description":"HCPCS-C8003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal biophys profil w/o nst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76819","description":"Fetal biophys profil w/o nst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74020","description":"X-ray exam of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96934","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37291","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37291","description":"CPT-37291","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen amphetamines 1/2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80324","description":"Drug screen amphetamines 1/2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN1","description":"HIPPS-1AGN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of salivary cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42408","description":"Excision of salivary cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Approp oral rehyd recommd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4056F","description":"Approp oral rehyd recommd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00928","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00928","description":"CPT-00928","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore and drain kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50125","description":"Explore and drain kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01999","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01999","description":"CPT-01999","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0698T","description":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pancreas lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48120","description":"Removal of pancreas lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thigh/wght bear lacer molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2540","description":"Thigh/wght bear lacer molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/graft eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68335","description":"Revise/graft eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62180","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 anytime during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9910","description":"Patients age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 anytime during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithrombin iii activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85300","description":"Antithrombin iii activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Space maintainer_ removable bilateral_ maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1526","description":"Space maintainer_ removable bilateral_ maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen imp urinary 2.5 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8603","description":"Collagen imp urinary 2.5 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scan proc cranial intra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61781","description":"Scan proc cranial intra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rapid desensitization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95180","description":"Rapid desensitization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD230","description":"HIPPS-PD230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29879","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0496T","description":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC211","description":"HIPPS-HC211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of hydroxyapatite regeneration medicament - per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2991","description":"Application of hydroxyapatite regeneration medicament - per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection of contrast for knee arthrography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27370","description":"Injection of contrast for knee arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHKU","description":"HIPPS-2CHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87662","description":"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC231","description":"HIPPS-LC231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocyte immune globulin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7504","description":"Lymphocyte immune globulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fit spectacles compound lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92355","description":"Fit spectacles compound lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immntx 4 sting insects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95133","description":"Immntx 4 sting insects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA105","description":"HIPPS-PA105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antiviral not ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9244","description":"Antiviral not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15945","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92632","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92632","description":"CPT-92632","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA13C","description":"HIPPS-PA13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK6","description":"HIPPS-5AFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychia interven rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4526F","description":"Neuropsychia interven rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj tendon origin/insertion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20551","description":"Inj tendon origin/insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18H","description":"HIPPS-CE18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epoprostenol dilutant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0155","description":"Epoprostenol dilutant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Report_ diabetes measures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8485","description":"Report_ diabetes measures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurofilament light chain (NfL)_ ultra-sensitive immunoassay_ serum or cerebrospinal fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0443U","description":"Neurofilament light chain (NfL)_ ultra-sensitive immunoassay_ serum or cerebrospinal fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acupunct w/stimul addl 15m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97814","description":"Acupunct w/stimul addl 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of percutaneous transhepatic catheter for biliary drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47510","description":"Introduction of percutaneous transhepatic catheter for biliary drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect shoulder tumor 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23078","description":"Resect shoulder tumor 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ulnar fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24685","description":"Treat ulnar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment x10sv retinopathy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67228","description":"Treatment x10sv retinopathy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0606U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0606U","description":"CPT-0606U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Swingaway detach footrest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0052","description":"Swingaway detach footrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of hemorrhoid(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46221","description":"Ligation of hemorrhoid(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66150","description":"Glaucoma surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protect body sock ea pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0984","description":"Protect body sock ea pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt/caregiver counsel safety","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6090F","description":"Pt/caregiver counsel safety","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal donor liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47141","description":"Partial removal donor liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49618","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist joint implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25449","description":"Remove wrist joint implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic Ultrafiltration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0692T","description":"Therapeutic Ultrafiltration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tongue and mouth surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41599","description":"Tongue and mouth surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Receiver/transmitter_ neuro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1816","description":"Receiver/transmitter_ neuro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPU","description":"HIPPS-1CGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29873","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1301","description":"HCPCS-B1301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9697","description":"Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36012","description":"Place catheter in vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0504","description":"HCPCS-A0504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total hip resurfacing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2118","description":"Total hip resurfacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ thigh length_ 18-30 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6556","description":"Gradient compression stocking_ thigh length_ 18-30 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC256","description":"HIPPS-CC256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ crizanlizumab-tmca_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0791","description":"Injection_ crizanlizumab-tmca_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ intraoperative thoracic aorta (eg_ epiaortic)_ diagnostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76984","description":"Ultrasound_ intraoperative thoracic aorta (eg_ epiaortic)_ diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score le not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8658","description":"Fun stat score le not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Episiotomy or vaginal repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59300","description":"Episiotomy or vaginal repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cognitive skills development","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97532","description":"Cognitive skills development","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat eyelid by injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68200","description":"Treat eyelid by injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adrenal cortical tumor_ biochemical assay of 25 steroid markers_ utilizing 24-hour urine specimen and clinical parameters_ prognostic algorithm reported as a clinical risk and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0015M","description":"Adrenal cortical tumor_ biochemical assay of 25 steroid markers_ utilizing 24-hour urine specimen and clinical parameters_ prognostic algorithm reported as a clinical risk and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stainless steel any wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6630","description":"Stainless steel any wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic activities","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97530","description":"Therapeutic activities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lifestyle mod 1st stage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0340","description":"Lifestyle mod 1st stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of nail fold toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11765","description":"Excision of nail fold toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA150","description":"HIPPS-CA150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8E","description":"HIPPS-RLX8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sup fee antiem_antica_immuno","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0511","description":"Sup fee antiem_antica_immuno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE135","description":"HIPPS-CE135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"repair cast partial framework_ mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5621","description":"repair cast partial framework_ mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple-family group adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)_ face-to-face w","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97157","description":"Multiple-family group adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)_ face-to-face w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flu vacc iiv3 no preserv id","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90654","description":"Flu vacc iiv3 no preserv id","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained with diagnostic magnetic reso","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0724T","description":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained with diagnostic magnetic reso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL4","description":"HIPPS-4CFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA23","description":"HIPPS-RUA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl exhalation port for pap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7045","description":"Repl exhalation port for pap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gauze >16 <=48 sq in w/bordr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6220","description":"Gauze >16 <=48 sq in w/bordr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB246","description":"HIPPS-LB246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-prxd rsk et al docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3018F","description":"Pre-prxd rsk et al docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric bypass incl small i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43847","description":"Gastric bypass incl small i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change stent via transureth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50385","description":"Change stent via transureth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/tumr remove","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45338","description":"Sigmoidoscopy w/tumr remove","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor IX_ albumin fusion protein (recombinant)_ Idelvion_ 1 i.u.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9139","description":"Injection_ Factor IX_ albumin fusion protein (recombinant)_ Idelvion_ 1 i.u.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc thigh/knee les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27327","description":"Exc thigh/knee les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27557","description":"Treat knee dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE220","description":"HIPPS-PE220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18F","description":"HIPPS-PE18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit anti-hemophil diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9345","description":"Hit anti-hemophil diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28H","description":"HIPPS-LB28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ifosfamide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9208","description":"Ifosfamide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace molded calf lacer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4050","description":"Replace molded calf lacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography_ wit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75580","description":"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography_ wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7520","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CT scan of the paranasal sinuses ordered at the time of diagnosis for documented reasons","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9348","description":"CT scan of the paranasal sinuses ordered at the time of diagnosis for documented reasons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of cervix radical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57531","description":"Removal of cervix radical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sympathectomy cervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64802","description":"Sympathectomy cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy roof of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42100","description":"Biopsy roof of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1803","description":"HCPCS-A1803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0503T","description":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD15D","description":"HIPPS-LD15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0798T","description":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vis 20/40/> w/in 90 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4175F","description":"Vis 20/40/> w/in 90 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lab pathology consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80500","description":"Lab pathology consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Report ckd measures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8487","description":"Report ckd measures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thrombin time plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85670","description":"Thrombin time plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX35","description":"HIPPS-RMX35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonic lavage_ 35 or more liters of water_ gravity-fed_ with induced defecation_ including insertion of rectal catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0736T","description":"Colonic lavage_ 35 or more liters of water_ gravity-fed_ with induced defecation_ including insertion of rectal catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvas resp support talk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4550F","description":"Noninvas resp support talk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove aortic assist device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33968","description":"Remove aortic assist device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Individual_ Face-To-Face; Initial 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96158","description":"Health Behavior Intervention_ Individual_ Face-To-Face; Initial 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFKX","description":"HIPPS-3CFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine incon characterized","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1091F","description":"Urine incon characterized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA5B","description":"HIPPS-RMA5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tun ip cath perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49418","description":"Insert tun ip cath perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking waistlngth 30-40","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6540","description":"Gc stocking waistlngth 30-40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revis reconst shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23473","description":"Revis reconst shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL1","description":"HIPPS-2BGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Larynscop w/tumr exc + scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31541","description":"Larynscop w/tumr exc + scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI fetal ea addl gestation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74713","description":"MRI fetal ea addl gestation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo ia infusion up to 1 hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96422","description":"Chemo ia infusion up to 1 hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood ph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82800","description":"Blood ph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert uro/ves nck sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53445","description":"Insert uro/ves nck sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM2","description":"HIPPS-3CGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit day life activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99509","description":"Home visit day life activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative assay drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80299","description":"Quantitative assay drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB20C","description":"HIPPS-LB20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ benralizumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0517","description":"Injection_ benralizumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX60","description":"HIPPS-RLX60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX12","description":"HIPPS-RHX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o fol w/cont_ lwr ext","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8914","description":"Mra w/o fol w/cont_ lwr ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable liner/shield/pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4535","description":"Disposable liner/shield/pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE213","description":"HIPPS-HE213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP1","description":"HIPPS-1CGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anterior thoracic vertebral body tethering_ including thoracoscopy_ when performed; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22836","description":"Anterior thoracic vertebral body tethering_ including thoracoscopy_ when performed; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP6","description":"HIPPS-1BFP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29046","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clamp neck artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61703","description":"Clamp neck artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Voice current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9171","description":"Voice current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1011","description":"Family assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN2","description":"HIPPS-3AFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing id_ digit_ mon_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5254","description":"Hearing id_ digit_ mon_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aorcel/aormesen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35531","description":"Art byp grft aorcel/aormesen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office visit during hours","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9430","description":"Office visit during hours","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA4C","description":"HIPPS-RLA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB24","description":"HIPPS-RVB24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement breastpump adpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4282","description":"Replacement breastpump adpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL2","description":"HIPPS-4CGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ace/arb thxpy not rxd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8475","description":"Ace/arb thxpy not rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort iii w/fhdw/o lefort i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21159","description":"Lefort iii w/fhdw/o lefort i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart failure composite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001F","description":"Heart failure composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Who w/o joints cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3906","description":"Who w/o joints cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lenticular lens_ bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2221","description":"Lenticular lens_ bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous laser 1st vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36478","description":"Endovenous laser 1st vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resuscitation bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8999","description":"Resuscitation bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder harness","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5699","description":"Shoulder harness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of bioprosthetic valve_ open_ femoral vein_ including duplex ultrasound imaging guidance_ when performed_ including autogenous or nonautogenous patch graft (eg_ poly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0744T","description":"Insertion of bioprosthetic valve_ open_ femoral vein_ including duplex ultrasound imaging guidance_ when performed_ including autogenous or nonautogenous patch graft (eg_ poly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral)_ biochemical assays_ tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)_ interferon gamma-induced protein-10 (IP-10)_ and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0351U","description":"Infectious disease (bacterial or viral)_ biochemical assays_ tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)_ interferon gamma-induced protein-10 (IP-10)_ and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1077T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1077T","description":"CPT-1077T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stress breaker","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6940","description":"Stress breaker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML3D","description":"HIPPS-RML3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC20C","description":"HIPPS-CC20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise lesion testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54512","description":"Excise lesion testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient responded completely true for the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1248","description":"Patient responded completely true for the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alveolus open reduction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7671","description":"Alveolus open reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ground mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0425","description":"Ground mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB01","description":"HIPPS-RMB01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dxa bone density axial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77080","description":"Dxa bone density axial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4297","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4297","description":"HCPCS-A4297","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extraction of lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66940","description":"Extraction of lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0911T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0911T","description":"CPT-0911T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qual life tool 2x same/impr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9634","description":"Qual life tool 2x same/impr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx done w/colposcopy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58110","description":"Bx done w/colposcopy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0701","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0701","description":"HCPCS-A0701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune diseases (systemic lupus erythematosus [SLE])_ analysis of 10 cytokine soluble mediator biomarkers by immunoassay_ plasma_ individual components reported with an al","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0446U","description":"Autoimmune diseases (systemic lupus erythematosus [SLE])_ analysis of 10 cytokine soluble mediator biomarkers by immunoassay_ plasma_ individual components reported with an al","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy_ total or near total_ with thoracoscopic mobilization of the upper_ middle_ and lower mediastinal esophagus_ with separate laparoscopic proximal gastrectomy_ wit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43288","description":"Esophagectomy_ total or near total_ with thoracoscopic mobilization of the upper_ middle_ and lower mediastinal esophagus_ with separate laparoscopic proximal gastrectomy_ wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair non-electric","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0171","description":"Commode chair non-electric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL23","description":"HIPPS-RVL23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow lat ligmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24344","description":"Reconstruct elbow lat ligmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML53","description":"HIPPS-RML53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat odontoid fx w/o graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22318","description":"Treat odontoid fx w/o graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bld glucose monitor w voice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2100","description":"Bld glucose monitor w voice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0006","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vit d 1 25-dihydroxy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82652","description":"Vit d 1 25-dihydroxy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB55","description":"HIPPS-RMB55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4339","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4339","description":"HCPCS-Q4339","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of epididymis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54860","description":"Removal of epididymis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB46","description":"HIPPS-RVB46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impact tooth rem bony w/comp","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7241","description":"Impact tooth rem bony w/comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sio flex pelvic/sacr pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0621","description":"Sio flex pelvic/sacr pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27479","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinic service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1015","description":"Clinic service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm ped plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4011","description":"Cast sup sht arm ped plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc pretx incubatj w/density","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86972","description":"Rbc pretx incubatj w/density","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0568U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0568U","description":"CPT-0568U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous catheter anchor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5200","description":"Percutaneous catheter anchor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr angio upr extr w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73225","description":"Mr angio upr extr w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD114","description":"HIPPS-PD114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CT/MRI chest/neck follup rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9554","description":"CT/MRI chest/neck follup rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd w multi methods msg/accs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2510","description":"Sgd w multi methods msg/accs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Igh@/Bcl2 (T(14;18)) (Eg_ Follicular Lymphoma) Translocation Analysis_ Major Breakpoint Region (Mbr) And Minor Cluster Region (Mcr) Breakpoints_ Qualitative Or Quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81278","description":"Igh@/Bcl2 (T(14;18)) (Eg_ Follicular Lymphoma) Translocation Analysis_ Major Breakpoint Region (Mbr) And Minor Cluster Region (Mcr) Breakpoints_ Qualitative Or Quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration popliteal artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35741","description":"Exploration popliteal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63270","description":"Excise intrspinl lesion crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote assessment of recorded video and/or images submitted by an established patient (e.g._ store and forward)_ including interpretation with follow-up with the patient withi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2250","description":"Remote assessment of recorded video and/or images submitted by an established patient (e.g._ store and forward)_ including interpretation with follow-up with the patient withi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PuraPly XT_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4197","description":"PuraPly XT_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLX","description":"HIPPS-4CHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33410","description":"Replacement of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alefacept","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0215","description":"Alefacept","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe styled positioning dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3160","description":"Shoe styled positioning dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES344","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES344","description":"HIPPS-ES344","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise tear duct opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68440","description":"Incise tear duct opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable nebulizer sml vol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7004","description":"Disposable nebulizer sml vol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srch for ct w in 12 mos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9341","description":"Srch for ct w in 12 mos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC56","description":"HIPPS-RVC56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mrgfus strtctc les abltj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0398T","description":"Mrgfus strtctc les abltj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg <=16 w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6234","description":"Hydrocolld drg <=16 w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us nuchal meas add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76814","description":"Ob us nuchal meas add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD10A","description":"HIPPS-PD10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA3D","description":"HIPPS-RUA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of small int","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2053","description":"Transplantation of small int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cultr bacteria except blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87075","description":"Cultr bacteria except blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of major vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37650","description":"Revision of major vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetes prev standard curr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0403T","description":"Diabetes prev standard curr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bpci home visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9187","description":"Bpci home visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK5","description":"HIPPS-4AHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe metatarsal bar wedge ro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3400","description":"Shoe metatarsal bar wedge ro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB35","description":"HIPPS-RMB35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGKT","description":"HIPPS-3AGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluorescent antibody titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86256","description":"Fluorescent antibody titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Csit perf sx or high chd rsk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8966","description":"Csit perf sx or high chd rsk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA34","description":"HIPPS-AAA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelography lumbar injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62303","description":"Myelography lumbar injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB13C","description":"HIPPS-PB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0559","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0559","description":"HCPCS-G0559","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daxibotulinumtoxina-lanm_ 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0589","description":"Injection_ daxibotulinumtoxina-lanm_ 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-corrosive finish","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2780","description":"Non-corrosive finish","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast cancer dx min invsive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8875","description":"Breast cancer dx min invsive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging_ breast_ without and with contrast material(s)_ including computer-aided detection (CAD real-time lesion detection_ characterization and pharmacokin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77048","description":"Magnetic resonance imaging_ breast_ without and with contrast material(s)_ including computer-aided detection (CAD real-time lesion detection_ characterization and pharmacokin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Daprodustat_ oral_ 1 mg_ (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0889","description":"Daprodustat_ oral_ 1 mg_ (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Routine Home Care - A flat per diem before area wage adjustment for intermittent services furnished.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0602","description":"Routine Home Care - A flat per diem before area wage adjustment for intermittent services furnished.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Serial tonometry exam(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92100","description":"Serial tonometry exam(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6038","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6038","description":"HCPCS-L6038","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection alemtuzumab 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9979","description":"Injection alemtuzumab 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prfrmnc docd 2 wks b/4 surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3328F","description":"Prfrmnc docd 2 wks b/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ promoter methylation profiling by real-time PCR of 3 genes (GSTP1_ APC_ RASSF1)_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81551","description":"Oncology (prostate)_ promoter methylation profiling by real-time PCR of 3 genes (GSTP1_ APC_ RASSF1)_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthotic(s) management and training (including assessment and fitting when not otherwise reported)_ upper extremity(ies)_ lower extremity(ies) and/or trunk_ initial orthotic(s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97760","description":"Orthotic(s) management and training (including assessment and fitting when not otherwise reported)_ upper extremity(ies)_ lower extremity(ies) and/or trunk_ initial orthotic(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGMS","description":"HIPPS-3CGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressant rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4064F","description":"Antidepressant rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0901","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0901","description":"CDT-D0901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPX","description":"HIPPS-3CGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy and biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46606","description":"Anoscopy and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recement cast or prefab post","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2915","description":"Recement cast or prefab post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL4A","description":"HIPPS-RHL4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FlowerAmnioFlo_ 0.1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4177","description":"FlowerAmnioFlo_ 0.1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport lodgng recip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0180","description":"Noner transport lodgng recip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pericardial Drainage With Insertion Of Indwelling Catheter_ Percutaneous_ Including Fluoroscopy And/Or Ultrasound Guidance_ When Performed; 6 Years And Older Without Congenita","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33017","description":"Pericardial Drainage With Insertion Of Indwelling Catheter_ Percutaneous_ Including Fluoroscopy And/Or Ultrasound Guidance_ When Performed; 6 Years And Older Without Congenita","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA110","description":"HIPPS-BA110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of foot joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28052","description":"Biopsy of foot joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supported employment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W6106","description":"Supported employment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bile acids total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82239","description":"Bile acids total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery of great vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33916","description":"Surgery of great vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"U1nonsealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2364","description":"U1nonsealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB21B","description":"HIPPS-PB21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC3D","description":"HIPPS-RMC3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21461","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC06","description":"HIPPS-RVC06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect hip tum incl acetabul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27076","description":"Resect hip tum incl acetabul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ clindamycin phosphate_ 300 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0736","description":"Injection_ clindamycin phosphate_ 300 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath smear prep & report","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0480","description":"Cytopath smear prep & report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or ili","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34709","description":"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or ili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease_ chronic hepatitis C virus (HCV) infection_ six biochemical assays (ALT_ A2-macroglobulin_ apolipoprotein A-1_ total bilirubin_ GGT_ and haptoglobin) utiliz","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001M","description":"Infectious disease_ chronic hepatitis C virus (HCV) infection_ six biochemical assays (ALT_ A2-macroglobulin_ apolipoprotein A-1_ total bilirubin_ GGT_ and haptoglobin) utiliz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remv/replc penis pros compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54417","description":"Remv/replc penis pros compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18H","description":"HIPPS-CB18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repeat control of nosebleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30906","description":"Repeat control of nosebleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKW","description":"HIPPS-2AGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA21","description":"HIPPS-AAA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zoster (shingles) vaccine (HZV)_ recombinant_ sub-unit_ adjuvanted_ for intramuscular injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90750","description":"Zoster (shingles) vaccine (HZV)_ recombinant_ sub-unit_ adjuvanted_ for intramuscular injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls insj prph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33954","description":"Ecmo/ecls insj prph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tens suppl 2 lead per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4595","description":"Tens suppl 2 lead per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8B","description":"HIPPS-RLX8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy and atherectomy_ i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9766","description":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy and atherectomy_ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gold sodium thiomaleate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1600","description":"Gold sodium thiomaleate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB31","description":"HIPPS-RLB31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein three","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33512","description":"Cabg vein three","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telehealth inpt pharm mgmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0459","description":"Telehealth inpt pharm mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ edaravone_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1301","description":"Injection_ edaravone_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sps forearm device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1818","description":"Sps forearm device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prefab stnlss steel crwn pri","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2930","description":"Prefab stnlss steel crwn pri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm splint fbrg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4022","description":"Cast sup sht arm splint fbrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFM1","description":"HIPPS-2BFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC11B","description":"HIPPS-HC11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1501","description":"HCPCS-C1501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML56","description":"HIPPS-RML56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB31","description":"HIPPS-RVB31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shdr fair lead cable direct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6590","description":"Shdr fair lead cable direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Head And Neck Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1089","description":"Radiation Therapy For Head And Neck Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8F","description":"HIPPS-RMX8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA1A","description":"HIPPS-RVA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art pancreas inv disp sensor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1035","description":"Art pancreas inv disp sensor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of epididymis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54861","description":"Removal of epididymis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rotary wing air mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0436","description":"Rotary wing air mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES111","description":"HIPPS-ES111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHK6","description":"HIPPS-4BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt silver oxide 3 v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0602","description":"Repl batt silver oxide 3 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6084","description":"Implant Supported Crown - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iadna-dna/rna probe tq 6-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87506","description":"Iadna-dna/rna probe tq 6-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral dexamethasone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8540","description":"Oral dexamethasone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp remove duct calculi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43264","description":"Ercp remove duct calculi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNU","description":"HIPPS-3AHNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic mammography_ including computer-aided detection (CAD) when performed; bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77066","description":"Diagnostic mammography_ including computer-aided detection (CAD) when performed; bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone sodium phos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1100","description":"Dexamethasone sodium phos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD255","description":"HIPPS-PD255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC225","description":"HIPPS-HC225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0875T","description":"Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who utilize hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9768","description":"Patients who utilize hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc abd tum over 10 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49205","description":"Exc abd tum over 10 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27715","description":"Revision of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fqhc visit_ mh new pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0469","description":"Fqhc visit_ mh new pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt ref for speech lang path","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4552F","description":"Pt ref for speech lang path","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat penis lesion graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54111","description":"Treat penis lesion graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood product/irradiation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86945","description":"Blood product/irradiation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4390","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4390","description":"HCPCS-Q4390","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKV","description":"HIPPS-4CFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrical care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59409","description":"Obstetrical care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9708","description":"Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore chest free adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32124","description":"Explore chest free adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Humidifier for use w/ regula","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0555","description":"Humidifier for use w/ regula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ levothyroxine sodium_ not otherwise specified_ 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0650","description":"Injection_ levothyroxine sodium_ not otherwise specified_ 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oth resp proc_ group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0239","description":"Oth resp proc_ group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s)_ with insertion of pacing electrode_ cardiac venous system_ for left ventricular pa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7537","description":"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s)_ with insertion of pacing electrode_ cardiac venous system_ for left ventricular pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood methemoglobin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83045","description":"Blood methemoglobin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma provocative tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92140","description":"Glaucoma provocative tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA3D","description":"HIPPS-RHA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia_ by signal acquisition using minimum 36 channel grid_ generation of magnetic-field time-serie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0541T","description":"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia_ by signal acquisition using minimum 36 channel grid_ generation of magnetic-field time-serie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd cautery tumor polyp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43250","description":"Egd cautery tumor polyp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth intrcrn nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22051","description":"Anesth intrcrn nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE24A","description":"HIPPS-PE24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8G","description":"HIPPS-RHB8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0950T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0950T","description":"CPT-0950T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eo rigid w/o joints pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3762","description":"Eo rigid w/o joints pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temporal artery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37609","description":"Temporal artery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5149","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5149","description":"HCPCS-Q5149","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision pericoronal gingiva","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7971","description":"Excision pericoronal gingiva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLS","description":"HIPPS-1BGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis of a patient-specific panel_ cell-free DNA_ subsequent assessment with comparison to pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0307U","description":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis of a patient-specific panel_ cell-free DNA_ subsequent assessment with comparison to pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB116","description":"HIPPS-PB116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture interm cmplt mandbl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5811","description":"Denture interm cmplt mandbl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0652U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0652U","description":"CPT-0652U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smear special stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87207","description":"Smear special stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bevacizumab-bvzr_ biosimilar_ (Zirabev)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5118","description":"Injection_ bevacizumab-bvzr_ biosimilar_ (Zirabev)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat odontoid fx w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22319","description":"Treat odontoid fx w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18F","description":"HIPPS-HC18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneum walk boot pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4386","description":"Non-pneum walk boot pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54326","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA25C","description":"HIPPS-BA25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc shoulder les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23075","description":"Exc shoulder les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18B","description":"HIPPS-BA18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc esrd dia trans preg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9231","description":"Doc esrd dia trans preg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilat macular exam done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2021F","description":"Dilat macular exam done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE116","description":"HIPPS-HE116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHM5","description":"HIPPS-4CHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert temp bladder cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51702","description":"Insert temp bladder cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLV","description":"HIPPS-3BHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exam synovial fluid crystals","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89060","description":"Exam synovial fluid crystals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth heart surg w/o pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56051","description":"Anesth heart surg w/o pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polysom 6/> yrs 4/> param","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95810","description":"Polysom 6/> yrs 4/> param","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31750","description":"Repair of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67966","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med pt reas no hcc scrn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9456","description":"Doc med pt reas no hcc scrn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA46","description":"HIPPS-AAA46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM6","description":"HIPPS-3AGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"LU GNOTYP BCAM EXON 3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0196U","description":"LU GNOTYP BCAM EXON 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0458","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0458","description":"HCPCS-J0458","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI brain w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70558","description":"MRI brain w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pulse generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33241","description":"Remove pulse generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES206","description":"HIPPS-ES206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pad water circulating heat u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0249","description":"Pad water circulating heat u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy stent add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31637","description":"Bronchoscopy stent add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB2C","description":"HIPPS-RMB2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA54","description":"HIPPS-RVA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Puraply_ puraply antimic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9349","description":"Puraply_ puraply antimic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA02","description":"HIPPS-RVA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit est pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99334","description":"Domicil/r-home visit est pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefiderocol_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0693","description":"Injection_ cefiderocol_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA24","description":"HIPPS-RUA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (von Willebrand disease [VWD])_ von Willebrand factor (VWF) and collagen IV binding by enzyme-linked immunosorbent assays (ELISA)_ plasma_ report of collagen IV bin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0280U","description":"Hematology (von Willebrand disease [VWD])_ von Willebrand factor (VWF) and collagen IV binding by enzyme-linked immunosorbent assays (ELISA)_ plasma_ report of collagen IV bin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including MR guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10012","description":"Fine needle aspiration biopsy_ including MR guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove gastric port open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43887","description":"Remove gastric port open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1203","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1203","description":"HCPCS-A1203","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/ax/gen/trnk 2.5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12001","description":"Rpr s/n/ax/gen/trnk 2.5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optimal care for patients with episodic neurological conditions mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0003","description":"Optimal care for patients with episodic neurological conditions mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup long leg fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4030","description":"Cast sup long leg fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28X","description":"HIPPS-LD28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01922","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01922","description":"CPT-01922","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthroereisis_ subtalar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2117","description":"Arthroereisis_ subtalar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1457","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1457","description":"HCPCS-M1457","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB13A","description":"HIPPS-BB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tacrolimus imme rel oral 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7507","description":"Tacrolimus imme rel oral 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Angina absent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1012F","description":"Angina absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Right Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone; Normal Native Connection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93593","description":"Right Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone; Normal Native Connection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home environment assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1028","description":"Home environment assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart vessel fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33500","description":"Repair heart vessel fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo plas doub free knee mol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2036","description":"Kafo plas doub free knee mol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incisional biopsy of skin (eg_ wedge) (including simple closure_ when performed); single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11106","description":"Incisional biopsy of skin (eg_ wedge) (including simple closure_ when performed); single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/w resect diag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32668","description":"Thoracoscopy w/w resect diag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pessary_ disposable_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4564","description":"Pessary_ disposable_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES23C","description":"HIPPS-ES23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of leg infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73592","description":"X-ray exam of leg infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aqueous shunt eye w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66180","description":"Aqueous shunt eye w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA20D","description":"HIPPS-PA20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Porcelain Fused To Predominatly Base Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6082","description":"Implant Supported Crown - Porcelain Fused To Predominatly Base Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx gastric recurrent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9103","description":"Onc dx gastric recurrent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65275","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39499","description":"Chest procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00566","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00566","description":"CPT-00566","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ neurostim test kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1897","description":"Lead_ neurostim test kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystatin c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82610","description":"Cystatin c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct lumbar spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72131","description":"Ct lumbar spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45905","description":"Dilation of anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18G","description":"HIPPS-LE18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair liver wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47362","description":"Repair liver wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52277","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fem focal defic constant fri","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5230","description":"Fem focal defic constant fri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hc pro phone call 11-20 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98967","description":"Hc pro phone call 11-20 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0703","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0703","description":"HCPCS-C0703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69727","description":"Removal_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp vhd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0827","description":"Pwc gp vhd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (Alzheimer Disease)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 24 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0289U","description":"Neurology (Alzheimer Disease)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 24 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alemtuzumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9010","description":"Alemtuzumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proposed Adopting Best Practices And Promoting Patient Safety Within Emergency Medicine Mips Value Pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0057","description":"Proposed Adopting Best Practices And Promoting Patient Safety Within Emergency Medicine Mips Value Pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lesion destruction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7465","description":"Lesion destruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5171","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5171","description":"HCPCS-Q5171","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screen depression performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3725F","description":"Screen depression performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore wound chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20101","description":"Explore wound chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pilonidal cyst compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11772","description":"Remove pilonidal cyst compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc brstcncr stage 2 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3376F","description":"Ajcc brstcncr stage 2 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx pancreatic unknwn nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9108","description":"Onc dx pancreatic unknwn nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthro acetabuloplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29915","description":"Hip arthro acetabuloplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.25-7d/.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2207","description":"Lens sphcy bifocal 4.25-7d/.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1057T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1057T","description":"CPT-1057T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27702","description":"Reconstruct ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rh ig minidose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90385","description":"Rh ig minidose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78201","description":"Liver imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Graft hand or finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26416","description":"Graft hand or finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4337","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4337","description":"HCPCS-Q4337","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE10B","description":"HIPPS-HE10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75966","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chylmd trach dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87491","description":"Chylmd trach dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ evinacumab-dgnb_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9079","description":"Injection_ evinacumab-dgnb_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clotting funct activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85397","description":"Clotting funct activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX34","description":"HIPPS-RHX34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glucose tolerance test (gtt)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82951","description":"Glucose tolerance test (gtt)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26357","description":"Repair finger/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL5","description":"HIPPS-1BGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigidlined cust fab two","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0486","description":"Tlso rigidlined cust fab two","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise tendon forearm/wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25109","description":"Excise tendon forearm/wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Varus/valgus strap padded/li","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2270","description":"Varus/valgus strap padded/li","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27003","description":"Incision of hip tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl nstim apnea sen ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0429T","description":"Rmvl nstim apnea sen ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No electrodiag polyneuro 6mn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3752F","description":"No electrodiag polyneuro 6mn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow up care plan mdd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0545F","description":"Follow up care plan mdd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat slipped epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27176","description":"Treat slipped epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthes w/o adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8030","description":"Breast prosthes w/o adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla typing a b or c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86812","description":"Hla typing a b or c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4375","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4375","description":"HCPCS-Q4375","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess hlth/behave subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96151","description":"Assess hlth/behave subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intraoral procedures_ including biopsy; not otherwise specif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0125U","description":"Anesthesia for intraoral procedures_ including biopsy; not otherwise specif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75891","description":"Vein x-ray liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD22D","description":"HIPPS-CD22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quant nonher2 ihc brst cx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3395F","description":"Quant nonher2 ihc brst cx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC31","description":"HIPPS-RHC31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Methadone; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2067","description":"Medication Assisted Treatment_ Methadone; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behavior management","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9920","description":"Behavior management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLT","description":"HIPPS-2AFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermabrasion total face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15780","description":"Dermabrasion total face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB03","description":"HIPPS-RMB03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGP4","description":"HIPPS-3CGP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27826","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic control band & belt u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2630","description":"Pelvic control band & belt u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduct simple facial bone fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7680","description":"Reduct simple facial bone fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0535U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0535U","description":"CPT-0535U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sperm evaluation test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89329","description":"Sperm evaluation test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC34","description":"HIPPS-RUC34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensve oral evaluation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0150","description":"Comprehensve oral evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29876","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap gastr bypass incl smll i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43645","description":"Lap gastr bypass incl smll i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00820","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00820","description":"CPT-00820","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneum walk boot pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4387","description":"Non-pneum walk boot pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFMU","description":"HIPPS-1BFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove neuroelectrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61880","description":"Revise/remove neuroelectrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"removal of fixed orthodontic appliances for reasons other than completion of treatm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8695","description":"removal of fixed orthodontic appliances for reasons other than completion of treatm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric symptoms assessed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9742","description":"Psychiatric symptoms assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria w/bypass exten","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33256","description":"Ablate atria w/bypass exten","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1419","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1419","description":"HCPCS-M1419","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE144","description":"HIPPS-LE144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp stent exchange w/dilate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43276","description":"Ercp stent exchange w/dilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99283","description":"Emergency dept visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical social work mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0066","description":"Clinical social work mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress forearm 1 space","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25023","description":"Decompress forearm 1 space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of arsenic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82175","description":"Assay of arsenic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9076","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9076","description":"HCPCS-J9076","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IV injection_ bebtelovimab_ include injection and post administration monitoring in the patient’s home","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0223","description":"IV injection_ bebtelovimab_ include injection and post administration monitoring in the patient’s home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB3A","description":"HIPPS-RLB3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC22C","description":"HIPPS-CC22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy vagus nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43651","description":"Laparoscopy vagus nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFM1","description":"HIPPS-4CFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD21A","description":"HIPPS-HD21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8C","description":"HIPPS-RVA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urethral insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4336","description":"Urethral insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKX","description":"HIPPS-5CHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icd counseling provided","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4470F","description":"Icd counseling provided","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1201","description":"HCPCS-A1201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc xdrl spine lesn thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63276","description":"Bx/exc xdrl spine lesn thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28D","description":"HIPPS-PC28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular prosthesis interim","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5923","description":"Ocular prosthesis interim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK1","description":"HIPPS-3AFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE216","description":"HIPPS-CE216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of upper arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24900","description":"Amputation of upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj perflexane lip micros_ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9955","description":"Inj perflexane lip micros_ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"B-amyloid (Abeta42) and total tau (tTau)_ electrochemiluminescent immunoassay (ECLIA)_ cerebral spinal fluid_ ratio reported as positive or negative for amyloid pathology","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0459U","description":"B-amyloid (Abeta42) and total tau (tTau)_ electrochemiluminescent immunoassay (ECLIA)_ cerebral spinal fluid_ ratio reported as positive or negative for amyloid pathology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retain crown resin w hi nble","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6720","description":"Retain crown resin w hi nble","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54660","description":"Revision of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK2","description":"HIPPS-1CFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB20B","description":"HIPPS-LB20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ot evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97003","description":"Ot evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye suture during surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67335","description":"Eye suture during surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sildenafil citrate_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0090","description":"Sildenafil citrate_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL32","description":"HIPPS-RHL32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD206","description":"HIPPS-HD206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMV","description":"HIPPS-4CGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9054","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9054","description":"HCPCS-J9054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt in the home per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9131","description":"Pt in the home per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Measles and rubella virus vaccine_ live_ for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90708","description":"Measles and rubella virus vaccine_ live_ for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy swallow tst (fees)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92613","description":"Endoscopy swallow tst (fees)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Use of speech device service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92609","description":"Use of speech device service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 mins) home care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_ domiciliary_ rest ho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2015","description":"Comprehensive (60 mins) home care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_ domiciliary_ rest ho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC35","description":"HIPPS-RHC35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26735","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61526","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00537","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00537","description":"CPT-00537","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD22C","description":"HIPPS-LD22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8097","description":"Asthma kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58940","description":"Removal of ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0614U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0614U","description":"CPT-0614U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95726","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/pleurodesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32650","description":"Thoracoscopy w/pleurodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infuse radioactive materials","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77750","description":"Infuse radioactive materials","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneum compres w/cal pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0652","description":"Pneum compres w/cal pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroestradiol f 18_ diagnostic_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9591","description":"Fluoroestradiol f 18_ diagnostic_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8B","description":"HIPPS-RVC8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of wrist lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25130","description":"Removal of wrist lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco counseling","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1320","description":"Tobacco counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thxp apheresis w/hdl delip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0342T","description":"Thxp apheresis w/hdl delip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle/tendon transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24301","description":"Muscle/tendon transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC02","description":"HIPPS-RMC02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNW","description":"HIPPS-3BHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28D","description":"HIPPS-CC28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99151","description":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crisis interven waiver/diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2034","description":"Crisis interven waiver/diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery for urethra pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53240","description":"Surgery for urethra pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluphenazine decanoate 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2680","description":"Fluphenazine decanoate 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of foot tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28222","description":"Release of foot tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18E","description":"HIPPS-CE18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay bld/serum cholesterol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82465","description":"Assay bld/serum cholesterol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Habilitation_ prevocational_ waiver; per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2047","description":"Habilitation_ prevocational_ waiver; per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ disp_ binaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5263","description":"Hearing aid_ disp_ binaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Homaker service nos per 15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5130","description":"Homaker service nos per 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonstnd lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0581","description":"Nonstnd lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48140","description":"Partial removal of pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cultured chondrocytes implnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7330","description":"Cultured chondrocytes implnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ amisulpride_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9153","description":"Injection_ amisulpride_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky =50)_ cardiac c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2207","description":"Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky =50)_ cardiac c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of ovarian cyst(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58805","description":"Drainage of ovarian cyst(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9276","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9276","description":"HCPCS-J9276","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Received An Influenza Vaccine On Or Between July 1 Of The Year Prior To The Measurement Period And June 30 Of The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2163","description":"Patient Received An Influenza Vaccine On Or Between July 1 Of The Year Prior To The Measurement Period And June 30 Of The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3389","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3389","description":"HCPCS-J3389","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of forearm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25905","description":"Amputation of forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor intestine/artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44721","description":"Prep donor intestine/artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73100","description":"X-ray exam of wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transapical mitral valve repair_ including transthoracic echocardiography_ when performed_ with placement of artificial chordae tendineae","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0543T","description":"Transapical mitral valve repair_ including transthoracic echocardiography_ when performed_ with placement of artificial chordae tendineae","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE124","description":"HIPPS-CE124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 3 (HIPPS rate code)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0110","description":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 3 (HIPPS rate code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair palate pharynx/uvula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42145","description":"Repair palate pharynx/uvula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB22B","description":"HIPPS-CB22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC3B","description":"HIPPS-RVC3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not rcvng esa thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4172F","description":"Pt not rcvng esa thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis machine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1590","description":"Hemodialysis machine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPX","description":"HIPPS-3CHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peritoneal lavage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49084","description":"Peritoneal lavage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise hip joint replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27134","description":"Revise hip joint replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neoxflo or clarixflo 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4155","description":"Neoxflo or clarixflo 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole (abilify asimtufii)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0402","description":"Injection_ aripiprazole (abilify asimtufii)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of bladder & bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51960","description":"Revision of bladder & bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy trifocal 4.0/2.25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2304","description":"Lens sphcy trifocal 4.0/2.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin pneum swg frct exo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5722","description":"Knee-shin pneum swg frct exo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"LAMINECTOMY_ FACETECTOMY_ OR FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD_ CAUDA EQUINA AND/OR NERVE ROOT[S] [EG_ SPINAL OR LATERAL RECESS STENOSIS]","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63053","description":"LAMINECTOMY_ FACETECTOMY_ OR FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD_ CAUDA EQUINA AND/OR NERVE ROOT[S] [EG_ SPINAL OR LATERAL RECESS STENOSIS]","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24116","description":"Remove/graft bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18I","description":"HIPPS-HE18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2041","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2041","description":"HCPCS-A2041","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy clamp_ replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4363","description":"Ostomy clamp_ replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extrnl counterpulse_ per tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0166","description":"Extrnl counterpulse_ per tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc sinus ct 28d or dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9350","description":"No doc sinus ct 28d or dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC244","description":"HIPPS-HC244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Survey not complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0914","description":"Survey not complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metaproterenol comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7667","description":"Metaproterenol comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1601","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1601","description":"CDT-D1601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skeletal muscle relaxant 1/2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80369","description":"Skeletal muscle relaxant 1/2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5147","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5147","description":"HCPCS-Q5147","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonfamily homecare train/15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5115","description":"Nonfamily homecare train/15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch drain for barrier fl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4425","description":"Ost pch drain for barrier fl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Axicabtage neciloleucel_ up to 200 million autologous anti-CD19 CAR T Cells_ including leukapheresis and dose preparation procedures_ per infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2041","description":"Axicabtage neciloleucel_ up to 200 million autologous anti-CD19 CAR T Cells_ including leukapheresis and dose preparation procedures_ per infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant total heart system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0051T","description":"Implant total heart system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suspension of uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58410","description":"Suspension of uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endo perq dx w/speci","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47552","description":"Biliary endo perq dx w/speci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB34","description":"HIPPS-RVB34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special teletx port plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77321","description":"Special teletx port plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation upper jaw artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30920","description":"Ligation upper jaw artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18C","description":"HIPPS-PE18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1736","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1736","description":"HCPCS-J1736","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No off assis eol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9382","description":"No off assis eol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKW","description":"HIPPS-2BHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0955T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0955T","description":"CPT-0955T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFL1","description":"HIPPS-1AFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES324","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES324","description":"HIPPS-ES324","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irinotecan injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9206","description":"Irinotecan injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Escharotomy addl incision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16036","description":"Escharotomy addl incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"DuoAmnion_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4327","description":"DuoAmnion_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair carpal bone shorten","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25394","description":"Repair carpal bone shorten","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect fibula tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27646","description":"Resect fibula tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98015","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98015","description":"CPT-98015","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of upper eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15822","description":"Revision of upper eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal non-stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59025","description":"Fetal non-stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch underarm pair no wood","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0114","description":"Crutch underarm pair no wood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ evinacumab-dgnb_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1305","description":"Injection_ evinacumab-dgnb_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinician documented that patient had medical reason for not performing lower extremity neurological exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2179","description":"Clinician documented that patient had medical reason for not performing lower extremity neurological exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4387","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4387","description":"HCPCS-Q4387","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onsite Ac Tx Nsg Fac Res Fl/Elct Do/Deh Bill Sid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9683","description":"Onsite Ac Tx Nsg Fac Res Fl/Elct Do/Deh Bill Sid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1221","description":"Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise vag graft via vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57295","description":"Revise vag graft via vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup gauntlet ped fbrgls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4016","description":"Cast sup gauntlet ped fbrgls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inhaled bronchodilator rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4025F","description":"Inhaled bronchodilator rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for myelogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62284","description":"Injection for myelogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electro connect btw 2 sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2311","description":"Electro connect btw 2 sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back Pain As Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 3.0 Or Back Pain Measured By The Visual Analog Sc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2138","description":"Back Pain As Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 3.0 Or Back Pain Measured By The Visual Analog Sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home health care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99375","description":"Home health care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of catheter vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36510","description":"Insertion of catheter vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL4","description":"HIPPS-4AFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17263","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Waist belt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2190","description":"Waist belt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Underarm springassist crutch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0117","description":"Underarm springassist crutch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthesis_ penile_ non-inf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2622","description":"Prosthesis_ penile_ non-inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye muscle evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92265","description":"Eye muscle evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66172","description":"Incision of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disp fee inhal drugs/30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0513","description":"Disp fee inhal drugs/30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Typhoid vaccine_ acetone-killed_ dried (akd)_ for subcutaneous or jetinjection use (u.s. military)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90693","description":"Typhoid vaccine_ acetone-killed_ dried (akd)_ for subcutaneous or jetinjection use (u.s. military)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pms2 known familial variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81318","description":"Pms2 known familial variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE250","description":"HIPPS-HE250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Childbirth refresher class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9437","description":"Childbirth refresher class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL2","description":"HIPPS-3BHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc abd tum 5 cm or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49203","description":"Exc abd tum 5 cm or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac magnetic resonance imaging for morphology and function_ quantification of segmental dysfunction; with strain im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9762","description":"Cardiac magnetic resonance imaging for morphology and function_ quantification of segmental dysfunction; with strain im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25350","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled breath condensate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83987","description":"Exhaled breath condensate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin w/ noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2722","description":"Crown resin w/ noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1 bodytemp >=35.5cw/in 30min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4559F","description":"1 bodytemp >=35.5cw/in 30min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"System reason for no beta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9192","description":"System reason for no beta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0110","description":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bilirubin total transcut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88720","description":"Bilirubin total transcut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic mens shoes dpth i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3221","description":"Orthopedic mens shoes dpth i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGNT","description":"HIPPS-1BGNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1832","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1832","description":"HCPCS-E1832","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair anomaly w/conduit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33608","description":"Repair anomaly w/conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES245","description":"HIPPS-ES245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect distal finger tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26262","description":"Resect distal finger tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ waist length_ 18-30 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6562","description":"Gradient compression stocking_ waist length_ 18-30 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1006T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1006T","description":"CPT-1006T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ initial single antibody stain procedure (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0760T","description":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ initial single antibody stain procedure (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"On Date Of Encounter_ Patient Is Not Able To Participate In Assessment Or Screening_ Including Non-Verbal Patients_ Delirious_ Severely Aphasic_ Severely Developmentally Delay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0037","description":"On Date Of Encounter_ Patient Is Not Able To Participate In Assessment Or Screening_ Including Non-Verbal Patients_ Delirious_ Severely Aphasic_ Severely Developmentally Delay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2038","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2038","description":"HCPCS-A2038","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio lwr extr w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73706","description":"Ct angio lwr extr w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01440","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01440","description":"CPT-01440","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fit spectacles bifocal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92341","description":"Fit spectacles bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome karyotype study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88280","description":"Chromosome karyotype study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9481","description":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Curette/treat cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65436","description":"Curette/treat cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin dispos pen 3 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5571","description":"Insulin dispos pen 3 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Team conf w/o pat by hc pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99368","description":"Team conf w/o pat by hc pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0554U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0554U","description":"CPT-0554U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No surg site infection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9311","description":"No surg site infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening buprenorphine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80348","description":"Drug screening buprenorphine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin a1c level is missing_ or was not performed during the measurement period (12 months)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1212","description":"Hemoglobin a1c level is missing_ or was not performed during the measurement period (12 months)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tibper revasc w/ather add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37233","description":"Tibper revasc w/ather add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy w/rib resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32035","description":"Thoracostomy w/rib resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ladies shoes hightop depth i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3217","description":"Ladies shoes hightop depth i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24587","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15833","description":"Excise excessive skin leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21470","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair anal fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46288","description":"Repair anal fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22600","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt dischg <=2d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9255","description":"Doc pt dischg <=2d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto w/up stricture tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52342","description":"Cysto w/up stricture tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m fanolesomab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9566","description":"Tc99m fanolesomab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem endovas vena cava filter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37193","description":"Rem endovas vena cava filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 60 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0149U","description":"Drug assay_ definitive_ 60 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49593","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult companioncare per 15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5135","description":"Adult companioncare per 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos back post/lat wdth <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2615","description":"Pos back post/lat wdth <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inr measurement performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3555F","description":"Pt inr measurement performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin D_ 25 hydroxy D2 and D3_ by LC-MS/MS_ serum microsample_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0038U","description":"Vitamin D_ 25 hydroxy D2 and D3_ by LC-MS/MS_ serum microsample_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inner ear surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69949","description":"Inner ear surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl devital tis 20 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97597","description":"Rmvl devital tis 20 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr-staph dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87641","description":"Mr-staph dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Demo-smoking cessation coun","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9016","description":"Demo-smoking cessation coun","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Veneer repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2983","description":"Veneer repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8A","description":"HIPPS-RMA8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC5B","description":"HIPPS-RUC5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1074T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1074T","description":"CPT-1074T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL23","description":"HIPPS-RUL23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of vagus nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64760","description":"Incision of vagus nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21050","description":"Removal of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA22D","description":"HIPPS-BA22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert cervical dilator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59200","description":"Insert cervical dilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE23A","description":"HIPPS-CE23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD250","description":"HIPPS-HD250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray of lower spine disk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72295","description":"X-ray of lower spine disk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27724","description":"Repair/graft of tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPV","description":"HIPPS-1AFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx multi myeloma stage i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9128","description":"Onc dx multi myeloma stage i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18A","description":"HIPPS-ES18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fabrication and delivery of oral appliance therapy (OAT) morning repositioning device","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9954","description":"Fabrication and delivery of oral appliance therapy (OAT) morning repositioning device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of spleen partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38101","description":"Removal of spleen partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC2D","description":"HIPPS-RMC2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block stellate ganglion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64510","description":"N block stellate ganglion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28208","description":"Repair of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of triglycerides","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84478","description":"Assay of triglycerides","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Audiology mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0062","description":"Audiology mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPT","description":"HIPPS-3AHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC250","description":"HIPPS-HC250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB13","description":"HIPPS-RVB13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrate iv infusion add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96361","description":"Hydrate iv infusion add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of pylorus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43800","description":"Reconstruction of pylorus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pad band w>=3in <5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6441","description":"Pad band w>=3in <5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat dislocation/fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23665","description":"Treat dislocation/fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6036","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6036","description":"HCPCS-L6036","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote body and limb kinematic measurement-based therapy ordered by a physician or other qualified health care professional; treatment management services by a physician or ot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0734T","description":"Remote body and limb kinematic measurement-based therapy ordered by a physician or other qualified health care professional; treatment management services by a physician or ot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of toe tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28232","description":"Incision of toe tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amines vaginal fluid qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82120","description":"Amines vaginal fluid qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1105T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1105T","description":"CPT-1105T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB3C","description":"HIPPS-RVB3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ep & ablate ventric tachy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93654","description":"Ep & ablate ventric tachy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ sch team conf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9007","description":"Mccd_ sch team conf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of parastomal hernia_ any approach (ie_ open_ laparoscopic_ robotic)_ initial or recurrent_ including implantation of mesh or other prosthesis_ when performed; incarcer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49622","description":"Repair of parastomal hernia_ any approach (ie_ open_ laparoscopic_ robotic)_ initial or recurrent_ including implantation of mesh or other prosthesis_ when performed; incarcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Init eval for condition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1119F","description":"Init eval for condition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis - comprehensive series of radiographic images - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0387","description":"intraoral tomosynthesis - comprehensive series of radiographic images - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penicillin g procaine inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2510","description":"Penicillin g procaine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA14D","description":"HIPPS-PA14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ below knee_ 40 mmhg or greater_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6555","description":"Gradient compression stocking_ below knee_ 40 mmhg or greater_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tendon for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20924","description":"Removal of tendon for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ efgartigimod alfa-fcab_ 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9332","description":"Injection_ efgartigimod alfa-fcab_ 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC11A","description":"HIPPS-PC11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Supply","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0702T","description":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Professional services_ initial visit_ for the administration of anti-infective_ pain management_ chelation_ pulmonary hypertension_ inotropic_ or other intravenous infusion dr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0088","description":"Professional services_ initial visit_ for the administration of anti-infective_ pain management_ chelation_ pulmonary hypertension_ inotropic_ or other intravenous infusion dr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50951","description":"Endoscopy of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepcidin-25_ Enzyme-Linked Immunosorbent Assay (Elisa)_ Serum Or Plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0251U","description":"Hepcidin-25_ Enzyme-Linked Immunosorbent Assay (Elisa)_ Serum Or Plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment plan development","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1007","description":"Treatment plan development","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monitor elec or comb vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0484","description":"Monitor elec or comb vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transferase (ast) (sgot)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84450","description":"Transferase (ast) (sgot)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26432","description":"Repair finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0687U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0687U","description":"CPT-0687U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44960","description":"Appendectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of primidone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80188","description":"Assay of primidone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq card revasc chronic addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92944","description":"Prq card revasc chronic addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinoscopy_ with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39400","description":"Mediastinoscopy_ with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure ureter/bowel fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50930","description":"Closure ureter/bowel fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pin knuckle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26706","description":"Pin knuckle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB14","description":"HIPPS-RVB14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mitoxantrone hydrochl / 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9293","description":"Mitoxantrone hydrochl / 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excess skin & tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15839","description":"Excise excess skin & tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hemorrhoid clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46320","description":"Removal of hemorrhoid clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1413","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1413","description":"HCPCS-M1413","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA5D","description":"HIPPS-RHA5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ankle arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29897","description":"Ankle arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor revasc t cabg b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9605","description":"Perc d-e cor revasc t cabg b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee joint drop lock ea jnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2405","description":"Knee joint drop lock ea jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fem/popl revas w/ather","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37225","description":"Fem/popl revas w/ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27536","description":"Treat knee fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm splnt ped f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4024","description":"Cast sup sht arm splnt ped f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Had History Of At Least One Of The Following Contraindications Any Time During Or Before The Measurement Period: Anaphylaxis Due To Tdap Vaccine_ Anaphylaxis Due To Td","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2155","description":"Patient Had History Of At Least One Of The Following Contraindications Any Time During Or Before The Measurement Period: Anaphylaxis Due To Tdap Vaccine_ Anaphylaxis Due To Td","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0504","description":"HCPCS-C0504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFL3","description":"HIPPS-1AFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Derm autograft t/a/l add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15131","description":"Derm autograft t/a/l add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1427","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1427","description":"HCPCS-M1427","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9225","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9225","description":"CDT-D9225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMV","description":"HIPPS-2AGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75651","description":"Anesth repair of hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibody testing for a public health related pathogen_ including coronavirus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0605","description":"Antibody testing for a public health related pathogen_ including coronavirus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49591","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0502U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0502U","description":"CPT-0502U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99238","description":"Hospital discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGMU","description":"HIPPS-2CGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLT","description":"HIPPS-4BHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of porphobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84110","description":"Assay of porphobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK5","description":"HIPPS-2AHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Emergency Pack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1762","description":"Home Delivered Meals-Emergency Pack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Capsaicin 8% patch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7336","description":"Capsaicin 8% patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6067","description":"Implant supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87627","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87627","description":"CPT-87627","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Soft tissue graft firsttooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4277","description":"Soft tissue graft firsttooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove uro sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53446","description":"Remove uro sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Growth stimulation gene 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83006","description":"Growth stimulation gene 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open tx compl front sinus fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21344","description":"Open tx compl front sinus fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso flex w/rigid stays cust","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0629","description":"Lso flex w/rigid stays cust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK5","description":"HIPPS-1BGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone a inj prs-free","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3300","description":"Triamcinolone a inj prs-free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLS","description":"HIPPS-2BHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD206","description":"HIPPS-CD206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phys blood bank serv authrj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86079","description":"Phys blood bank serv authrj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ voretigene neparvovec-rzyl_ 1 billion vector genome","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9032","description":"Injection_ voretigene neparvovec-rzyl_ 1 billion vector genome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0623U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0623U","description":"CPT-0623U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD214","description":"HIPPS-PD214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair stern/nuss w/o scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21742","description":"Repair stern/nuss w/o scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2004","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2004","description":"HCPCS-B2004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prednisolone acetate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2650","description":"Prednisolone acetate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP3","description":"HIPPS-1CGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1403","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1403","description":"CDT-D1403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (cutaneous melanoma)_ mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0090U","description":"Oncology (cutaneous melanoma)_ mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 4 std cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0869","description":"Pwc gp 4 std cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHN6","description":"HIPPS-3AHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX15","description":"HIPPS-RMX15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker w trunk support","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0140","description":"Walker w trunk support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD130","description":"HIPPS-LD130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient safety and support of positive experiences with anesthesia mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0059","description":"Patient safety and support of positive experiences with anesthesia mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of fibula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27707","description":"Incision of fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve stimulator for tx n&v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0765","description":"Nerve stimulator for tx n&v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast exam thoracic aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75600","description":"Contrast exam thoracic aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp genet test hyp cardiomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3865","description":"Comp genet test hyp cardiomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal motility study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91022","description":"Duodenal motility study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM3","description":"HIPPS-4AHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trans shoe caliper plate new","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3610","description":"Trans shoe caliper plate new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety counseling dem order","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6102F","description":"Safety counseling dem order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33755","description":"Major vessel shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Brolucizumab-Dbll_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0179","description":"Injection_ Brolucizumab-Dbll_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA5C","description":"HIPPS-RMA5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc app","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44979","description":"Laparoscope proc app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01990","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01990","description":"CPT-01990","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc prosth taa add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33884","description":"Endovasc prosth taa add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62220","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Breast Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1080","description":"Radiation Therapy For Breast Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth kidney stone destruct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87351","description":"Anesth kidney stone destruct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88027","description":"Autopsy (necropsy) complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral/facial photo images","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0350","description":"Oral/facial photo images","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal hemoglobin chemical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83030","description":"Fetal hemoglobin chemical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC56","description":"HIPPS-RUC56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Family (With The Patient Present)_ Face-To-Face; Initial 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96167","description":"Health Behavior Intervention_ Family (With The Patient Present)_ Face-To-Face; Initial 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addl neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22552","description":"Addl neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52300","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26418","description":"Repair finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0842T","description":"Digitization of glass microscope slides for pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each additional single probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0852T","description":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each additional single probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracorporeal shock wave for integumentary wound healing_ high energy_ including topical application and dressing care; each additional wound (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0513T","description":"Extracorporeal shock wave for integumentary wound healing_ high energy_ including topical application and dressing care; each additional wound (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic Examination_ Esophagus_ Including Scout Chest Radiograph(S) And Delayed Image(S)_ When Performed; Double-Contrast (Eg_ High-Density Barium And Effervescent Agent) S","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74221","description":"Radiologic Examination_ Esophagus_ Including Scout Chest Radiograph(S) And Delayed Image(S)_ When Performed; Double-Contrast (Eg_ High-Density Barium And Effervescent Agent) S","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31233","description":"Nasal/sinus endoscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PERIURETHRAL TRANSPERINEAL ADJUSTABLE BALLOON CONTINENCE DEVICE; BILATERAL INSERTION_ INCLUDING CYSTOURETHROSCOPY AND IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53451","description":"PERIURETHRAL TRANSPERINEAL ADJUSTABLE BALLOON CONTINENCE DEVICE; BILATERAL INSERTION_ INCLUDING CYSTOURETHROSCOPY AND IMAGING GUIDANCE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence product_ disposable_ penile wrap_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4545","description":"Incontinence product_ disposable_ penile wrap_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1101","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1101","description":"CDT-D1101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLX","description":"HIPPS-1BHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC25D","description":"HIPPS-CC25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB116","description":"HIPPS-CB116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37274","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37274","description":"CPT-37274","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ do","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0078","description":"Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ do","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nhl stg unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9138","description":"Onc dx nhl stg unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phys blood bank serv reactj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86078","description":"Phys blood bank serv reactj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analgesia","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9230","description":"Analgesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1084T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1084T","description":"CPT-1084T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary rehab w exer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0424","description":"Pulmonary rehab w exer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGM6","description":"HIPPS-2BGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB136","description":"HIPPS-HB136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA16","description":"HIPPS-RUA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt not on statin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9508","description":"Doc pt not on statin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sleep study unatt&resp efft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95806","description":"Sleep study unatt&resp efft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLV","description":"HIPPS-4CGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cocaine or metabolite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6044","description":"Cocaine or metabolite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytp fna eval ea addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88177","description":"Cytp fna eval ea addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thera par drugs 2 or > admin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9612","description":"Thera par drugs 2 or > admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6120","description":"Implant Supported Retainer - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33503","description":"Coronary artery graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kras gene variants exon 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81275","description":"Kras gene variants exon 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of hymen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56700","description":"Partial removal of hymen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy & pylorus repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43640","description":"Vagotomy & pylorus repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of neck of femur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27161","description":"Incision of neck of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch forearm pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0110","description":"Crutch forearm pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat dislocation/fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23675","description":"Treat dislocation/fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA1A","description":"HIPPS-AAA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM2","description":"HIPPS-1CFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical; with guided transhepatic cholangiography_ without biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47560","description":"Laparoscopy_ surgical; with guided transhepatic cholangiography_ without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58260","description":"Vaginal hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD204","description":"HIPPS-PD204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97035","description":"Ultrasound therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59852","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67515","description":"Inject/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tooth root removal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7250","description":"Tooth root removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2_ or each additional 1% of body surface area of infants a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0480T","description":"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2_ or each additional 1% of body surface area of infants a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN6","description":"HIPPS-3CGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst stg3-noprogress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9074","description":"Onc dx brst stg3-noprogress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gardner vag dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87510","description":"Gardner vag dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of urinary leakage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53080","description":"Drainage of urinary leakage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intermittent measurement of wheeze rate for bronchodilator or bronchial-challenge diagnostic evaluation(s)_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0243T","description":"Intermittent measurement of wheeze rate for bronchodilator or bronchial-challenge diagnostic evaluation(s)_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1132","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28C","description":"HIPPS-PA28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1041T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1041T","description":"CPT-1041T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB24C","description":"HIPPS-CB24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ velmanase alfa-tycv_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0217","description":"Injection_ velmanase alfa-tycv_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated macul exam done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2019F","description":"Dilated macul exam done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iliac art angio_cardiac cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0278","description":"Iliac art angio_cardiac cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8A","description":"HIPPS-RUC8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2100","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ventricle muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33416","description":"Revise ventricle muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polycarb lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0580","description":"Polycarb lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unipuncture control system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1580","description":"Unipuncture control system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32_ 33_ 34_ 54_ or 56 for more than 90 consecutive days during","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1284","description":"Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32_ 33_ 34_ 54_ or 56 for more than 90 consecutive days during","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFKV","description":"HIPPS-3BFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiopulmonary exercise testing_ including measurements of minute ventilation_ CO2 production_ O2 uptake_ and electrocardiographic recordings","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94621","description":"Cardiopulmonary exercise testing_ including measurements of minute ventilation_ CO2 production_ O2 uptake_ and electrocardiographic recordings","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bp scrn no perf at interval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8785","description":"Bp scrn no perf at interval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Technetium tc-99m auto wbc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9569","description":"Technetium tc-99m auto wbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50065","description":"Incision of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Path rprt w/ pt pn cat et al","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3267F","description":"Path rprt w/ pt pn cat et al","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of neck/chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21550","description":"Biopsy of neck/chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9488","description":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0671U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0671U","description":"CPT-0671U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetaminophen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6039","description":"Acetaminophen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt edu re alcoh drnkng done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4158F","description":"Pt edu re alcoh drnkng done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK6","description":"HIPPS-2AHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Craniofacial approach skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61580","description":"Craniofacial approach skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specialized Medical Equipment and Supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0137","description":"Specialized Medical Equipment and Supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ini phq9 >9 remiss <5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9393","description":"Ini phq9 >9 remiss <5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18X","description":"HIPPS-CE18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cell enumeration & id","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86152","description":"Cell enumeration & id","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE220","description":"HIPPS-CE220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gs mg composite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9235","description":"Gs mg composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1071","description":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD104","description":"HIPPS-HD104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43107","description":"Removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit resp therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99503","description":"Home visit resp therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_maintenance rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9002","description":"Mccd_maintenance rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt cat/pn cat/hist grd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3260F","description":"Pt cat/pn cat/hist grd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computerized Dynamic Posturography Sensory Organization Test (Cdp-Sot)_ 6 Conditions (Ie_ Eyes Open_ Eyes Closed_ Visual Sway_ Platform Sway_ Eyes Closed Platform Sway_ Platfo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92549","description":"Computerized Dynamic Posturography Sensory Organization Test (Cdp-Sot)_ 6 Conditions (Ie_ Eyes Open_ Eyes Closed_ Visual Sway_ Platform Sway_ Eyes Closed Platform Sway_ Platfo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of wrist prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25250","description":"Removal of wrist prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-1 piece w/ graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21145","description":"Lefort i-1 piece w/ graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bl smear w/diff wbc count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85007","description":"Bl smear w/diff wbc count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB105","description":"HIPPS-HB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behavral qualit analys voice","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92524","description":"Behavral qualit analys voice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Card tamp w/in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9408","description":"Card tamp w/in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gjb2 gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81252","description":"Gjb2 gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00794","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00794","description":"CPT-00794","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-linked intellectual dblt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81471","description":"X-linked intellectual dblt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test urine for porphyrins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84119","description":"Test urine for porphyrins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9289","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9289","description":"HCPCS-J9289","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33645","description":"Revision of heart veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v automated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88147","description":"Cytopath c/v automated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Space maintainer fxd unilat","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1510","description":"Space maintainer fxd unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce hip bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27187","description":"Reinforce hip bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee cushion socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5646","description":"Below knee cushion socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress optic nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67570","description":"Decompress optic nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD215","description":"HIPPS-PD215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0305","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0305","description":"HCPCS-C0305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/lesion removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45384","description":"Colonoscopy w/lesion removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFKX","description":"HIPPS-3BFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy abdom complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58146","description":"Myomectomy abdom complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortobi-iliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35538","description":"Art byp grft aortobi-iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tiss ex molecul study add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88388","description":"Tiss ex molecul study add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML1A","description":"HIPPS-RML1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc fcn/care plan w/30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8942","description":"Doc fcn/care plan w/30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25445","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc abdl tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22901","description":"Exc abdl tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt lithium 3.6 v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0604","description":"Repl batt lithium 3.6 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RAS (KRAS or NRAS) gene mutation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9843","description":"RAS (KRAS or NRAS) gene mutation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31070","description":"Exploration of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ASXL1 (additional sex combs like 1_ transcriptional regulator) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms_ chronic myelomonocytic leukemia)_ gene analysis; ta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81176","description":"ASXL1 (additional sex combs like 1_ transcriptional regulator) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms_ chronic myelomonocytic leukemia)_ gene analysis; ta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0917T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0917T","description":"CPT-0917T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19])_ amplified probe techniq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"U0005","description":"Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19])_ amplified probe techniq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB241","description":"HIPPS-PB241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0452T","description":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt serv p mo <2yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90963","description":"Esrd home pt serv p mo <2yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fecal blood scrn immunoassay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0328","description":"Fecal blood scrn immunoassay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove tonsils and adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42821","description":"Remove tonsils and adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCV2 3MCG TRS-SUCR 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0081A","description":"ADM SARSCV2 3MCG TRS-SUCR 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ any specimen source","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2023","description":"Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ any specimen source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5148","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5148","description":"HCPCS-Q5148","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above knee hydracadence","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5610","description":"Above knee hydracadence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biodfence dryflex_ 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4138","description":"Biodfence dryflex_ 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25150","description":"Partial removal of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physical therapy evaluation: low complexity_ requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97161","description":"Physical therapy evaluation: low complexity_ requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress forearm 2 spaces","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25025","description":"Decompress forearm 2 spaces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA23A","description":"HIPPS-CA23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tactile breast img uni/bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0422T","description":"Tactile breast img uni/bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28A","description":"HIPPS-PB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44145","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC221","description":"HIPPS-HC221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision benign lesion compl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7412","description":"Excision benign lesion compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ stranded_ p-103","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2640","description":"Brachytx_ stranded_ p-103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis_ dialysis circuit_ any method_ including all imaging and radiological supervision and interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36906","description":"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis_ dialysis circuit_ any method_ including all imaging and radiological supervision and interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36583","description":"Replace tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part remove hip bone super","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27070","description":"Part remove hip bone super","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interv req for leak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9306","description":"Interv req for leak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1173","description":"Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65135","description":"Insert ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us guide intraop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76998","description":"Us guide intraop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64784","description":"Remove nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surg proc w/in 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8627","description":"Surg proc w/in 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sent lymph node biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8878","description":"Sent lymph node biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adj shoulder ext/flex device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1840","description":"Adj shoulder ext/flex device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE117","description":"HIPPS-LE117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29806","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Copper cu-64_ dotatate_ diagnostic_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9592","description":"Copper cu-64_ dotatate_ diagnostic_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC113","description":"HIPPS-PC113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hg a1c level lt 7.0%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3044F","description":"Hg a1c level lt 7.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Individual_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96159","description":"Health Behavior Intervention_ Individual_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental panoramic film","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0330","description":"Dental panoramic film","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alprostadil urethral suppos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0275","description":"Alprostadil urethral suppos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGLX","description":"HIPPS-1AGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB05","description":"HIPPS-RUB05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lamellas xt_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4291","description":"Lamellas xt_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0401","description":"HCPCS-A0401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0617U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0617U","description":"CPT-0617U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB244","description":"HIPPS-CB244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teplizumab-mzwv_ 5 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9149","description":"Injection_ teplizumab-mzwv_ 5 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7174","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7174","description":"HCPCS-J7174","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM6","description":"HIPPS-2CFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA41","description":"HIPPS-RLA41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"F18 fdg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9552","description":"F18 fdg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Freeing of bowel adhesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44005","description":"Freeing of bowel adhesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES33C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES33C","description":"HIPPS-ES33C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heavy metal screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83015","description":"Heavy metal screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1441","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1441","description":"HCPCS-M1441","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair with detacharm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0165","description":"Commode chair with detacharm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31294","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ pharmacogenomic analysis of single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ whole blood or buccal swab_ with variant analysis_ includin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0461U","description":"Oncology_ pharmacogenomic analysis of single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ whole blood or buccal swab_ with variant analysis_ includin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 cast base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2781","description":"Crown 3/4 cast base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tdap or td or 1tet/dipth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9416","description":"Tdap or td or 1tet/dipth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc spleen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38129","description":"Laparoscope proc spleen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr rem hernia init reduce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49550","description":"Rpr rem hernia init reduce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient_ who has a reactive hcv antibody test_ and has a follow up hcv viral test that detected hcv viremia_ is referred within 1 month of the reactive hcv antibody test to a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1229","description":"Patient_ who has a reactive hcv antibody test_ and has a follow up hcv viral test that detected hcv viremia_ is referred within 1 month of the reactive hcv antibody test to a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mtms by pharm np 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99605","description":"Mtms by pharm np 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj axillary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64417","description":"N block inj axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine disk surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63075","description":"Neck spine disk surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM3","description":"HIPPS-1CFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"XK GNOTYP XK EXONS 1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0200U","description":"XK GNOTYP XK EXONS 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cosyntropin_ not otherwise specified_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0833","description":"Injection_ cosyntropin_ not otherwise specified_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr f/c/c/m/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13131","description":"Cmplx rpr f/c/c/m/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult speech aid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5953","description":"Adult speech aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57500","description":"Biopsy of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood Component Or Product Not Otherwise Classified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9099","description":"Blood Component Or Product Not Otherwise Classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rubella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86762","description":"Rubella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semi-precision attachment - placement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6192","description":"Semi-precision attachment - placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Storage/year reprod tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89344","description":"Storage/year reprod tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Circumcision w/regionl block","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54150","description":"Circumcision w/regionl block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0676T","description":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45540","description":"Correct rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat big toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28490","description":"Treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5150","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5150","description":"HCPCS-Q5150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech evaluation complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70371","description":"Speech evaluation complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anter chamber intraocul lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2630","description":"Anter chamber intraocul lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penis plastic surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54360","description":"Penis plastic surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng anti r-viral thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4271F","description":"Pt rcvng anti r-viral thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27600","description":"Decompression of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE25D","description":"HIPPS-PE25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr umbil hern reduc < 5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49580","description":"Rpr umbil hern reduc < 5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N.gonorrhoeae dna amp prob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87591","description":"N.gonorrhoeae dna amp prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA11B","description":"HIPPS-CA11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65273","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Atten d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9167","description":"Atten d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53210","description":"Removal of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam thorac spine4/>vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72074","description":"X-ray exam thorac spine4/>vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0581U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0581U","description":"CPT-0581U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periodontal scaling & root","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4341","description":"Periodontal scaling & root","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc order cefazolin/cefurox","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4041F","description":"Doc order cefazolin/cefurox","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt=d(rh)+ or sensitized","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3291F","description":"Pt=d(rh)+ or sensitized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-stranded_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2699","description":"Brachytx_ non-stranded_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular stim for shock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0745","description":"Neuromuscular stim for shock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acupunct w/o stimul 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97810","description":"Acupunct w/o stimul 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable pack w/bowel syst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0352","description":"Disposable pack w/bowel syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin pneum swg frc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5822","description":"Endo knee-shin pneum swg frc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE10C","description":"HIPPS-HE10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41018","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHK2","description":"HIPPS-1BHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHL1","description":"HIPPS-3AHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace chest compress vest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7025","description":"Replace chest compress vest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGK5","description":"HIPPS-1AGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add pwr tiller","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0984","description":"Add pwr tiller","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB14D","description":"HIPPS-HB14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19369","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1098","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1098","description":"HCPCS-J1098","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forearm crutch platform atta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0153","description":"Forearm crutch platform atta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suprachoroidal injection of a pharmacologic agent (does not include supply of medication)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0465T","description":"Suprachoroidal injection of a pharmacologic agent (does not include supply of medication)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1018T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1018T","description":"CPT-1018T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ulnar fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24670","description":"Treat ulnar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urokinase 5000 iu injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3364","description":"Urokinase 5000 iu injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablation Pros Tr Hifu Incl I Guid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9747","description":"Ablation Pros Tr Hifu Incl I Guid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling intraurethral drainage device with valve_ patient inserted_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4341","description":"Indwelling intraurethral drainage device with valve_ patient inserted_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis equipment noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1699","description":"Dialysis equipment noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatobiliary system imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78226","description":"Hepatobiliary system imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NuDYN SL or NuDYN SLW_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4286","description":"NuDYN SL or NuDYN SLW_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shingrix vaccine documented as administered or previously received","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1064","description":"Shingrix vaccine documented as administered or previously received","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFL2","description":"HIPPS-2AFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0613U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0613U","description":"CPT-0613U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topical fluoride varnish","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1206","description":"Topical fluoride varnish","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair Of Orthodontic Appliance - Maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8696","description":"Repair Of Orthodontic Appliance - Maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of tongue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41130","description":"Partial removal of tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pressure sensor system_ includes all components (eg_ introducer sensor)_ intramuscular (imp)_ exc mobile (wireless) software app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1834","description":"Pressure sensor system_ includes all components (eg_ introducer sensor)_ intramuscular (imp)_ exc mobile (wireless) software app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bevacizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9257","description":"Bevacizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63272","description":"Excise intrspinl lesion lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breath tube kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2326","description":"Breath tube kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy vulva lesion/s compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56515","description":"Destroy vulva lesion/s compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor ix recombinant nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7195","description":"Factor ix recombinant nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner ear nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69915","description":"Incise inner ear nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neisseria meningitidis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86741","description":"Neisseria meningitidis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Macroscopic exam arthropod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87168","description":"Macroscopic exam arthropod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Fixed Bilateral Space Maintainer - Maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1557","description":"Removal Of Fixed Bilateral Space Maintainer - Maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg_ myotonic dystrophy type 2) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81187","description":"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg_ myotonic dystrophy type 2) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary stress test/simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94620","description":"Pulmonary stress test/simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove fix space maintainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1555","description":"Remove fix space maintainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA112","description":"HIPPS-PA112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11462","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc neck tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21554","description":"Exc neck tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26080","description":"Explore/treat finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1302","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1302","description":"CDT-D1302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHM3","description":"HIPPS-3CHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray exam of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74210","description":"Contrst x-ray exam of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation heart/lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33935","description":"Transplantation heart/lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative visual axis identification using patient fixation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0514T","description":"Intraoperative visual axis identification using patient fixation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50081","description":"Removal of kidney stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28B","description":"HIPPS-PA28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound prep f/n/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15004","description":"Wound prep f/n/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emerge matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4297","description":"Emerge matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject/aspirate liver cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47015","description":"Inject/aspirate liver cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC1B","description":"HIPPS-RMC1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct urethra stage 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53425","description":"Reconstruct urethra stage 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM5","description":"HIPPS-3AFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA11A","description":"HIPPS-PA11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc rsn no scr uter malig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9619","description":"Doc rsn no scr uter malig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No eval riskk vte card prior","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9299","description":"No eval riskk vte card prior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD110","description":"HIPPS-LD110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic mens shoes oxford","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3219","description":"Orthopedic mens shoes oxford","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parvovirus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86747","description":"Parvovirus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01470","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01470","description":"CPT-01470","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bedside drainage bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4357","description":"Bedside drainage bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/bx nodule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32608","description":"Thoracoscopy w/bx nodule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cont intraop neuro monitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0453","description":"Cont intraop neuro monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I125 serum albumin_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9532","description":"I125 serum albumin_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA12D","description":"HIPPS-BA12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dress/debrid p-thick burn l","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16030","description":"Dress/debrid p-thick burn l","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin grft t/a/l addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15151","description":"Cult skin grft t/a/l addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metatarsal joint implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8641","description":"Metatarsal joint implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosnetupitant 235 mg and palonosetron 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1454","description":"Injection_ fosnetupitant 235 mg and palonosetron 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cus elbo skt in not con/atyp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6697","description":"Cus elbo skt in not con/atyp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain to peritoneal cavity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49062","description":"Drain to peritoneal cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phototherapy light w/ photom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0202","description":"Phototherapy light w/ photom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Note hring tst w/in 6 mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3230F","description":"Note hring tst w/in 6 mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHKV","description":"HIPPS-2CHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx platelet plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0232T","description":"Njx platelet plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of finger abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26011","description":"Drainage of finger abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of skull seams","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61550","description":"Release of skull seams","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL03","description":"HIPPS-RUL03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide ova aspiration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76948","description":"Echo guide ova aspiration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy w/biopsy(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31625","description":"Bronchoscopy w/biopsy(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-evaluation of physical therapy established plan of care_ requiring these components: An examination including a review of history and use of standardized tests and measures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97164","description":"Re-evaluation of physical therapy established plan of care_ requiring these components: An examination including a review of history and use of standardized tests and measures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8A","description":"HIPPS-RMC8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25525","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of split wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12021","description":"Closure of split wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM2","description":"HIPPS-4BHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL0C","description":"HIPPS-RHL0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE11A","description":"HIPPS-LE11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bortezomib_ not otherwise specified_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9044","description":"Injection_ bortezomib_ not otherwise specified_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exposure adaptive behavior treatment with protocol modification requiring two or more technicians for severe maladaptive behavior(s); each additional 30 minutes of technicians","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0374T","description":"Exposure adaptive behavior treatment with protocol modification requiring two or more technicians for severe maladaptive behavior(s); each additional 30 minutes of technicians","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL1B","description":"HIPPS-RUL1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB12D","description":"HIPPS-LB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology_ Red Blood Cell (Rbc) Functionality And Deformity As A Function Of Shear Stress_ Whole Blood_ Reported As A Maximum Elongation Index","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0305U","description":"Hematology_ Red Blood Cell (Rbc) Functionality And Deformity As A Function Of Shear Stress_ Whole Blood_ Reported As A Maximum Elongation Index","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL12","description":"HIPPS-RUL12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56740","description":"Remove vagina gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA25","description":"HIPPS-RMA25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML1C","description":"HIPPS-RML1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1371","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1371","description":"HCPCS-M1371","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart symp image plnr spect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0332T","description":"Heart symp image plnr spect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53270","description":"Removal of urethra gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rna tstng hepc vir ord/docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3265F","description":"Rna tstng hepc vir ord/docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1035T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1035T","description":"CPT-1035T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5655","description":"Socket insert below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ sacroiliac joint_ percutaneous_ with image guidance_ including placement of intra-articular implant(s) (eg_ bone allograft[s]_ synthetic device[s])_ without place","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27278","description":"Arthrodesis_ sacroiliac joint_ percutaneous_ with image guidance_ including placement of intra-articular implant(s) (eg_ bone allograft[s]_ synthetic device[s])_ without place","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental coronoidectomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7991","description":"Dental coronoidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC11B","description":"HIPPS-PC11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spiro no perf or doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8926","description":"Spiro no perf or doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove coronoid process","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21070","description":"Remove coronoid process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK3","description":"HIPPS-4CHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy remove segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32669","description":"Thoracoscopy remove segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protamine sulfate per 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4802","description":"Protamine sulfate per 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0637U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0637U","description":"CPT-0637U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt serv p mo 12-19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90965","description":"Esrd home pt serv p mo 12-19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB35","description":"HIPPS-RLB35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8692","description":"Replacement retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decoronation or submergence of an erupted tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3921","description":"Decoronation or submergence of an erupted tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21089","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise penis/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54328","description":"Revise penis/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecg/monitoring and analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93271","description":"Ecg/monitoring and analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA42","description":"HIPPS-RMA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67801","description":"Remove eyelid lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft hand/foot </4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64895","description":"Nerve graft hand/foot </4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES314","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES314","description":"HIPPS-ES314","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maxilla or mandible resectio","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7490","description":"Maxilla or mandible resectio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above elbow switch control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6950","description":"Above elbow switch control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61521","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoproterenol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7659","description":"Isoproterenol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGK3","description":"HIPPS-1AGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33414","description":"Repair of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of hemosiderin qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83070","description":"Assay of hemosiderin qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD25D","description":"HIPPS-CD25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of percutaneous electrode array_ peripheral nerve_ with integrated neurostimulator_ including imaging guidance_ when performed; each additional electr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64597","description":"Insertion or replacement of percutaneous electrode array_ peripheral nerve_ with integrated neurostimulator_ including imaging guidance_ when performed; each additional electr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate_ inclusive of all imaging guidance and monitoring; multi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36466","description":"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate_ inclusive of all imaging guidance and monitoring; multi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8I","description":"HIPPS-RVB8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1492","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1492","description":"HCPCS-M1492","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ocrelizumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2350","description":"Injection_ ocrelizumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy lumb/sac facet jnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64635","description":"Destroy lumb/sac facet jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFK6","description":"HIPPS-3CFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser surgery eye strands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67031","description":"Laser surgery eye strands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40490","description":"Biopsy of lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28X","description":"HIPPS-HD28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLV","description":"HIPPS-4AHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0305","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0305","description":"HCPCS-B0305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tongue nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64740","description":"Incision of tongue nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Msh2 gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81295","description":"Msh2 gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ genotyping of 10 blood groups with phenotype prediction of 37 red blood cell antigens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0084U","description":"Red blood cell antigen typing_ DNA_ genotyping of 10 blood groups with phenotype prediction of 37 red blood cell antigens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"C motor evoked lwr limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95929","description":"C motor evoked lwr limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Th/wght bear nar m-l brim cu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2526","description":"Th/wght bear nar m-l brim cu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for cholangiogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47531","description":"Injection for cholangiogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem odontogen cyst to 1.25cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7450","description":"Rem odontogen cyst to 1.25cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLW","description":"HIPPS-1BGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood chloride","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82435","description":"Assay of blood chloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tech other than surfc cultr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4261F","description":"Tech other than surfc cultr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA151","description":"HIPPS-PA151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL15","description":"HIPPS-RVL15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phenylketones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84035","description":"Assay of phenylketones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40701","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN4","description":"HIPPS-3CHN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGNW","description":"HIPPS-1AGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop ren fail","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8575","description":"Postop ren fail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB24C","description":"HIPPS-PB24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPS","description":"HIPPS-1BFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA104","description":"HIPPS-BA104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Robt lin-radsurg fractx 2-5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0340","description":"Robt lin-radsurg fractx 2-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prp i/hern init block >5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49507","description":"Prp i/hern init block >5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc order anti-plat or p2y12","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9609","description":"Doc order anti-plat or p2y12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3d photographic image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0351","description":"3d photographic image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB114","description":"HIPPS-HB114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chronic care management services_ provided personally by a physician or other qualified health care professional_ at least 30 minutes of physician or other qualified health ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99491","description":"Chronic care management services_ provided personally by a physician or other qualified health care professional_ at least 30 minutes of physician or other qualified health ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decalcification procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0475","description":"Decalcification procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0577U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0577U","description":"CPT-0577U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of posterior pelvic ring fracture(s)_ dislocation(s)_ diastasis or subluxation of the ilium_ sacroiliac joint_ and/or sacrum_ with or without anterior pelvic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27197","description":"Closed treatment of posterior pelvic ring fracture(s)_ dislocation(s)_ diastasis or subluxation of the ilium_ sacroiliac joint_ and/or sacrum_ with or without anterior pelvic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plasma volume multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78111","description":"Plasma volume multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of fecal fat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82715","description":"Assay of fecal fat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enema tube_ with or without adapter_ any type_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4457","description":"Enema tube_ with or without adapter_ any type_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55815","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair by enlargement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33610","description":"Repair by enlargement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 std mult pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0885","description":"Pwc gp4 std mult pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (autosomal dominant congenital thrombocytopenia)_ genomic sequence analysis of 14 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Autosomal Dominant Thromboc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0269U","description":"Hematology (autosomal dominant congenital thrombocytopenia)_ genomic sequence analysis of 14 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Autosomal Dominant Thromboc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01274","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01274","description":"CPT-01274","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8E","description":"HIPPS-RVA8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CT/MRI chest/neck no thy nod","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9557","description":"CT/MRI chest/neck no thy nod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse upper gi structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47721","description":"Fuse upper gi structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amoxicillin_ with or without clavulanate_ not prescribed as first line antibiotic at the time of diagnosis for documented reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9313","description":"Amoxicillin_ with or without clavulanate_ not prescribed as first line antibiotic at the time of diagnosis for documented reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 std cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0823","description":"Pwc gp 2 std cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX15","description":"HIPPS-RUX15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incontinent rectal insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4337","description":"Incontinent rectal insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK5","description":"HIPPS-3AHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB26","description":"HIPPS-RMB26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal t4_n_m0 no prg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9093","description":"Onc dx rectal t4_n_m0 no prg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyoid myotomy & suspension","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21685","description":"Hyoid myotomy & suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semi-precision abutment - placement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6191","description":"Semi-precision abutment - placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prior history of known cvd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1256","description":"Prior history of known cvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No satisfy with care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0918","description":"No satisfy with care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icg angiography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92240","description":"Icg angiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain cerebro spinal fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62272","description":"Drain cerebro spinal fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK5","description":"HIPPS-1CFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD115","description":"HIPPS-HD115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nervous system surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64999","description":"Nervous system surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 160 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0144U","description":"Drug assay_ definitive_ 160 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57200","description":"Repair of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/ultrasound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45341","description":"Sigmoidoscopy w/ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0163","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0163","description":"HCPCS-J0163","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove torus mandibularis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7473","description":"Remove torus mandibularis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat vaginal bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57180","description":"Treat vaginal bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"H2o stat docd normal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2030F","description":"H2o stat docd normal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release palm/finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26440","description":"Release palm/finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy ring each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4404","description":"Ostomy ring each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLX","description":"HIPPS-4BFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prostate ca screening; dre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0102","description":"Prostate ca screening; dre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft time of implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6104","description":"Bone graft time of implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Soft Tissue_ Other_ Harvested By Direct Excision (Eg_ Fat_ Dermis_ Fascia)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15769","description":"Grafting Of Autologous Soft Tissue_ Other_ Harvested By Direct Excision (Eg_ Fat_ Dermis_ Fascia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plating chrome/nickel pr bar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2750","description":"Plating chrome/nickel pr bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cognit assessed and reviewed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1494F","description":"Cognit assessed and reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6064","description":"Abutment supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1504","description":"HCPCS-A1504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not performing a dilated macular examination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9975","description":"Documentation of medical reason(s) for not performing a dilated macular examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of somatomedin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84305","description":"Assay of somatomedin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18E","description":"HIPPS-BB18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 5MCG/0.5ML AS03","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91310","description":"SARSCOV2 VAC 5MCG/0.5ML AS03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Facial moulage sectional","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5911","description":"Facial moulage sectional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc rsn no adeno/neopl detec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9496","description":"Doc rsn no adeno/neopl detec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression glove_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6581","description":"Gradient compression glove_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA121","description":"HIPPS-PA121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00731","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731","description":"CPT-00731","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21600","description":"Partial removal of rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ls pt no elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8661","description":"Fun stat score ls pt no elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX20","description":"HIPPS-RMX20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Personal Emergency Response System (Monthly Maintenance)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1895","description":"Personal Emergency Response System (Monthly Maintenance)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB14B","description":"HIPPS-LB14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delay flap f/c/c/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15620","description":"Delay flap f/c/c/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hsv dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87529","description":"Hsv dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstr lwr jaw w/advance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21199","description":"Reconstr lwr jaw w/advance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy and dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31529","description":"Laryngoscopy and dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD235","description":"HIPPS-PD235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System With Substernal Electrode_ With Analysis_ Review And Report By A Physician Or Othe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0576T","description":"Interrogation Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System With Substernal Electrode_ With Analysis_ Review And Report By A Physician Or Othe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMV","description":"HIPPS-3AHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41015","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-imaging heart function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78414","description":"Non-imaging heart function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap w/omentopexy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49326","description":"Lap w/omentopexy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thigh length surg stocking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4495","description":"Thigh length surg stocking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0994T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0994T","description":"CPT-0994T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect back tum 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21936","description":"Resect back tum 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC224","description":"HIPPS-PC224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28B","description":"HIPPS-CD28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK4","description":"HIPPS-5CFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23620","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01732","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01732","description":"CPT-01732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of sperm duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55400","description":"Repair of sperm duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ alemtuzumab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0202","description":"Injection_ alemtuzumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0619U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0619U","description":"CPT-0619U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB217","description":"HIPPS-PB217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0405","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0405","description":"HCPCS-B0405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Care management services for behavioral health conditions_ at least 20 minutes of clinical staff time_ directed by a physician or other qualified health care professional_ per","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99484","description":"Care management services for behavioral health conditions_ at least 20 minutes of clinical staff time_ directed by a physician or other qualified health care professional_ per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reeva FT_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4314","description":"Reeva FT_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calcitonin salmon injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0630","description":"Calcitonin salmon injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of shoulder blade","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73010","description":"X-ray exam of shoulder blade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65265","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med reas rpt no histo type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9423","description":"Med reas rpt no histo type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE11B","description":"HIPPS-CE11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray 1 view frontal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71010","description":"Chest x-ray 1 view frontal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo fem fx cast semi-rigid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2134","description":"Kafo fem fx cast semi-rigid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ipratropium bromide non-comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7644","description":"Ipratropium bromide non-comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1002","description":"HCPCS-C1002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain thigh/knee lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27301","description":"Drain thigh/knee lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0681","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0681","description":"HCPCS-J0681","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wc van mileage per mi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0209","description":"Wc van mileage per mi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap enterolysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44180","description":"Lap enterolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pms2 gene dup/delet variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81319","description":"Pms2 gene dup/delet variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orchiopexy (fowler-stephens)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54650","description":"Orchiopexy (fowler-stephens)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of facial bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70140","description":"X-ray exam of facial bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Powered upper extremity range of motion assist device_ elbow_ wrist_ hand with single or double upright(s)_ includes microproce","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8701","description":"Powered upper extremity range of motion assist device_ elbow_ wrist_ hand with single or double upright(s)_ includes microproce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP2","description":"HIPPS-3CHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety counseling dementia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6101F","description":"Safety counseling dementia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phenotype infect agent drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87900","description":"Phenotype infect agent drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transparent film <= 16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6257","description":"Transparent film <= 16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psych disorders assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3700F","description":"Psych disorders assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of haptoglobins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83012","description":"Assay of haptoglobins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00882","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00882","description":"CPT-00882","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical home_ maintenance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0281","description":"Medical home_ maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary colon cancer (Lynch syndrome)_ targeted mRNA sequence analysis panel (MLH1_ MSH2_ MSH6_ PMS2)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0162U","description":"Hereditary colon cancer (Lynch syndrome)_ targeted mRNA sequence analysis panel (MLH1_ MSH2_ MSH6_ PMS2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightwt foot rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1260","description":"Wheelchair lightwt foot rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHKV","description":"HIPPS-5AHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bleeding time test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85002","description":"Bleeding time test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ivf canc p aspir case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4021","description":"Ivf canc p aspir case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xylose tolerance test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84620","description":"Xylose tolerance test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53000","description":"Incision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy arm/elbow soft tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24066","description":"Biopsy arm/elbow soft tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE255","description":"HIPPS-LE255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low- dose computed tomography for lung cancer screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8032","description":"Low- dose computed tomography for lung cancer screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99316","description":"Nursing fac discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cid ext controller repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8628","description":"Cid ext controller repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD14B","description":"HIPPS-LD14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental unspec restorative pr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2999","description":"Dental unspec restorative pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0320","description":"Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy w/biopsy(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52204","description":"Cystoscopy w/biopsy(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21076","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycobacteria culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87116","description":"Mycobacteria culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Celera Dual Layer or Celera Dual Membrane_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4259","description":"Celera Dual Layer or Celera Dual Membrane_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coronectomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7251","description":"Coronectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx bronchoscope/brush","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31623","description":"Dx bronchoscope/brush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB220","description":"HIPPS-BB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo prolong infuse w/pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96416","description":"Chemo prolong infuse w/pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29720","description":"Repair of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wbc alkaline phosphatase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85540","description":"Wbc alkaline phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cranial bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21183","description":"Reconstruct cranial bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC0A","description":"HIPPS-RVC0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB251","description":"HIPPS-PB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ mRNA_ gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algori","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0047U","description":"Oncology (prostate)_ mRNA_ gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algori","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1122","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42220","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain tumor w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62164","description":"Remove brain tumor w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLT","description":"HIPPS-3AGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us < 14 wks single fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76801","description":"Ob us < 14 wks single fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin alfa_ 100 units esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4081","description":"Epoetin alfa_ 100 units esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens_ intraocular (new tech)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1780","description":"Lens_ intraocular (new tech)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7189","description":"Factor viia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis (KO)_ single upright_ thigh and calf_ with adjustable flexion and extension joint (unicentric or polycentric)_ medial-lateral and rotation control_ with or witho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1851","description":"Knee orthosis (KO)_ single upright_ thigh and calf_ with adjustable flexion and extension joint (unicentric or polycentric)_ medial-lateral and rotation control_ with or witho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0901","description":"HCPCS-C0901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB2B","description":"HIPPS-RMB2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part hand thumb rem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6000","description":"Part hand thumb rem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flow cyto done b/4 tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3170F","description":"Flow cyto done b/4 tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct hrt w/3d image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75572","description":"Ct hrt w/3d image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair fixed arms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1083","description":"Hemi-wheelchair fixed arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0904T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0904T","description":"CPT-0904T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parathyrd planar w/wo subtrj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78071","description":"Parathyrd planar w/wo subtrj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinus caus bac inx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9364","description":"Sinus caus bac inx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg > 48 in w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6236","description":"Hydrocolld drg > 48 in w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA36","description":"HIPPS-RHA36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee disart_ sach ft_ endo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5312","description":"Knee disart_ sach ft_ endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB226","description":"HIPPS-CB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replant forearm complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20805","description":"Replant forearm complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Micro exam prep & report","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0473","description":"Micro exam prep & report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27257","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Islet cell antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86341","description":"Islet cell antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upright gait trainer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E8001","description":"Upright gait trainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Azathioprine oral 50mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7500","description":"Azathioprine oral 50mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB115","description":"HIPPS-HB115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pvb thoracic cont infusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64463","description":"Pvb thoracic cont infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transurethral rf treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53860","description":"Transurethral rf treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng arm splint plst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4017","description":"Cast sup lng arm splint plst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair multi-comp penis pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54408","description":"Repair multi-comp penis pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64555","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo_ colon_ retro imaging","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1749","description":"Endo_ colon_ retro imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0041A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE201","description":"HIPPS-HE201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB160","description":"HIPPS-HB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma education","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9441","description":"Asthma education","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE104","description":"HIPPS-LE104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syst bp lt 130 mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3074F","description":"Syst bp lt 130 mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4296","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4296","description":"HCPCS-A4296","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1285","description":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Composite drsg <= 16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6203","description":"Composite drsg <= 16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX4C","description":"HIPPS-RMX4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL1","description":"HIPPS-2CFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lysis + lavage w catheters","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7871","description":"Lysis + lavage w catheters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35471","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 12.6-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12035","description":"Intmd rpr s/a/t/ext 12.6-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of tibia fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27759","description":"Treatment of tibia fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl vagus nerve pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0315T","description":"Rmvl vagus nerve pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (Teva) not therapeutically equivalent to J9305_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9314","description":"Injection_ pemetrexed (Teva) not therapeutically equivalent to J9305_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; each additional 30 minutes of pa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0369T","description":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; each additional 30 minutes of pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ggt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82977","description":"Assay of ggt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD241","description":"HIPPS-CD241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bimatoprost_ intracameral implant_ 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7351","description":"Injection_ bimatoprost_ intracameral implant_ 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Th/wght bear nar m-l brim mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2525","description":"Th/wght bear nar m-l brim mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth trach-bronch reconst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53951","description":"Anesth trach-bronch reconst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA17","description":"HIPPS-RHA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Full sole/heel wedge btween","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3420","description":"Full sole/heel wedge btween","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC117","description":"HIPPS-LC117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA13B","description":"HIPPS-CA13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB214","description":"HIPPS-LB214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-op asst doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9615","description":"Pre-op asst doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alkaloids_ urine_ quantitative","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6041","description":"Alkaloids_ urine_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA56","description":"HIPPS-RMA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemolysin acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85475","description":"Hemolysin acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 20.1-30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12036","description":"Intmd rpr s/a/t/ext 20.1-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Car-car bp grft/endovas taa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33891","description":"Car-car bp grft/endovas taa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFM2","description":"HIPPS-3CFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-Measured Blood Pressure Using A Device Validated For Clinical Accuracy; Separate Self-Measurements Of Two Readings One Minute Apart_ Twice Daily Over A 30-Day Period (Min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99474","description":"Self-Measured Blood Pressure Using A Device Validated For Clinical Accuracy; Separate Self-Measurements Of Two Readings One Minute Apart_ Twice Daily Over A 30-Day Period (Min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35656","description":"Art byp femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27151","description":"Incision of hip bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial foot exam pt lops","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0245","description":"Initial foot exam pt lops","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99315","description":"Nursing fac discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-heu tc-99m add-on/dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9969","description":"Non-heu tc-99m add-on/dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01965","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01965","description":"CPT-01965","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1430","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1430","description":"HCPCS-M1430","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper facial prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8043","description":"Upper facial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescrl fuse w/ instr l5-s1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22586","description":"Prescrl fuse w/ instr l5-s1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visc & infraren abd 4+ prost","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34848","description":"Visc & infraren abd 4+ prost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt immunity to hep a docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3215F","description":"Pt immunity to hep a docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93641","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq card stent w/angio addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92929","description":"Prq card stent w/angio addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML43","description":"HIPPS-RML43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lat lumbar spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22533","description":"Lat lumbar spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27705","description":"Incision of tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat pelvic ring fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27217","description":"Treat pelvic ring fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA4D","description":"HIPPS-RHA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD244","description":"HIPPS-HD244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate bone tumor(s) perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20982","description":"Ablate bone tumor(s) perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documented reason for not screening or recommending a follow-up for high blood pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1288","description":"Documented reason for not screening or recommending a follow-up for high blood pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sex chromatin identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88140","description":"Sex chromatin identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Work related disability exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99455","description":"Work related disability exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo molded to patient plasti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1940","description":"Afo molded to patient plasti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9011","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9011","description":"HCPCS-J9011","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9702","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK5","description":"HIPPS-5AGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride nail 6 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11721","description":"Debride nail 6 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pain neg no plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8731","description":"Pain neg no plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pten gene known fam variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81322","description":"Pten gene known fam variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54322","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid sup/access/dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5267","description":"Hearing aid sup/access/dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt silver oxide 1.5 v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0601","description":"Repl batt silver oxide 1.5 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB235","description":"HIPPS-HB235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult foster care per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5140","description":"Adult foster care per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for >6 wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1135F","description":"Epsd bk pain for >6 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ankle arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29895","description":"Ankle arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental prophylaxis adult","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1110","description":"Dental prophylaxis adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria antitoxin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90296","description":"Diphtheria antitoxin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc surv no stroke after cas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9259","description":"Doc surv no stroke after cas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hip uni 4/> views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73503","description":"X-ray exam hip uni 4/> views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate heart dysrhythm focus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33250","description":"Ablate heart dysrhythm focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Punch biopsy of skin (including simple closure_ when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11105","description":"Punch biopsy of skin (including simple closure_ when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ guiding","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1887","description":"Catheter_ guiding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0649U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0649U","description":"CPT-0649U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE13C","description":"HIPPS-PE13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1491","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1491","description":"HCPCS-M1491","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of caries arresting medicament-per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1354","description":"Application of caries arresting medicament-per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp axillary-pop-tibial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35623","description":"Art byp axillary-pop-tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system_ with iterative adjustment of the implantable device to test the function of the device an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0650T","description":"Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system_ with iterative adjustment of the implantable device to test the function of the device an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening tapentadol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80372","description":"Drug screening tapentadol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23540","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx gastro intub w/asp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43753","description":"Tx gastro intub w/asp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Galsulfase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1458","description":"Galsulfase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA140","description":"HIPPS-CA140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9696","description":"Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL45","description":"HIPPS-RVL45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A5001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5001","description":"HCPCS-A5001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate cancer)_ image analysis of at least 128 histologic features and clinical factors_ prognostic algorithm determining the risk of distant metastases_ and prost","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0376U","description":"Oncology (prostate cancer)_ image analysis of at least 128 histologic features and clinical factors_ prognostic algorithm determining the risk of distant metastases_ and prost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat kneecap fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27524","description":"Treat kneecap fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mobile arm supports reclinin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2628","description":"Mobile arm supports reclinin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal Vaccine Was Not Administered On Or After Patient_S 60Th Birthday And Before The End Of The Measurement Period_ Reason Not Otherwise Specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9990","description":"Pneumococcal Vaccine Was Not Administered On Or After Patient_S 60Th Birthday And Before The End Of The Measurement Period_ Reason Not Otherwise Specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjv thxpyrxd/rcvd colon ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4180F","description":"Adjv thxpyrxd/rcvd colon ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmi is documented below normal parameters and a follow-up plan is documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1287","description":"Bmi is documented below normal parameters and a follow-up plan is documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain blood from under nail","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11740","description":"Drain blood from under nail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30462","description":"Revision of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81286","description":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no 7d f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9406","description":"Doc reas no 7d f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA214","description":"HIPPS-CA214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ven blood coll snf/hha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0471","description":"Ven blood coll snf/hha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phenytoin total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80185","description":"Assay of phenytoin total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ reslizumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2786","description":"Injection_ reslizumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test socket shldr disart/tho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6684","description":"Test socket shldr disart/tho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 hd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0837","description":"Pwc gp 2 hd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK2","description":"HIPPS-1AHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder-vagina lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57320","description":"Repair bladder-vagina lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewho airplan desig abdu pos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3960","description":"Sewho airplan desig abdu pos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abortion (mpr)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59866","description":"Abortion (mpr)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0985T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0985T","description":"CPT-0985T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4344","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4344","description":"HCPCS-Q4344","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous Cellular Implant Derived From Adipose Tissue For The Treatment Of Osteoarthritis Of The Knees; Injection Of Cellular Implant Into Knee Joint Including Ultrasound Gu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0566T","description":"Autologous Cellular Implant Derived From Adipose Tissue For The Treatment Of Osteoarthritis Of The Knees; Injection Of Cellular Implant Into Knee Joint Including Ultrasound Gu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy nerve of eye muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67345","description":"Destroy nerve of eye muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bckdhb gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81205","description":"Bckdhb gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ moxetumomab pasudotox-tdfx_ 0.01mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9045","description":"Injection_ moxetumomab pasudotox-tdfx_ 0.01mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53600","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert emergency airway","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31500","description":"Insert emergency airway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lumb artif disc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22865","description":"Remove lumb artif disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription digital visual therapy_ software-only_ FDA cleared_ per course of treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9292","description":"Prescription digital visual therapy_ software-only_ FDA cleared_ per course of treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA01","description":"HIPPS-AAA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin graft t/a/l +%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15152","description":"Cult skin graft t/a/l +%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ bandage liner_ lower extremity_ any size or length_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6594","description":"Gradient compression bandaging supply_ bandage liner_ lower extremity_ any size or length_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1000T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1000T","description":"CPT-1000T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient prescribed a 180-day course of treatment with beta-blockers post discharge for AMI","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9803","description":"Patient prescribed a 180-day course of treatment with beta-blockers post discharge for AMI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31075","description":"Exploration of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close tear duct opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68760","description":"Close tear duct opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL1","description":"HIPPS-2CHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest cultured skin graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15040","description":"Harvest cultured skin graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable Collection And Storage Bag For Breast Milk_ Any Size_ Any Type_ Each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1005","description":"Disposable Collection And Storage Bag For Breast Milk_ Any Size_ Any Type_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX02","description":"HIPPS-RLX02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls repos perph cnula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33958","description":"Ecmo/ecls repos perph cnula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFKX","description":"HIPPS-1BFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0543U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0543U","description":"CPT-0543U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"replacement of restorative material used to close an access opening of a screw-retained implant supported prosthesis_ per implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6197","description":"replacement of restorative material used to close an access opening of a screw-retained implant supported prosthesis_ per implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL10","description":"HIPPS-RHL10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44140","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Interpretation And Report On Fracture-Risk Only By Other Qualified Health Care Professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77092","description":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Interpretation And Report On Fracture-Risk Only By Other Qualified Health Care Professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetics 3-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88272","description":"Cytogenetics 3-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0678T","description":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient has metastatic disease at diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9842","description":"Patient has metastatic disease at diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42510","description":"Parotid duct diversion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFM5","description":"HIPPS-2BFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray guide for gi tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74340","description":"X-ray guide for gi tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK6","description":"HIPPS-4AFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair Of Fixed Retainer_ Includes Reattachment - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8702","description":"Repair Of Fixed Retainer_ Includes Reattachment - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65175","description":"Removal of ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Services performed by birth a doula birth workers_ per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1032","description":"Services performed by birth a doula birth workers_ per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63655","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Brain Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1079","description":"Radiation Therapy For Brain Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmic mitomycin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7315","description":"Ophthalmic mitomycin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7570","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7570","description":"HCPCS-C7570","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stress tte only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93350","description":"Stress tte only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary suspensory","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5105","description":"Urinary suspensory","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0969T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0969T","description":"CPT-0969T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special eye evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92020","description":"Special eye evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory bp recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93786","description":"Ambulatory bp recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE201","description":"HIPPS-CE201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA155","description":"HIPPS-CA155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer For Metal Fpd - Noble Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6122","description":"Implant Supported Retainer For Metal Fpd - Noble Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66761","description":"Revision of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/bx pleura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32609","description":"Thoracoscopy w/bx pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of artery/vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35761","description":"Exploration of artery/vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA13D","description":"HIPPS-PA13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup hip spica ped fbrgl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4028","description":"Cast sup hip spica ped fbrgl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rev artific disc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0098T","description":"Rev artific disc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polishing artifical eye","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2624","description":"Polishing artifical eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28A","description":"HIPPS-HE28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Straight knee joint heavy du","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2385","description":"Straight knee joint heavy du","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC54","description":"HIPPS-RUC54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD117","description":"HIPPS-LD117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of middle ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69440","description":"Exploration of middle ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TYMS (thymidylate synthetase) (eg_ 5-fluorouracil/5-FU drug metabolism)_ gene analysis_ common variant(s) (eg_ tandem repeat variant)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81346","description":"TYMS (thymidylate synthetase) (eg_ 5-fluorouracil/5-FU drug metabolism)_ gene analysis_ common variant(s) (eg_ tandem repeat variant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1972","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1972","description":"HCPCS-L1972","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient transferred to practice after initiation of chemotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9826","description":"Patient transferred to practice after initiation of chemotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xray endovasc thor ao repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75956","description":"Xray endovasc thor ao repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB13A","description":"HIPPS-PB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOREPAIR or AltiPly_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4235","description":"AMNIOREPAIR or AltiPly_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC20D","description":"HIPPS-PC20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB42","description":"HIPPS-RUB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of cadmium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82300","description":"Assay of cadmium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPU","description":"HIPPS-3CGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture groin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35132","description":"Repair artery rupture groin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ue fx orth shoul cap forearm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3981","description":"Ue fx orth shoul cap forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Legionella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86713","description":"Legionella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLX","description":"HIPPS-3BFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00810","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00810","description":"CPT-00810","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15241","description":"Skin full graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA245","description":"HIPPS-BA245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28I","description":"HIPPS-CD28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metacarp fx orthosis pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3918","description":"Metacarp fx orthosis pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD24A","description":"HIPPS-CD24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"WoundPlus_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4326","description":"WoundPlus_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of hip casts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29325","description":"Application of hip casts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE136","description":"HIPPS-HE136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change of ureter tube/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50688","description":"Change of ureter tube/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8F","description":"HIPPS-RUB8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ ep_ diag/abl_ 3d/vect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1732","description":"Cath_ ep_ diag/abl_ 3d/vect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Head/extremity control inter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2328","description":"Head/extremity control inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation_ including imaging guidance (eg_ ultrasound and/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7549","description":"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation_ including imaging guidance (eg_ ultrasound and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL1","description":"HIPPS-2CGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61450","description":"Incise skull for surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj intercost sng","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64420","description":"N block inj intercost sng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB244","description":"HIPPS-PB244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest compression gen system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0483","description":"Chest compression gen system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood pressure reading not documented_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1281","description":"Blood pressure reading not documented_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate heart dysrhythm focus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33251","description":"Ablate heart dysrhythm focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC114","description":"HIPPS-HC114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC46","description":"HIPPS-RUC46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic Surgery Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4035","description":"Thoracic Surgery Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply forearm splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29126","description":"Apply forearm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Recording (Includes Connection And Initial Recording)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93246","description":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Recording (Includes Connection And Initial Recording)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27810","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen dressing >48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6023","description":"Collagen dressing >48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKW","description":"HIPPS-1CGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB156","description":"HIPPS-BB156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Csf ventriculography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78635","description":"Csf ventriculography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0304","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0304","description":"HCPCS-B0304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso a-p-l control w/ inter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0710","description":"Ctlso a-p-l control w/ inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGM6","description":"HIPPS-1CGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD255","description":"HIPPS-CD255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open thrombect av fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36831","description":"Open thrombect av fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01620","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01620","description":"CPT-01620","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1123","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R&l hrt art/ventricle angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93461","description":"R&l hrt art/ventricle angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA22C","description":"HIPPS-PA22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD231","description":"HIPPS-PD231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repos nstim apnea stimj ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0432T","description":"Repos nstim apnea stimj ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onlay repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2982","description":"Onlay repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC155","description":"HIPPS-PC155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE231","description":"HIPPS-PE231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair leg fascia defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27656","description":"Repair leg fascia defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE25B","description":"HIPPS-CE25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ mon_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5244","description":"Hearing aid_ prog_ mon_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ bin_ bte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5253","description":"Hearing aid_ prog_ bin_ bte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine osmolality","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83935","description":"Assay of urine osmolality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscope_ single-use (i.e. disposable)_ upper GI_ imaging/illumination device (insertable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1748","description":"Endoscope_ single-use (i.e. disposable)_ upper GI_ imaging/illumination device (insertable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advnc care plan in rcrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1157F","description":"Advnc care plan in rcrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64655","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64655","description":"CPT-64655","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic Interventions That Focus On Cognitive Function (Eg_ Attention_ Memory_ Reasoning_ Executive Function_ Problem Solving_ And/Or Pragmatic Functioning) And Compensato","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97130","description":"Therapeutic Interventions That Focus On Cognitive Function (Eg_ Attention_ Memory_ Reasoning_ Executive Function_ Problem Solving_ And/Or Pragmatic Functioning) And Compensato","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/abn lvef b-bloc no rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8452","description":"Pt w/abn lvef b-bloc no rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB43","description":"HIPPS-RLB43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acp discuss-no dscnmkr docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1124F","description":"Acp discuss-no dscnmkr docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc medrsn no compl antibio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9300","description":"Doc medrsn no compl antibio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB150","description":"HIPPS-PB150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anterior thoracic vertebral body tethering_ including thoracoscopy_ when performed; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22837","description":"Anterior thoracic vertebral body tethering_ including thoracoscopy_ when performed; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0596U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0596U","description":"CPT-0596U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC24D","description":"HIPPS-PC24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB5C","description":"HIPPS-RLB5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Facial prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5919","description":"Facial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect leg/ankle tum 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27616","description":"Resect leg/ankle tum 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat slipped epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27178","description":"Treat slipped epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xe133 xenon 10mci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9558","description":"Xe133 xenon 10mci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9804","description":"HCPCS-C9804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle(s) add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67320","description":"Revise eye muscle(s) add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA06","description":"HIPPS-RLA06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1040T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1040T","description":"CPT-1040T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft trunk add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15201","description":"Skin full graft trunk add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2212","description":"Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspirin/clopidogrel rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4086F","description":"Aspirin/clopidogrel rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multidisciplinary care plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0580F","description":"Multidisciplinary care plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA12","description":"HIPPS-AAA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA17","description":"HIPPS-RMA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"A/d tx program_ per hour","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2035","description":"A/d tx program_ per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rxt breast appl place/remov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9726","description":"Rxt breast appl place/remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral evaluation pt < 3yrs","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0145","description":"Oral evaluation pt < 3yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phenytoin free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80186","description":"Assay of phenytoin free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM1","description":"HIPPS-4BGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Feeding aid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5951","description":"Feeding aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ini phq9 >9 no remiss >=5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9395","description":"Ini phq9 >9 no remiss >=5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33361","description":"Replace aortic valve perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of ileostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44314","description":"Revision of ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB41","description":"HIPPS-RUB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telecare equipment installation and removal with training","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W2025","description":"Telecare equipment installation and removal with training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immune complex assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86332","description":"Immune complex assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of gentamicin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80170","description":"Assay of gentamicin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sacral nerve stim test lead","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4290","description":"Sacral nerve stim test lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Measles virus vaccine_ live_ for subcutaneous or jet injection use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90705","description":"Measles virus vaccine_ live_ for subcutaneous or jet injection use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel iu 52mg 3 yr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7297","description":"Levonorgestrel iu 52mg 3 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1372","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1372","description":"HCPCS-M1372","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27823","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis with simple programming of implanted integrated neurostimulation system (eg_ electrode array and receiver)_ including contact group(s)_ amplitude_ pulse wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0788T","description":"Electronic analysis with simple programming of implanted integrated neurostimulation system (eg_ electrode array and receiver)_ including contact group(s)_ amplitude_ pulse wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medication admin visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1502","description":"Medication admin visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0641U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0641U","description":"CPT-0641U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump_non-prog_ perm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1891","description":"Infusion pump_non-prog_ perm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE12A","description":"HIPPS-LE12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE244","description":"HIPPS-PE244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0672U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0672U","description":"CPT-0672U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj perflutren lip micros_ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9957","description":"Inj perflutren lip micros_ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKU","description":"HIPPS-5CHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt referral for ect docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4067F","description":"Pt referral for ect docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5139","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5139","description":"HCPCS-Q5139","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD113","description":"HIPPS-HD113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy prostatic imp 1-3","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9739","description":"Cystoscopy prostatic imp 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA1C","description":"HIPPS-AAA1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup long leg plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4029","description":"Cast sup long leg plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy care kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4629","description":"Tracheostomy care kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Evicore_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1001","description":"Clinical Decision Support Mechanism Evicore_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx gastr intub w/asp specs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43755","description":"Dx gastr intub w/asp specs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/drain eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67405","description":"Explore/drain eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96936","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterostomal therapy by a re","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9474","description":"Enterostomal therapy by a re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA3D","description":"HIPPS-RLA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/fam w/e&m 60 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90838","description":"Psytx pt&/fam w/e&m 60 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lung artery emboli","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33915","description":"Remove lung artery emboli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gr24 nonsealed leadacid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2362","description":"Gr24 nonsealed leadacid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fistula cannulation set_ ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4730","description":"Fistula cannulation set_ ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3379","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3379","description":"HCPCS-J3379","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Commissure splint","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5987","description":"Commissure splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES13A","description":"HIPPS-ES13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18B","description":"HIPPS-CC18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of kneecap tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27380","description":"Repair of kneecap tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anterior gait trainer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E8002","description":"Anterior gait trainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mandibular denture prosth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5935","description":"Mandibular denture prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58900","description":"Biopsy of ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44121","description":"Removal of small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nose lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30125","description":"Removal of nose lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67935","description":"Repair eyelid wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6013","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85999","description":"Hematology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01130","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01130","description":"CPT-01130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA13D","description":"HIPPS-BA13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1452","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1452","description":"HCPCS-M1452","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure 60 minutes or longer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9362","description":"Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure 60 minutes or longer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology breast mrna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81519","description":"Oncology breast mrna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mlh1 gene dup/delete variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81294","description":"Mlh1 gene dup/delete variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair dura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61619","description":"Repair dura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso flex trnk sj-ss pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0457","description":"Tlso flex trnk sj-ss pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lacosamide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9254","description":"Injection_ lacosamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC SOLID TUMOR 30 PRTN TRGT","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0174U","description":"ONC SOLID TUMOR 30 PRTN TRGT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0923T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0923T","description":"CPT-0923T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLU","description":"HIPPS-4BGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mthfr gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81291","description":"Mthfr gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX33","description":"HIPPS-RMX33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sodium fluoride f-18","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9580","description":"Sodium fluoride f-18","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Typhoid vaccine oral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90690","description":"Typhoid vaccine oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lo rig pos pnl l1-l5 pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0641","description":"Lo rig pos pnl l1-l5 pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc active inj drug use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9518","description":"Doc active inj drug use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ria nonantibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83519","description":"Ria nonantibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64565","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gtt-added samples","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82952","description":"Gtt-added samples","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25375","description":"Revise radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral antral fistula closure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7260","description":"Oral antral fistula closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL6","description":"HIPPS-2CGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26370","description":"Repair finger/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo sing solid stirrup calf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1980","description":"Afo sing solid stirrup calf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol carb > 50%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4180","description":"Parenteral sol carb > 50%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB211","description":"HIPPS-BB211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0094A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease_ chronic hepatitis C virus (HCV) infection_ six biochemical assays (ALT_ A2-macroglobulin_ apolipoprotein A-1_ total bilirubin_ GGT_ and haptoglobin) utiliz","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81596","description":"Infectious disease_ chronic hepatitis C virus (HCV) infection_ six biochemical assays (ALT_ A2-macroglobulin_ apolipoprotein A-1_ total bilirubin_ GGT_ and haptoglobin) utiliz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-2 piece w/ graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21146","description":"Lefort i-2 piece w/ graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bevacizumab-adcd (vegzelma)_ biosimilar_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5129","description":"Injection_ bevacizumab-adcd (vegzelma)_ biosimilar_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Baclofen intrathecal trial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0476","description":"Baclofen intrathecal trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skills train and dev_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2014","description":"Skills train and dev_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bimatoprost_ intracameral implant_ 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3751","description":"Injection_ bimatoprost_ intracameral implant_ 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKU","description":"HIPPS-2BGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8E","description":"HIPPS-RHB8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cyp2c9 gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81227","description":"Cyp2c9 gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18C","description":"HIPPS-CE18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC22C","description":"HIPPS-HC22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cushioned headrest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0955","description":"Cushioned headrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0782T","description":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Progenamatrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4222","description":"Progenamatrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intradermal Cancer Immunotherapy; Each Additional Injection (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0709T","description":"Intradermal Cancer Immunotherapy; Each Additional Injection (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Azacitidine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9025","description":"Azacitidine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g._ audit_ DAST)_ and brief intervention_ 5-14 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2011","description":"Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g._ audit_ DAST)_ and brief intervention_ 5-14 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Should sling/vest/abrestrain","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4566","description":"Should sling/vest/abrestrain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of spermatic ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54901","description":"Fusion of spermatic ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daptomycin (Baxter)_ not therapeutically equivalent to J0878_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0874","description":"Injection_ daptomycin (Baxter)_ not therapeutically equivalent to J0878_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric electric hand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7008","description":"Pediatric electric hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0976T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0976T","description":"CPT-0976T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL01","description":"HIPPS-RVL01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFLV","description":"HIPPS-2BFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allergy patch tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95044","description":"Allergy patch tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hip uni 2-3 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73502","description":"X-ray exam hip uni 2-3 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55810","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec sz spec ht a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1227","description":"Wheelchair spec sz spec ht a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15836","description":"Excise excessive skin arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLT","description":"HIPPS-3CHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and identified as a tobacco user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9902","description":"Patient screened for tobacco use and identified as a tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay iga/igd/igg/igm each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82784","description":"Assay iga/igd/igg/igm each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML0A","description":"HIPPS-RML0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of palm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26450","description":"Incision of palm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1702","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1702","description":"HCPCS-B1702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN2","description":"HIPPS-3AGN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA34","description":"HIPPS-RVA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0081","description":"Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC135","description":"HIPPS-PC135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN4","description":"HIPPS-3CGN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory bp monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93784","description":"Ambulatory bp monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45116","description":"Partial removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31755","description":"Repair of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB110","description":"HIPPS-PB110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Targeted Sequence Analysis (Eg_ 4 Oncology)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81352","description":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Targeted Sequence Analysis (Eg_ 4 Oncology)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Redo endovas vena cava filtr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37192","description":"Redo endovas vena cava filtr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of precision att","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5867","description":"Replacement of precision att","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home vent mgmt supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94005","description":"Home vent mgmt supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01991","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01991","description":"CPT-01991","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunotherapy injections","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95117","description":"Immunotherapy injections","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood/lymph system procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38999","description":"Blood/lymph system procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respirator motion mgmt simul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77293","description":"Respirator motion mgmt simul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ceftizoxime sodium / 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0715","description":"Ceftizoxime sodium / 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0107","description":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroestradiol f18_ diagnostic_ 1 mci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9060","description":"Fluoroestradiol f18_ diagnostic_ 1 mci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Belt/vest elec/combo vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0499","description":"Belt/vest elec/combo vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"H pylori (c-13) breath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83013","description":"H pylori (c-13) breath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ondansetron oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0162","description":"Ondansetron oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post-coital mucous exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0115","description":"Post-coital mucous exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/substance abuse skil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1012","description":"Alcohol/substance abuse skil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB12B","description":"HIPPS-HB12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cholera vaccine live oral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90625","description":"Cholera vaccine live oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCV2 10MCG TRS-SUCR 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0071A","description":"ADM SARSCV2 10MCG TRS-SUCR 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy flex biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43202","description":"Esophagoscopy flex biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bortezomib (fresenius kabi)_ not therapeutically equivalent to j9041_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9048","description":"Injection_ bortezomib (fresenius kabi)_ not therapeutically equivalent to j9041_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close mult vsd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33675","description":"Close mult vsd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt has no resp insufficiency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1505F","description":"Pt has no resp insufficiency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX51","description":"HIPPS-RUX51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35271","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tongue mouth neck surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41153","description":"Tongue mouth neck surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy remove lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46610","description":"Anoscopy remove lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asp not presc disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9437","description":"Asp not presc disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD154","description":"HIPPS-CD154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0634U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0634U","description":"CPT-0634U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30120","description":"Revision of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low frequency non-thermal us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97610","description":"Low frequency non-thermal us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4432","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4432","description":"HCPCS-Q4432","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65235","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Implantation Or Replacement Of Integrated Single Device Neurostimulation System Including Electrode Array And Receiver Or Pulse Generator_ Including Analysis_ Pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0587T","description":"Percutaneous Implantation Or Replacement Of Integrated Single Device Neurostimulation System Including Electrode Array And Receiver Or Pulse Generator_ Including Analysis_ Pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA1C","description":"HIPPS-RLA1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00210","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00210","description":"CPT-00210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alloskin ac_ 1 cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4141","description":"Alloskin ac_ 1 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0902T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0902T","description":"CPT-0902T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy of bowel pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44385","description":"Endoscopy of bowel pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary breast cancer-related disorders (eg_ hereditary breast cancer_ hereditary ovarian cancer_ hereditary endometrial cancer); genomic sequence analysis panel_ must incl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81432","description":"Hereditary breast cancer-related disorders (eg_ hereditary breast cancer_ hereditary ovarian cancer_ hereditary endometrial cancer); genomic sequence analysis panel_ must incl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound srfc culturetech used","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4260F","description":"Wound srfc culturetech used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonemerg transp mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0215","description":"Nonemerg transp mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX13","description":"HIPPS-RLX13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01215","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01215","description":"CPT-01215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2080","description":"Laup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap ileo/jejuno-stomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44187","description":"Lap ileo/jejuno-stomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4360","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4360","description":"HCPCS-Q4360","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16374","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16374","description":"CPT-16374","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain bl w/cath insertion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51102","description":"Drain bl w/cath insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor ii prothrom spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85210","description":"Clot factor ii prothrom spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM2","description":"HIPPS-4CGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0521","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0521","description":"HCPCS-Q0521","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D6180","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D6180","description":"CDT-D6180","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem grp w/fistu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46258","description":"Remove in/ex hem grp w/fistu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC21C","description":"HIPPS-CC21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHPW","description":"HIPPS-1AHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK3","description":"HIPPS-3AFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O shoe add horseshoe toe tap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3560","description":"O shoe add horseshoe toe tap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00936","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00936","description":"CPT-00936","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis via av graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4053F","description":"Hemodialysis via av graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0536U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0536U","description":"CPT-0536U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1466","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1466","description":"HCPCS-M1466","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High-resolution gastric electrophysiology mapping with simultaneous patient-symptom profiling_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0868T","description":"High-resolution gastric electrophysiology mapping with simultaneous patient-symptom profiling_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29846","description":"Wrist arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4409","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4409","description":"HCPCS-Q4409","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB15B","description":"HIPPS-CB15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Principal illness navigation - peer support_ additional 30 minutes per calendar month (list separately in addition to g0140)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0146","description":"Principal illness navigation - peer support_ additional 30 minutes per calendar month (list separately in addition to g0140)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq revasc byp graft 1 vsl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92937","description":"Prq revasc byp graft 1 vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alerting device_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5269","description":"Alerting device_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Device evaluation_ interrogation_ and initial programming of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ with iterative adjustment of the implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0472T","description":"Device evaluation_ interrogation_ and initial programming of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ with iterative adjustment of the implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA117","description":"HIPPS-BA117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney imaging (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78710","description":"Kidney imaging (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK4","description":"HIPPS-3AHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytomeg dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87495","description":"Cytomeg dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1101T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1101T","description":"CPT-1101T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pw actuator replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2378","description":"Pw actuator replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure wrap with adjustable straps_ full leg_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6586","description":"Gradient pressure wrap with adjustable straps_ full leg_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX02","description":"HIPPS-RUX02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral antiplat thx rx dischrg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4073F","description":"Oral antiplat thx rx dischrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB5D","description":"HIPPS-RHB5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC32","description":"HIPPS-RVC32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of abdominal wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49900","description":"Repair of abdominal wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath stent cca w/eps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37215","description":"Transcath stent cca w/eps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt or manip for maint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8990","description":"Pt or manip for maint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9245","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9245","description":"CDT-D9245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36902","description":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0488U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0488U","description":"CPT-0488U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1603","description":"HCPCS-A1603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX13","description":"HIPPS-RHX13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0667","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0667","description":"HCPCS-G0667","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove contraceptive capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11976","description":"Remove contraceptive capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99379","description":"Nursing fac care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Presc opiates >6 wks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9583","description":"Presc opiates >6 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hypertonic saline sol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7131","description":"Hypertonic saline sol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagus motility study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91010","description":"Esophagus motility study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC104","description":"HIPPS-LC104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52320","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System With Interim Analysis_ Review(S) And Report(S) By A P","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0578T","description":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System With Interim Analysis_ Review(S) And Report(S) By A P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat sesamoid bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28531","description":"Treat sesamoid bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01941","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01941","description":"CPT-01941","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial carcinoma)_ DNA_ quantitative methylation-specific PCR of 2 genes (ONECUT2_ VIM)_ algorithmic analysis reported as positive or negative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0465U","description":"Oncology (urothelial carcinoma)_ DNA_ quantitative methylation-specific PCR of 2 genes (ONECUT2_ VIM)_ algorithmic analysis reported as positive or negative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40654","description":"Repair lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of inner eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66770","description":"Removal of inner eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gasket or seal_ for use with prosthetic socket insert_ any type_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7700","description":"Gasket or seal_ for use with prosthetic socket insert_ any type_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin fluid swg/sta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5828","description":"Endo knee-shin fluid swg/sta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of clot in graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35876","description":"Removal of clot in graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart first pass single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78481","description":"Heart first pass single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shank ft w vert load pylon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5987","description":"Shank ft w vert load pylon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal recombinant lipoprotein vaccine_ serogroup B (MenB-FHbp)_ 2 or 3 dose schedule_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90621","description":"Meningococcal recombinant lipoprotein vaccine_ serogroup B (MenB-FHbp)_ 2 or 3 dose schedule_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0494U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0494U","description":"CPT-0494U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28B","description":"HIPPS-HE28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxytocin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2590","description":"Oxytocin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cranio/maxillofacial surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21299","description":"Cranio/maxillofacial surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrin degradation quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85379","description":"Fibrin degradation quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0604","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0604","description":"CDT-D0604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7528","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial complete study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93886","description":"Intracranial complete study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bortezomib_ (dr. reddy_s)_ not therapeutically equivalent to j9041_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9046","description":"Injection_ bortezomib_ (dr. reddy_s)_ not therapeutically equivalent to j9041_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo probably bengn docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3343F","description":"Mammo probably bengn docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add ue prost s/d acrylic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7405","description":"Add ue prost s/d acrylic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy trifocal 4.0/4.25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2305","description":"Lens sphcy trifocal 4.0/4.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8F","description":"HIPPS-RLX8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thiotepa injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9340","description":"Thiotepa injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pin ulnar styloid fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25651","description":"Pin ulnar styloid fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extra heavy duty wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0007","description":"Extra heavy duty wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES23B","description":"HIPPS-ES23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD115","description":"HIPPS-CD115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX2C","description":"HIPPS-RHX2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of arm bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24134","description":"Removal of arm bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Professional services_ initial visit_ for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administrat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0089","description":"Professional services_ initial visit_ for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB211","description":"HIPPS-PB211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB44","description":"HIPPS-RLB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Review And Interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93248","description":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Review And Interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl trach puncture dilator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8514","description":"Repl trach puncture dilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0501","description":"HCPCS-C0501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0602","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0602","description":"CDT-D0602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Medica re Diabetes Prevention Program (MDPP) ongoing maintenance se ss ions (MS) were attended by an MDPP beneficiary in months (mo) 13-15 under the MDPP","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9882","description":"Two Medica re Diabetes Prevention Program (MDPP) ongoing maintenance se ss ions (MS) were attended by an MDPP beneficiary in months (mo) 13-15 under the MDPP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX07","description":"HIPPS-RHX07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triptorelin extended release_ 3.75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9016","description":"Injection_ triptorelin extended release_ 3.75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy w/tumor excise","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31640","description":"Bronchoscopy w/tumor excise","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1426","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1426","description":"HCPCS-M1426","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB225","description":"HIPPS-CB225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental connector bar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6920","description":"Dental connector bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flu imm no admin doc rea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8483","description":"Flu imm no admin doc rea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty (except dialysis circuit)_ open or percutaneous_ including all imaging and radiological supervision and interpretation necessary to perform th","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37248","description":"Transluminal balloon angioplasty (except dialysis circuit)_ open or percutaneous_ including all imaging and radiological supervision and interpretation necessary to perform th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct urethra stage 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53420","description":"Reconstruct urethra stage 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFLU","description":"HIPPS-4AFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec knee-shin swing only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5857","description":"Elec knee-shin swing only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67108","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-70471","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70471","description":"CPT-70471","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Feces culture aerobic bact","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87045","description":"Feces culture aerobic bact","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ratchet assembly","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0050","description":"Ratchet assembly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant hormone pellet(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11980","description":"Implant hormone pellet(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA53","description":"HIPPS-RMA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palb2 (Partner And Localizer Of Brca2) (Eg_ Breast And Pancreatic Cancer) Gene Analysis; Full Gene Sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81307","description":"Palb2 (Partner And Localizer Of Brca2) (Eg_ Breast And Pancreatic Cancer) Gene Analysis; Full Gene Sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI uppr extremity w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73220","description":"MRI uppr extremity w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48150","description":"Partial removal of pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hypnotherapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90880","description":"Hypnotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caries preventive medicament application - per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1355","description":"Caries preventive medicament application - per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx w/implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21407","description":"Opn tx orbit fx w/implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Hpc Nos 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9985","description":"Injection Hpc Nos 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC160","description":"HIPPS-HC160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK4","description":"HIPPS-3AGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respite care_ in the home_ p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9125","description":"Respite care_ in the home_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement nasal prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5926","description":"Replacement nasal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFKV","description":"HIPPS-5CFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML41","description":"HIPPS-RML41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES33D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES33D","description":"HIPPS-ES33D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagus n eltrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64570","description":"Remove vagus n eltrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ domicil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0086","description":"Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ domicil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX53","description":"HIPPS-RUX53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unplnd ret to surg w in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9308","description":"Unplnd ret to surg w in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Follow-Up And Mrs Score Not Assessed At 90 Days Following Endovascular Stroke Intervention","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0046","description":"Clinical Follow-Up And Mrs Score Not Assessed At 90 Days Following Endovascular Stroke Intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Posterior Chamber Of Eye_ Medication","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0699T","description":"Injection_ Posterior Chamber Of Eye_ Medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: positional headaches","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2191","description":"Patients with clinical indications for imaging of the head: positional headaches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24400","description":"Revision of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat kneecap dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27560","description":"Treat kneecap dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX2A","description":"HIPPS-RLX2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX10","description":"HIPPS-RMX10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1037T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1037T","description":"CPT-1037T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal cancer)_ image analysis with artificial intelligence assessment of 4 histologic and immunohistochemical features (CD3 and CD8 within tumor-stroma border","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0261U","description":"Oncology (colorectal cancer)_ image analysis with artificial intelligence assessment of 4 histologic and immunohistochemical features (CD3 and CD8 within tumor-stroma border","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo bx proven malig docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3350F","description":"Mammo bx proven malig docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial mastectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19301","description":"Partial mastectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB14A","description":"HIPPS-BB14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not receiving a first course of anti-tnf therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8871","description":"Patient not receiving a first course of anti-tnf therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tetanus ig im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90389","description":"Tetanus ig im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gallium ga-68 psma-11_ diagnostic_ (ucsf)_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9593","description":"Gallium ga-68 psma-11_ diagnostic_ (ucsf)_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0903","description":"HCPCS-A0903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis b vaccine injection administered or previously received and is receiving a first course of anti-tnf therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8870","description":"Hepatitis b vaccine injection administered or previously received and is receiving a first course of anti-tnf therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX24","description":"HIPPS-RLX24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0607U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0607U","description":"CPT-0607U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor-cognitive_ semi-immersive virtual reality-facilitated gait training_ each 15 minutes (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0791T","description":"Motor-cognitive_ semi-immersive virtual reality-facilitated gait training_ each 15 minutes (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth spine manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64051","description":"Anesth spine manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHNU","description":"HIPPS-1CHNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive at least one well-child visit with PCP during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9965","description":"Patient did not receive at least one well-child visit with PCP during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screen mammo doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3014F","description":"Screen mammo doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB215","description":"HIPPS-LB215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cancer stage docd metast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3301F","description":"Cancer stage docd metast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient receives hcv antibody test with reactive result","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1232","description":"Patient receives hcv antibody test with reactive result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ dexamethasone acetate_ per 1mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1095","description":"Injection_ dexamethasone acetate_ per 1mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extended steel shank","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2360","description":"Extended steel shank","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27822","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ovrsght xtrcorp liv asst pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0405T","description":"Ovrsght xtrcorp liv asst pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abd imag and followup no rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9550","description":"Abd imag and followup no rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegcetacoplan_ intravitreal_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2781","description":"Injection_ pegcetacoplan_ intravitreal_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auditory Evoked Potentials; Screening Of Auditory Potential With Broadband Stimuli_ Automated Analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92650","description":"Auditory Evoked Potentials; Screening Of Auditory Potential With Broadband Stimuli_ Automated Analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP2","description":"HIPPS-3AGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC14","description":"HIPPS-RVC14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bladder opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51880","description":"Repair of bladder opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA124","description":"HIPPS-PA124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN4","description":"HIPPS-1AFN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE214","description":"HIPPS-HE214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hf measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8548","description":"Hf measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear rx iv admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79101","description":"Nuclear rx iv admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic spirometer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0487","description":"Electronic spirometer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFN6","description":"HIPPS-3BFN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18X","description":"HIPPS-HC18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27455","description":"Realignment of knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Loxapine_ inhalation powder_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9497","description":"Loxapine_ inhalation powder_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj tbo filgrastim 1 microg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1447","description":"Inj tbo filgrastim 1 microg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-76018","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76018","description":"CPT-76018","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0522U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0522U","description":"CPT-0522U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services given to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9740","description":"Hospice services given to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4005","description":"Family Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31086","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB25B","description":"HIPPS-PB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL5","description":"HIPPS-4AFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA251","description":"HIPPS-CA251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (ovarian)_ spheroid cell culture_ 4-drug panel (carboplatin_ doxorubicin_ gemcitabine_ paclitaxel)_ tumor chemotherapy response prediction for each drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0324U","description":"Oncology (ovarian)_ spheroid cell culture_ 4-drug panel (carboplatin_ doxorubicin_ gemcitabine_ paclitaxel)_ tumor chemotherapy response prediction for each drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Warfarin respon genetic test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9143","description":"Warfarin respon genetic test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0505","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0505","description":"HCPCS-B0505","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA24","description":"HIPPS-RMA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE12B","description":"HIPPS-CE12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lens material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66850","description":"Removal of lens material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Punch biopsy of skin (including simple closure_ when performed); single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11104","description":"Punch biopsy of skin (including simple closure_ when performed); single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis c rna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87520","description":"Hepatitis c rna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; first 30 minutes of technician time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0366T","description":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; first 30 minutes of technician time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87812","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87812","description":"CPT-87812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray male genital tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74440","description":"X-ray male genital tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absolute quantitation of myocardial blood flow_ positron emission tomography (PET)_ rest and stress (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0482T","description":"Absolute quantitation of myocardial blood flow_ positron emission tomography (PET)_ rest and stress (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD140","description":"HIPPS-HD140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gamma globulin 1 cc inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1460","description":"Gamma globulin 1 cc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Outrigger bil w/ vert extens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1085","description":"Outrigger bil w/ vert extens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initiated Episode Of Rehabilitation Therapy_ Medical_ Or Chiropractic Care For Neck Impairment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1143","description":"Initiated Episode Of Rehabilitation Therapy_ Medical_ Or Chiropractic Care For Neck Impairment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0525U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0525U","description":"CPT-0525U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uri episodes where the patient had a competing comorbid condition during the 12 months prior to or on the episode date (e.g._ tuberculosis_ neutropenia_ cystic fibrosis_ chron","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2173","description":"Uri episodes where the patient had a competing comorbid condition during the 12 months prior to or on the episode date (e.g._ tuberculosis_ neutropenia_ cystic fibrosis_ chron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of colon/ileostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44151","description":"Removal of colon/ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA135","description":"HIPPS-BA135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation bypass graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35700","description":"Reoperation bypass graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK2","description":"HIPPS-3BFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol > 100gm prote","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4199","description":"Parenteral sol > 100gm prote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC116","description":"HIPPS-HC116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revita_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4180","description":"Revita_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed bilat space maintainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1515","description":"Fixed bilat space maintainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triamcinolone acetonide_ suprachoroidal (Xipere)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9092","description":"Injection_ triamcinolone acetonide_ suprachoroidal (Xipere)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB155","description":"HIPPS-PB155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK6","description":"HIPPS-4CHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1481","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1481","description":"HCPCS-M1481","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patten bottom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2370","description":"Patten bottom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish inner ear window","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69820","description":"Establish inner ear window","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for wrist x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25246","description":"Injection for wrist x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"H pylori (c-13) blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83009","description":"H pylori (c-13) blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL33","description":"HIPPS-RUL33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Outer ear surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69399","description":"Outer ear surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculostomy Ab Interno By Laser;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0621T","description":"Trabeculostomy Ab Interno By Laser;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control nose/throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42970","description":"Control nose/throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of neck artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37600","description":"Ligation of neck artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFP4","description":"HIPPS-3AFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2037","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2037","description":"HCPCS-A2037","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ant fusion 8/> vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22812","description":"Ant fusion 8/> vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients w","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75982","description":"Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban (auromedics)_ not therapeutically equivalent to j0883_ 1 mg (for non-esrd use)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0898","description":"Injection_ argatroban (auromedics)_ not therapeutically equivalent to j0883_ 1 mg (for non-esrd use)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecg monit/reprt up to 48 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93225","description":"Ecg monit/reprt up to 48 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low pecarn ped head trauma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9593","description":"Low pecarn ped head trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0767","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0767","description":"HCPCS-E0767","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Term dev modifier wrist unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6805","description":"Term dev modifier wrist unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC03","description":"HIPPS-RVC03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray skull epidural","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75872","description":"Vein x-ray skull epidural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 10 MCG TRS-SUCR (pediatric vaccine)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91307","description":"SARSCOV2 VAC 10 MCG TRS-SUCR (pediatric vaccine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of long leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29345","description":"Application of long leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc hip/pelv tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27045","description":"Exc hip/pelv tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy 3 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22819","description":"Kyphectomy 3 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA22D","description":"HIPPS-PA22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx cml remission","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9126","description":"Onc dx cml remission","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN3","description":"HIPPS-3CHN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release palm contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26121","description":"Release palm contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMW","description":"HIPPS-2AHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apically positioned flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4245","description":"Apically positioned flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95146","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB41","description":"HIPPS-RHB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA10","description":"HIPPS-AAA10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL15","description":"HIPPS-RUL15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKS","description":"HIPPS-5CHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35022","description":"Repair artery rupture chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1303","description":"HCPCS-A1303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syst antimicrobial thx rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4131F","description":"Syst antimicrobial thx rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37280","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37280","description":"CPT-37280","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin suppression panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80432","description":"Insulin suppression panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhc pt maint ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0159","description":"Hhc pt maint ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0532U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0532U","description":"CPT-0532U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suspension of breast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19316","description":"Suspension of breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL0A","description":"HIPPS-RHL0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0695U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0695U","description":"CPT-0695U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin b-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84425","description":"Assay of vitamin b-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0115U","description":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN4","description":"HIPPS-1AGN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC260","description":"HIPPS-HC260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP2","description":"HIPPS-1CFP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit alpha-1-proteinas diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9346","description":"Hit alpha-1-proteinas diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psytx complex interactive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90785","description":"Psytx complex interactive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelography thoracic spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72255","description":"Myelography thoracic spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4023","description":"Pathology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symes ankle w/o (sach) foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5703","description":"Symes ankle w/o (sach) foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diag tst detect mucos abnorm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0431","description":"Diag tst detect mucos abnorm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28F","description":"HIPPS-CA28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/maint cont hemo equip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4890","description":"Repair/maint cont hemo equip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS DNA&RNA 21 TARGETS SARS-COV-2 AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0225U","description":"NFCT DS DNA&RNA 21 TARGETS SARS-COV-2 AMP PROBE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reticulated platelet assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85055","description":"Reticulated platelet assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB250","description":"HIPPS-LB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ hip_ unilateral; one view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73500","description":"Radiologic examination_ hip_ unilateral; one view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5160","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5160","description":"HCPCS-Q5160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0627U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0627U","description":"CPT-0627U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensv oral eval prob focus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0160","description":"Extensv oral eval prob focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of prostate abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52700","description":"Drainage of prostate abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair gum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41872","description":"Repair gum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"P2y inhib presc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9438","description":"P2y inhib presc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty_ aortic valve_ open_ with cardiopulmonary bypass; simple (ie_ valvotomy_ debridement_ debulking_ and/or simple commissural resuspension)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33390","description":"Valvuloplasty_ aortic valve_ open_ with cardiopulmonary bypass; simple (ie_ valvotomy_ debridement_ debulking_ and/or simple commissural resuspension)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast tomosynthesis uni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77061","description":"Breast tomosynthesis uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL5","description":"HIPPS-2CGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tooth pin retention","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2951","description":"Tooth pin retention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Verteporfin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3396","description":"Verteporfin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm_ false aneurysm_ dissection_ endoleak_ or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34711","description":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm_ false aneurysm_ dissection_ endoleak_ or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0084","description":"Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL43","description":"HIPPS-RUL43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA43","description":"HIPPS-RUA43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of progesterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84234","description":"Assay of progesterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metoclopramide hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2765","description":"Metoclopramide hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52330","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip/thigh fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27025","description":"Incision of hip/thigh fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncovered ambulance mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0888","description":"Noncovered ambulance mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plnning pt spec fenest graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34839","description":"Plnning pt spec fenest graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9278","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9278","description":"HCPCS-J9278","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hib prp-omp vacc 3 dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90647","description":"Hib prp-omp vacc 3 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc biliary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47579","description":"Laparoscope proc biliary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroejaculation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55870","description":"Electroejaculation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release hand/finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26445","description":"Release hand/finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33779","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatology (nonalcoholic steatohepatitis [NASH])_ miR-34a-5p_ alpha 2-macroglobulin_ YKL40_ HbA1c_ serum and whole blood_ algorithm reported as a single score for NASH activit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0468U","description":"Hepatology (nonalcoholic steatohepatitis [NASH])_ miR-34a-5p_ alpha 2-macroglobulin_ YKL40_ HbA1c_ serum and whole blood_ algorithm reported as a single score for NASH activit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemin_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1640","description":"Hemin_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vaccine toxoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90749","description":"Vaccine toxoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth one lung ventilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54151","description":"Anesth one lung ventilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX3B","description":"HIPPS-RMX3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod solid food suppl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9434","description":"Mod solid food suppl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc gastro 51 gene nomogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0007M","description":"Onc gastro 51 gene nomogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace socket above knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5701","description":"Replace socket above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem grp & fiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46257","description":"Remove in/ex hem grp & fiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Poliovirus ipv sc/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90713","description":"Poliovirus ipv sc/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Press pad alternating w/ pum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0181","description":"Press pad alternating w/ pum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct capt maxilla","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0382","description":"Cone beam ct capt maxilla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0093A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq lamot/lam crv/thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0274T","description":"Perq lamot/lam crv/thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replc sockt shldr dis/interc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6885","description":"Replc sockt shldr dis/interc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onlay cst hgh nbl mtl >=3srf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6611","description":"Onlay cst hgh nbl mtl >=3srf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin tolerance panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80435","description":"Insulin tolerance panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cptr-asst dir ms px","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20985","description":"Cptr-asst dir ms px","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treponema pallidum ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87285","description":"Treponema pallidum ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlh w/t/o 250 g or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58571","description":"Tlh w/t/o 250 g or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mh clubhouse svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2031","description":"Mh clubhouse svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound breast limited","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76642","description":"Ultrasound breast limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup long arm adult plst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4005","description":"Cast sup long arm adult plst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1387","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1387","description":"HCPCS-M1387","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC15A","description":"HIPPS-PC15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pouch clsd w barr attached","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5051","description":"Pouch clsd w barr attached","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Continuous_ Real-Time Monitoring And Maintenance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95713","description":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Continuous_ Real-Time Monitoring And Maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N blk inj sciatic cont inf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64446","description":"N blk inj sciatic cont inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0806","description":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive brief counseling if identified as an unhealthy alcohol user_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2202","description":"Patient did not receive brief counseling if identified as an unhealthy alcohol user_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adults who are not ambulatory","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1068","description":"Adults who are not ambulatory","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove tendon sheath lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26160","description":"Remove tendon sheath lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient died including all deaths occurring during the hospitalization in which the operation was performed_ even if after 30 days_ and those deaths occurring after discharge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9812","description":"Patient died including all deaths occurring during the hospitalization in which the operation was performed_ even if after 30 days_ and those deaths occurring after discharge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK6","description":"HIPPS-1BFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Solid Organ Neoplasm)_ Targeted Genomic Sequence Dna Analysis Of 505 Genes_ Interrogation For Somatic Alterations (Snvs [Single Nucleotide Variant]_ Small Insertions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0250U","description":"Oncology (Solid Organ Neoplasm)_ Targeted Genomic Sequence Dna Analysis Of 505 Genes_ Interrogation For Somatic Alterations (Snvs [Single Nucleotide Variant]_ Small Insertions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB201","description":"HIPPS-CB201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 5MCG/.5ML AS03B","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0104A","description":"ADM SARSCOV2 5MCG/.5ML AS03B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test for porphobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84106","description":"Test for porphobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Darbepoetin alfa_ non-esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0881","description":"Darbepoetin alfa_ non-esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5143","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5143","description":"HCPCS-Q5143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23105","description":"Remove shoulder joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orth foot non-standard size/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3255","description":"Orth foot non-standard size/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transport air","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0140","description":"Nonemergency transport air","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93312","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation nasal sinus artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30915","description":"Ligation nasal sinus artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physical Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4025","description":"Physical Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen gel/paste wound fil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6011","description":"Collagen gel/paste wound fil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Air pressure pad for mattres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0197","description":"Air pressure pad for mattres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66700","description":"Destruction ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES131","description":"HIPPS-ES131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC46","description":"HIPPS-RHC46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00320","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00320","description":"CPT-00320","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES341","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES341","description":"HIPPS-ES341","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1502","description":"HCPCS-C1502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens fitting for tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92071","description":"Contact lens fitting for tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5154","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5154","description":"HCPCS-Q5154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61151","description":"Pierce skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung bx plug w/del sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2613","description":"Lung bx plug w/del sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0404","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0404","description":"CDT-D0404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo-asst vag hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58550","description":"Laparo-asst vag hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7531","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7531","description":"HCPCS-J7531","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture type pulse field gel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87152","description":"Culture type pulse field gel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC235","description":"HIPPS-LC235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q6h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9503","description":"Hit antibiotic q6h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP3","description":"HIPPS-3AHP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA24B","description":"HIPPS-CA24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1451","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1451","description":"HCPCS-M1451","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine & cord cervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63194","description":"Incise spine & cord cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18G","description":"HIPPS-PB18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hepatic)_ mRNA expression levels of 161 genes_ utilizing fresh he","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0110U","description":"Oncology (hepatic)_ mRNA expression levels of 161 genes_ utilizing fresh he","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ prostate cancer_ mRNA expression assay of 12 genes (10 content and 2 housekeeping)_ RT-PCR test utilizing blood plasma and/or urine_ algorithms to predict high-grade","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0011M","description":"Oncology_ prostate cancer_ mRNA expression assay of 12 genes (10 content and 2 housekeeping)_ RT-PCR test utilizing blood plasma and/or urine_ algorithms to predict high-grade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drill skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61108","description":"Drill skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00174","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00174","description":"CPT-00174","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ bin_ ite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5252","description":"Hearing aid_ prog_ bin_ ite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2101","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr trunk 10.1-30sqcm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14001","description":"Tis trnfr trunk 10.1-30sqcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation wi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7522","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28540","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv rna vrl ld <lmts quantif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3502F","description":"Hiv rna vrl ld <lmts quantif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NPM1 (nucleophosmin) (eg_ acute myeloid leukemia) gene analysis_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0049U","description":"NPM1 (nucleophosmin) (eg_ acute myeloid leukemia) gene analysis_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ diagnostic with cell washing(s) when performed_ with computer-assisted image-guided navigation_ including fluoroscopic guidance when performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7509","description":"Bronchoscopy_ rigid or flexible_ diagnostic with cell washing(s) when performed_ with computer-assisted image-guided navigation_ including fluoroscopic guidance when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy orchiopexy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54692","description":"Laparoscopy orchiopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig ref oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8566","description":"Pt inelig ref oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHM4","description":"HIPPS-3BHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microslide consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88321","description":"Microslide consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mon cable elec/pneum vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0486","description":"Mon cable elec/pneum vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive mastoid surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69530","description":"Extensive mastoid surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd w/transmural drain cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43240","description":"Egd w/transmural drain cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0906T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0906T","description":"CPT-0906T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0085","description":"Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50135","description":"Exploration of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pca3/klk3 antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81313","description":"Pca3/klk3 antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chap services at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9473","description":"Chap services at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroconvulsive therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90870","description":"Electroconvulsive therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ single_ non rate-resp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2620","description":"Pmkr_ single_ non rate-resp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterovirus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86658","description":"Enterovirus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0469","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0469","description":"HCPCS-E0469","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcysteine non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7608","description":"Acetylcysteine non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ftl cgen abnor four anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81511","description":"Ftl cgen abnor four anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelography neck spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72240","description":"Myelography neck spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic ftwear ladies oxf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3215","description":"Orthopedic ftwear ladies oxf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Csit lowrisk surg pts preop","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8961","description":"Csit lowrisk surg pts preop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB4D","description":"HIPPS-RVB4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repos car modulj tranvns elt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0415T","description":"Repos car modulj tranvns elt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18H","description":"HIPPS-PA18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vaccinia (smallpox) virus vaccine_ live_ lyophilized_ 0.3 mL dosage_ for percutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90622","description":"Vaccinia (smallpox) virus vaccine_ live_ lyophilized_ 0.3 mL dosage_ for percutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Provisional splint extracoro","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4321","description":"Provisional splint extracoro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES34A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES34A","description":"HIPPS-ES34A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of sternum separation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21750","description":"Repair of sternum separation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not rcvng glucoco thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4192F","description":"Pt not rcvng glucoco thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient transfer system >300","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1036","description":"Patient transfer system >300","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lab labial veneer resin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2961","description":"Lab labial veneer resin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx ovarian stg1a-b or 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9114","description":"Onc dx ovarian stg1a-b or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ qualitative; column (eg_ gas liquid or hplc)_ analyte not elsewhere specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82486","description":"Chromatography_ qualitative; column (eg_ gas liquid or hplc)_ analyte not elsewhere specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nos quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0110T","description":"Nos quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vbac care after delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59614","description":"Vbac care after delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orbital prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5915","description":"Orbital prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerebrospinal fluid scan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78647","description":"Cerebrospinal fluid scan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mononuclear cell antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86356","description":"Mononuclear cell antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ deoxycholic acid_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0591","description":"Injection_ deoxycholic acid_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of heel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73650","description":"X-ray exam of heel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelets Pathogen Reduced Ea Unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9988","description":"Platelets Pathogen Reduced Ea Unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01758","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01758","description":"CPT-01758","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin; urine (eg_ microalbumin)_ semiquantitative (eg_ reagent strip assay)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82044","description":"Albumin; urine (eg_ microalbumin)_ semiquantitative (eg_ reagent strip assay)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8I","description":"HIPPS-RML8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electromagnetic therapy onc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0295","description":"Electromagnetic therapy onc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA156","description":"HIPPS-BA156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement interface spsd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1821","description":"Replacement interface spsd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enteral supp not otherwise c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9998","description":"Enteral supp not otherwise c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy dose plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77300","description":"Radiation therapy dose plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32100","description":"Exploration of chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP5","description":"HIPPS-1AFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SUPRATHEL_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2012","description":"SUPRATHEL_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28B","description":"HIPPS-CA28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attendance at delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99464","description":"Attendance at delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o fol w/cont_ chest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8911","description":"Mra w/o fol w/cont_ chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kanamycin sulfate 500 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1840","description":"Kanamycin sulfate 500 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-visit patient screening","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9912","description":"Pre-visit patient screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients between 50 and 85 years of age who received a screening colonoscopy during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2204","description":"Patients between 50 and 85 years of age who received a screening colonoscopy during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD216","description":"HIPPS-CD216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99344","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures adjust cmplt mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5411","description":"Dentures adjust cmplt mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28A","description":"HIPPS-CC28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of spinal herniation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63706","description":"Repair of spinal herniation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lithium batt for glucose mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4235","description":"Lithium batt for glucose mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mapcp demo state","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9151","description":"Mapcp demo state","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee disc/dial lock/adj flex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2425","description":"Knee disc/dial lock/adj flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tint_ any color/solid/grad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2745","description":"Tint_ any color/solid/grad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK3","description":"HIPPS-5BHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of vein clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34471","description":"Removal of vein clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Split flat caliper stirr & p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2230","description":"Split flat caliper stirr & p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3-d radiotherapy plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77295","description":"3-d radiotherapy plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thermal Destruction Of Intraosseous Basivertebral Nerve_ Including All Imaging Guidance; Each Additional Vertebral Body_ Lumbar Or Sacral (List Separately In Addition To Code","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64629","description":"Thermal Destruction Of Intraosseous Basivertebral Nerve_ Including All Imaging Guidance; Each Additional Vertebral Body_ Lumbar Or Sacral (List Separately In Addition To Code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC236","description":"HIPPS-CC236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc antibio given b/4 surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4046F","description":"Doc antibio given b/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcholine receptor (AChR); modulating antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86043","description":"Acetylcholine receptor (AChR); modulating antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB40","description":"HIPPS-RHB40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Local anesthesia","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9215","description":"Local anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21433","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB50","description":"HIPPS-RMB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray urinary tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74420","description":"Contrst x-ray urinary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of tear gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68510","description":"Biopsy of tear gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD10C","description":"HIPPS-CD10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/o&w/dye_ spinal canal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8933","description":"Mra_ w/o&w/dye_ spinal canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frame typ socket bel elbow/w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6687","description":"Frame typ socket bel elbow/w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Serv part of phase i trial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9988","description":"Serv part of phase i trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX13","description":"HIPPS-RVX13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal conjugate vaccine_ serogroups A_ C_ W_ Y_ quadrivalent_ tetanus toxoid carrier (MenACWY-TT)_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90619","description":"Meningococcal conjugate vaccine_ serogroups A_ C_ W_ Y_ quadrivalent_ tetanus toxoid carrier (MenACWY-TT)_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK3","description":"HIPPS-2CHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove int/ext hem 1 group","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46255","description":"Remove int/ext hem 1 group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Pasireotide Long Acting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9454","description":"Injection_ Pasireotide Long Acting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI pelvis w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72196","description":"MRI pelvis w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long tongue stirrup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2265","description":"Long tongue stirrup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s)_ all","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34707","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s)_ all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair single ventricle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33619","description":"Repair single ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1424","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1424","description":"HCPCS-M1424","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride abdom wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11005","description":"Debride abdom wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"(Rapivab) Injection_ Peramivir_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9451","description":"(Rapivab) Injection_ Peramivir_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0519T","description":"Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0688U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0688U","description":"CPT-0688U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB25","description":"HIPPS-RUB25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct head/brain w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70460","description":"Ct head/brain w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluocinol acet intravit imp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7313","description":"Fluocinol acet intravit imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies_ other t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0018","description":"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies_ other t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed appliance therapy habt","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8220","description":"Fixed appliance therapy habt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore wound neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20100","description":"Explore wound neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of hip socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27122","description":"Reconstruction of hip socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Additional spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22585","description":"Additional spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1303","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev breast add strtctc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19284","description":"Perq dev breast add strtctc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PAS (Consumer)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1792","description":"PAS (Consumer)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Breast Ductal Carcinoma In Situ)_ Protein Expression Profiling By Immunohistochemistry Of 7 Proteins (Cox2_ Foxa1_ Her2_ Ki-67_ P16_ Pr_ Siah2)_ With 4 Clinicopathol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0295U","description":"Oncology (Breast Ductal Carcinoma In Situ)_ Protein Expression Profiling By Immunohistochemistry Of 7 Proteins (Cox2_ Foxa1_ Her2_ Ki-67_ P16_ Pr_ Siah2)_ With 4 Clinicopathol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLS","description":"HIPPS-3AGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfusion service fetal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36460","description":"Transfusion service fetal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ankle arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29894","description":"Ankle arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cntct gas permeable sphericl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2510","description":"Cntct gas permeable sphericl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of hip socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27120","description":"Reconstruction of hip socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker leg extenders set of4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0158","description":"Walker leg extenders set of4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1116","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High inten beh couns std 30m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0445","description":"High inten beh couns std 30m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair tcat mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33418","description":"Repair tcat mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Posaconazole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80187","description":"Posaconazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj milrinone lactate / 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2260","description":"Inj milrinone lactate / 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ genital region_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6570","description":"Gradient compression garment_ genital region_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replcmnt breastpump lok ring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4286","description":"Replcmnt breastpump lok ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ dual_ non rate-resp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2619","description":"Pmkr_ dual_ non rate-resp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatoid factor test qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86430","description":"Rheumatoid factor test qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31635","description":"Bronchoscopy w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt asst re end life issues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4553F","description":"Pt asst re end life issues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0490U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0490U","description":"CPT-0490U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL2","description":"HIPPS-3CHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16377","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16377","description":"CPT-16377","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28A","description":"HIPPS-PA28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67924","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch underarm each no wood","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0116","description":"Crutch underarm each no wood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ elranatamab-bcmm_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1323","description":"Injection_ elranatamab-bcmm_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1703","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1703","description":"HCPCS-B1703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD205","description":"HIPPS-HD205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg monitoring/computer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95953","description":"Eeg monitoring/computer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA01","description":"HIPPS-RLA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N-et; encounter/trip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2003","description":"N-et; encounter/trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt post facet implt lumb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0221T","description":"Plmt post facet implt lumb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guide cathet fluid drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10030","description":"Guide cathet fluid drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28E","description":"HIPPS-PC28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplt allo hct/donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38240","description":"Transplt allo hct/donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero & or pyeloscope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52351","description":"Cystouretero & or pyeloscope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29822","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"After cataract laser surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66821","description":"After cataract laser surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sock fracture or equal each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3995","description":"Sock fracture or equal each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA07","description":"HIPPS-AAA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth chest procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52051","description":"Anesth chest procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth w/o gen/neurax anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4560F","description":"Anesth w/o gen/neurax anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mis sup/ac imp vad nopay med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0509","description":"Mis sup/ac imp vad nopay med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18B","description":"HIPPS-CB18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB204","description":"HIPPS-PB204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flutter device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8185","description":"Flutter device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen one/mult class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80303","description":"Drug screen one/mult class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq tx malar fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21355","description":"Perq tx malar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heinz bodies direct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85441","description":"Heinz bodies direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB110","description":"HIPPS-LB110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of sternum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21740","description":"Reconstruction of sternum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40843","description":"Reconstruction of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wedge resect of lung initial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32505","description":"Wedge resect of lung initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1135","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aprotonin_ 10_000 kiu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0365","description":"Aprotonin_ 10_000 kiu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped size brief/diaper lg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4530","description":"Ped size brief/diaper lg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2044","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2044","description":"HCPCS-A2044","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of neck muscle/rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21705","description":"Revision of neck muscle/rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0370T","description":"Family adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8A","description":"HIPPS-RVL8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7524","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31030","description":"Exploration maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18H","description":"HIPPS-HE18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ hips_ bilateral_ minimum of two views of each hip_ including anteroposterior view of pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73520","description":"Radiologic examination_ hips_ bilateral_ minimum of two views of each hip_ including anteroposterior view of pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67908","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA46","description":"HIPPS-RMA46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA12","description":"HIPPS-RLA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKT","description":"HIPPS-2BGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC23C","description":"HIPPS-PC23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient receiving hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9690","description":"Patient receiving hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ prothrombin complex concentrate_ human-lans_ per i.u. of factor ix activity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7165","description":"Injection_ prothrombin complex concentrate_ human-lans_ per i.u. of factor ix activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjust knee ext/flex device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1810","description":"Adjust knee ext/flex device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant brain electrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61533","description":"Implant brain electrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection (List separately in addition to co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76979","description":"Ultrasound_ targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection (List separately in addition to co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18C","description":"HIPPS-HB18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rebound matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4296","description":"Rebound matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7601","description":"HCPCS-J7601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-osseointegrated snd proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8692","description":"Non-osseointegrated snd proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK1","description":"HIPPS-1CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX0B","description":"HIPPS-RLX0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat hand joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26070","description":"Explore/treat hand joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA0C","description":"HIPPS-RHA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epstein-barr nuclear antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86664","description":"Epstein-barr nuclear antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKU","description":"HIPPS-1AFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med rsn scope pt >85y","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9660","description":"Doc med rsn scope pt >85y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ingest challenge ini 120 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95076","description":"Ingest challenge ini 120 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct abd & pelv w/contrast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74177","description":"Ct abd & pelv w/contrast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Professional services for the administration of antiinfective_ pain management_ chelation_ pulmonary hypertension_ and/or inotr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0068","description":"Professional services for the administration of antiinfective_ pain management_ chelation_ pulmonary hypertension_ and/or inotr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9807","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9807","description":"HCPCS-C9807","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam abdo back wall comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76770","description":"Us exam abdo back wall comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complex rehabilitative power wheelchair accessory_ power seat elevation system_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2298","description":"Complex rehabilitative power wheelchair accessory_ power seat elevation system_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB14A","description":"HIPPS-HB14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anthrax vaccine sc or im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90581","description":"Anthrax vaccine sc or im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ewhfo w/joint(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3766","description":"Ewhfo w/joint(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 3_ gene duplication/multiplication) (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0076U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 3_ gene duplication/multiplication) (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLV","description":"HIPPS-1BHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ including fluoroscopic guidance_ when performed; with therapeutic aspiration of tracheobronchial tree_ initial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31645","description":"Bronchoscopy_ rigid or flexible_ including fluoroscopic guidance_ when performed; with therapeutic aspiration of tracheobronchial tree_ initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC235","description":"HIPPS-CC235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX20","description":"HIPPS-RLX20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0166","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0166","description":"HCPCS-J0166","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA145","description":"HIPPS-BA145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFK2","description":"HIPPS-1AFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology colon mrna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81525","description":"Oncology colon mrna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23466","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50572","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise hand/finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26460","description":"Incise hand/finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of embryo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58976","description":"Transfer of embryo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Odontics transosteal implnt","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6050","description":"Odontics transosteal implnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colon motility 6 hr study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91117","description":"Colon motility 6 hr study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt dchg home post op day 7","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9601","description":"Pt dchg home post op day 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMU","description":"HIPPS-1CHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle w/suture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67334","description":"Revise eye muscle w/suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of head injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62010","description":"Treatment of head injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert ureteral support","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50605","description":"Insert ureteral support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay serum cholinesterase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82480","description":"Assay serum cholinesterase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2091","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB25","description":"HIPPS-RVB25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD125","description":"HIPPS-HD125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert heyman uteri capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58346","description":"Insert heyman uteri capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87494","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87494","description":"CPT-87494","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA206","description":"HIPPS-PA206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/graft eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68325","description":"Revise/graft eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18G","description":"HIPPS-HC18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD20C","description":"HIPPS-CD20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29887","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mrcp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8037","description":"Mrcp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Eac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95719","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Eac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA14A","description":"HIPPS-CA14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatobil syst image w/drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78227","description":"Hepatobil syst image w/drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imp neurosti pls gn any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8679","description":"Imp neurosti pls gn any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHKS","description":"HIPPS-3AHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crh stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80412","description":"Crh stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cartilage for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20912","description":"Remove cartilage for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Poliovirus vaccine_ (any type(s)) (opv)_ live_ for oral use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90712","description":"Poliovirus vaccine_ (any type(s)) (opv)_ live_ for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35663","description":"Art byp ilioiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Measure ureter pressure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50686","description":"Measure ureter pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion insulin pump needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4231","description":"Infusion insulin pump needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vit for macular hole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67042","description":"Vit for macular hole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive Full Body Computer-Based Markerless 3D Kinematic And Kinetic Motion Analysis And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0693T","description":"Comprehensive Full Body Computer-Based Markerless 3D Kinematic And Kinetic Motion Analysis And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Expired gas collection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94250","description":"Expired gas collection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit est pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99337","description":"Domicil/r-home visit est pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of knees","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73565","description":"X-ray exam of knees","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd demo bundle-level ii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9014","description":"Esrd demo bundle-level ii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecg monit/reprt up to 48 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93224","description":"Ecg monit/reprt up to 48 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Over-bed table","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0274","description":"Over-bed table","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE22A","description":"HIPPS-PE22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy & polypectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45333","description":"Sigmoidoscopy & polypectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remis 12m not phq-9 score <5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9510","description":"Remis 12m not phq-9 score <5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroscopic procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76496","description":"Fluoroscopic procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8E","description":"HIPPS-RHL8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Internal Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4011","description":"Internal Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE115","description":"HIPPS-LE115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27893","description":"Decompression of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44365","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smoker/exposed 2nd hnd smoke","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1032F","description":"Smoker/exposed 2nd hnd smoke","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA2A","description":"HIPPS-RVA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body jawbone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41806","description":"Removal foreign body jawbone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Etonogestrel implant system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7307","description":"Etonogestrel implant system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma discharge plan presnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5250F","description":"Asthma discharge plan presnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Provider who referred the patient to another provider received a report from the provider to whom the patient was referred","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9969","description":"Provider who referred the patient to another provider received a report from the provider to whom the patient was referred","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL2D","description":"HIPPS-RUL2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc with wrong event","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8912","description":"Pt doc with wrong event","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0569","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0569","description":"HCPCS-G0569","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKV","description":"HIPPS-4BGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ureters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50760","description":"Fusion of ureters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX3B","description":"HIPPS-RHX3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1165","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Streptomycin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3000","description":"Streptomycin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stimulation pacing heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93623","description":"Stimulation pacing heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad resect abd tumor 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22905","description":"Rad resect abd tumor 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/tc add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88185","description":"Flowcytometry/tc add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0658T","description":"Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28A","description":"HIPPS-HB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Create eardrum opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69433","description":"Create eardrum opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithromb no presc doc reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8697","description":"Antithromb no presc doc reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00790","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00790","description":"CPT-00790","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect inferior turbinate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30140","description":"Resect inferior turbinate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of neck muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21720","description":"Revision of neck muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anabolic steroid 1 or 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80327","description":"Anabolic steroid 1 or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Norsn no pros info op rpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9303","description":"Norsn no pros info op rpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meropenem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2185","description":"Meropenem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac drug stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93024","description":"Cardiac drug stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI pelvis w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72197","description":"MRI pelvis w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/read 16 & >","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88189","description":"Flowcytometry/read 16 & >","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1280","description":"Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX3C","description":"HIPPS-RHX3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise vag graft open abd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57296","description":"Revise vag graft open abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maxilla open reduct compound","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7710","description":"Maxilla open reduct compound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8A","description":"HIPPS-RHL8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd srv 2-3 vsts p mo 20+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90961","description":"Esrd srv 2-3 vsts p mo 20+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54015","description":"Drain penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of kidney/ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50400","description":"Revision of kidney/ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alginate dressing > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6198","description":"Alginate dressing > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00580","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00580","description":"CPT-00580","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC251","description":"HIPPS-HC251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lungcx bx rpt docs class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9418","description":"Lungcx bx rpt docs class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Intermittent Monitoring And Maintenance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95715","description":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Intermittent Monitoring And Maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipid profile perf doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8725","description":"Lipid profile perf doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1487","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1487","description":"HCPCS-M1487","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice routine home care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2042","description":"Hospice routine home care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD106","description":"HIPPS-PD106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove epididymis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54830","description":"Remove epididymis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGKS","description":"HIPPS-3CGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67950","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Direct immunofluorescence","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0482","description":"Direct immunofluorescence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral - bitewing radiographic image - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0708","description":"Intraoral - bitewing radiographic image - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of calcium in urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82340","description":"Assay of calcium in urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA35","description":"HIPPS-RVA35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement pressure alarm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1540","description":"Replacement pressure alarm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic standing frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0642","description":"Dynamic standing frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval appros surg thxpy epi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5200F","description":"Eval appros surg thxpy epi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01830","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01830","description":"CPT-01830","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief (20 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s hom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2006","description":"Brief (20 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ivf package","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4011","description":"Ivf package","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB11B","description":"HIPPS-BB11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-82234","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82234","description":"CPT-82234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve palsy microsurg graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15842","description":"Nerve palsy microsurg graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01992","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01992","description":"CPT-01992","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay alkaline phosphatase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84075","description":"Assay alkaline phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6100","description":"Removal of implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD213","description":"HIPPS-HD213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anticoag thx rx at dischrg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4075F","description":"Anticoag thx rx at dischrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mdd severe w/o psych","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3090F","description":"Mdd severe w/o psych","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit cath repair kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5518","description":"Hit cath repair kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Twist drill hole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61105","description":"Twist drill hole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of major peripheral nerve neuroma_ except sciatic_ with implantation of nerve end into bone or muscle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7551","description":"Excision of major peripheral nerve neuroma_ except sciatic_ with implantation of nerve end into bone or muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete cbc w/auto diff wbc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85025","description":"Complete cbc w/auto diff wbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj gadoterate meglumi 0.1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9575","description":"Inj gadoterate meglumi 0.1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 std mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0884","description":"Pwc gp4 std mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ASPERGILLUS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87305","description":"IAAD IA ASPERGILLUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec stains not for microorg","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0477","description":"Spec stains not for microorg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gi endoscopic ultrasound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76975","description":"Gi endoscopic ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray stereo frontal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71015","description":"Chest x-ray stereo frontal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photosensitivity tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95056","description":"Photosensitivity tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53200","description":"Biopsy of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit midline cath insert kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5521","description":"Hit midline cath insert kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Th/wght bear quad-lat brim c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2520","description":"Th/wght bear quad-lat brim c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Routine ophthalmological exa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0621","description":"Routine ophthalmological exa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0201","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0201","description":"CDT-D0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58700","description":"Removal of fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB20C","description":"HIPPS-CB20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95984","description":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m mertiatide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9562","description":"Tc99m mertiatide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap esoph lengthening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43283","description":"Lap esoph lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduce testis torsion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54600","description":"Reduce testis torsion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onco (ovar) five proteins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81503","description":"Onco (ovar) five proteins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA205","description":"HIPPS-CA205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Central dexa results docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3095F","description":"Central dexa results docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50728","description":"Revise ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet image full body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78813","description":"Pet image full body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9615","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9615","description":"HCPCS-A9615","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKX","description":"HIPPS-4CHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hypoxia response curve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94450","description":"Hypoxia response curve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp w/specimen collection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43260","description":"Ercp w/specimen collection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suspension of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54640","description":"Suspension of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sf3B1 (Splicing Factor [3B] Subunit B1) (Eg_ Myelodysplastic Syndrome/Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ A672T_ E622D_ L833F_ R625C_ R625L)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81347","description":"Sf3B1 (Splicing Factor [3B] Subunit B1) (Eg_ Myelodysplastic Syndrome/Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ A672T_ E622D_ L833F_ R625C_ R625L)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit for hemodialysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99512","description":"Home visit for hemodialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC112","description":"HIPPS-CC112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18F","description":"HIPPS-CE18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunofluorescence_ per specimen; initial single antibody stain procedure (List separately in addition to code for primary procedur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0845T","description":"Digitization of glass microscope slides for immunofluorescence_ per specimen; initial single antibody stain procedure (List separately in addition to code for primary procedur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGPX","description":"HIPPS-3BGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort iii w/ lefort i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21155","description":"Lefort iii w/ lefort i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cran surg hemotoma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21152","description":"Anesth cran surg hemotoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB23C","description":"HIPPS-BB23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99348","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20200","description":"Muscle biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0912T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0912T","description":"CPT-0912T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjust elbow ext/flex device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1800","description":"Adjust elbow ext/flex device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX21","description":"HIPPS-RUX21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9232","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9232","description":"HCPCS-J9232","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Oncology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4031","description":"Radiation Oncology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61156","description":"Pierce skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43116","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL20","description":"HIPPS-RUL20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cciiv3 vac im cult prsv free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90661","description":"Cciiv3 vac im cult prsv free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Any patients who had no asthma controller medications dispensed during the measurement year","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9808","description":"Any patients who had no asthma controller medications dispensed during the measurement year","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL07","description":"HIPPS-RUL07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFLW","description":"HIPPS-1CFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heinz bodies induced","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85445","description":"Heinz bodies induced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on external_ middle_ and inner ear including biop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0117U","description":"Anesthesia for procedures on external_ middle_ and inner ear including biop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary reflex study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51792","description":"Urinary reflex study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPS","description":"HIPPS-1BGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild eardrum structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69632","description":"Rebuild eardrum structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology (Barrett esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 DNA methylation analysis using PCR_ formalin-fixed paraffin-embedded (FFPE) tissue_ algorithm reported as risk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0398U","description":"Gastroenterology (Barrett esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 DNA methylation analysis using PCR_ formalin-fixed paraffin-embedded (FFPE) tissue_ algorithm reported as risk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28150","description":"Removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure_ including separate incision(s) and closure_ when performed; each additional 30 minutes (List separa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96548","description":"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure_ including separate incision(s) and closure_ when performed; each additional 30 minutes (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 3mod sacro-scap pre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0462","description":"Tlso 3mod sacro-scap pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin beta_ esrd use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9972","description":"Epoetin beta_ esrd use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGN4","description":"HIPPS-3BGN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair lung hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32800","description":"Repair lung hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor IX (antihemophilic factor_ recombinant)_ glycopegylated_ Rebinyn_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9468","description":"Injection_ Factor IX (antihemophilic factor_ recombinant)_ glycopegylated_ Rebinyn_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00402","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00402","description":"CPT-00402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2115","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25335","description":"Realignment of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoproterenol comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7657","description":"Isoproterenol comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dihydromorphinone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6046","description":"Dihydromorphinone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone srgry cmptr CT/MRI imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0055T","description":"Bone srgry cmptr CT/MRI imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prim art m-thrmbc 1st vsl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37184","description":"Prim art m-thrmbc 1st vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB5C","description":"HIPPS-RMB5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine shunt to intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50815","description":"Urine shunt to intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv artific diskectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22856","description":"Cerv artific diskectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foll-up eval q3mo opiod tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9562","description":"Foll-up eval q3mo opiod tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of reti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1220","description":"Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of reti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethra injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53515","description":"Repair of urethra injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB15D","description":"HIPPS-CB15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD10D","description":"HIPPS-LD10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPX","description":"HIPPS-1BGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brow wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15826","description":"Removal of brow wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Idarubicin hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9211","description":"Idarubicin hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0894T","description":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amalgam two surfaces permane","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2150","description":"Amalgam two surfaces permane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SYPHILIS TST ANTB IA QUAN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0210U","description":"SYPHILIS TST ANTB IA QUAN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens aniseikonic trifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2318","description":"Lens aniseikonic trifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant ureter to skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50860","description":"Transplant ureter to skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pegaspargase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9266","description":"Pegaspargase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73020","description":"X-ray exam of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60271","description":"Removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emer rspns sys serv permonth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5161","description":"Emer rspns sys serv permonth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove mastoid structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69505","description":"Remove mastoid structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0585U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0585U","description":"CPT-0585U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69554","description":"Remove ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTE-qMSP)_ urine_ reported as likelihood of blad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0452U","description":"Oncology (bladder)_ methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTE-qMSP)_ urine_ reported as likelihood of blad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral infus pump portab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9004","description":"Parenteral infus pump portab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54304","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE140","description":"HIPPS-HE140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-vertbrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35515","description":"Art byp grft subclav-vertbrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analgesics non-opioid 6/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80331","description":"Analgesics non-opioid 6/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLT","description":"HIPPS-3AFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML3A","description":"HIPPS-RML3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33305","description":"Repair of heart wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Dalbavancin_ 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9443","description":"Injection_ Dalbavancin_ 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ leuprolide acetate for depot suspension (fensolvi)_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1951","description":"Injection_ leuprolide acetate for depot suspension (fensolvi)_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0027","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKS","description":"HIPPS-2AHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2047","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2047","description":"HCPCS-A2047","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uvl sys panel 4 ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0692","description":"Uvl sys panel 4 ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64901","description":"Nerve graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recement supp crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6092","description":"Recement supp crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cilastatin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0743","description":"Cilastatin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interprt fees/laryngeal test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92617","description":"Interprt fees/laryngeal test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore epididymis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54865","description":"Explore epididymis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ntsty modul rad tx dlvr cplx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77386","description":"Ntsty modul rad tx dlvr cplx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable oxygen contents_ liquid_ 1 month_s supply = 1 unit_ prescribed amount at rest or nighttime exceeds 4 liters per minute","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0447","description":"Portable oxygen contents_ liquid_ 1 month_s supply = 1 unit_ prescribed amount at rest or nighttime exceeds 4 liters per minute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc to have fall in asc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8910","description":"Pt doc to have fall in asc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27356","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligate oviduct(s) add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58611","description":"Ligate oviduct(s) add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N-et; stretcher van","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2005","description":"N-et; stretcher van","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit declotting kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5517","description":"Hit declotting kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHM2","description":"HIPPS-3CHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5168","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5168","description":"HCPCS-Q5168","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J8502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8502","description":"HCPCS-J8502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology/Hematology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4019","description":"Oncology/Hematology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sho lift taper to metatarsal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3300","description":"Sho lift taper to metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM1","description":"HIPPS-3CGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychosis_ Depression_ Anxiety_ Apathy_ And Impulse Control Disorder Assessed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2121","description":"Psychosis_ Depression_ Anxiety_ Apathy_ And Impulse Control Disorder Assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67921","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I125 iothalamate_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9554","description":"I125 iothalamate_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft fem-popliteal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35556","description":"Art byp grft fem-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61684","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of semen fructose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82757","description":"Assay of semen fructose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ATXN1 (ataxin 1) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81178","description":"ATXN1 (ataxin 1) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palatal lift prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5955","description":"Palatal lift prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auditor evoke potent compre","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92585","description":"Auditor evoke potent compre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray urethra/bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74450","description":"X-ray urethra/bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla ii typing 1 allele hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81383","description":"Hla ii typing 1 allele hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip midline cath insert kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5523","description":"Hip midline cath insert kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ usin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0116U","description":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ usin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocate pocket for defib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33223","description":"Relocate pocket for defib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NEURO INH ATAXIA DNA 12 COM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0216U","description":"NEURO INH ATAXIA DNA 12 COM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL1A","description":"HIPPS-RUL1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caster fork replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2226","description":"Caster fork replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4401","description":"HCPCS-Q4401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immediate breast prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19340","description":"Immediate breast prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virus inoculate eggs/animal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87250","description":"Virus inoculate eggs/animal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External beam to prost only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4200F","description":"External beam to prost only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychiatry (eg_ depression_ anxiety)_ genomic sequence analysis panel_ variant analysis of 13 genes_ saliva or buccal swab_ report of each gene phenotype","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0419U","description":"Neuropsychiatry (eg_ depression_ anxiety)_ genomic sequence analysis panel_ variant analysis of 13 genes_ saliva or buccal swab_ report of each gene phenotype","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKX","description":"HIPPS-1AFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC34","description":"HIPPS-RMC34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL52","description":"HIPPS-RVL52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gene test myo musclr dyst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3853","description":"Gene test myo musclr dyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beta-blocker therapy rxd/tkn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4008F","description":"Beta-blocker therapy rxd/tkn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB34","description":"HIPPS-RMB34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB12B","description":"HIPPS-PB12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0442T","description":"Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74220","description":"Contrast x-ray esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC251","description":"HIPPS-PC251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology tissue of origin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81504","description":"Oncology tissue of origin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arsenic trioxide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9017","description":"Arsenic trioxide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam thorac spine 2vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72070","description":"X-ray exam thorac spine 2vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HPYLORI","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87339","description":"IAAD IA HPYLORI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia)_ genomic sequence analysis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0237U","description":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia)_ genomic sequence analysis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65900","description":"Remove eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls repos perph cnula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33957","description":"Ecmo/ecls repos perph cnula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame dual w cross","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0946","description":"Fracture frame dual w cross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who have an order for or are receiving hospice or palliative care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1186","description":"Patients who have an order for or are receiving hospice or palliative care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of knee cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27345","description":"Removal of knee cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abciximab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0130","description":"Abciximab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temp anchorage dev w flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7293","description":"Temp anchorage dev w flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 5 genotyping (HPA-5)_ ITGA2 (integrin_ alpha 2 [CD49B_ alpha 2 subunit of VLA-2 receptor] [GPIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81109","description":"Human Platelet Antigen 5 genotyping (HPA-5)_ ITGA2 (integrin_ alpha 2 [CD49B_ alpha 2 subunit of VLA-2 receptor] [GPIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Facial nerve function test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92516","description":"Facial nerve function test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair hand joint with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26542","description":"Repair hand joint with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28445","description":"Treat ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells_ per day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0537T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells_ per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart failure assessed (includes assessment of all the following components) (CAD): Blood pressure measured (2000F) Level of activity assessed (1003F) Clinical symptoms of vol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0105U","description":"Heart failure assessed (includes assessment of all the following components) (CAD): Blood pressure measured (2000F) Level of activity assessed (1003F) Clinical symptoms of vol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qty act diab retin mg perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9672","description":"Qty act diab retin mg perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biovance 1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4154","description":"Biovance 1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Restorigin_ 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4192","description":"Restorigin_ 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system_ including decannulation_ separation from the perfusion sys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0494T","description":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system_ including decannulation_ separation from the perfusion sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Canal prep/fitting of dowel","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3950","description":"Canal prep/fitting of dowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11626","description":"Exc s/n/h/f/g mal+mrg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL3","description":"HIPPS-4BHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hand or foot nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64835","description":"Repair of hand or foot nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Truss add to std pad scrotal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8330","description":"Truss add to std pad scrotal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB1A","description":"HIPPS-RMB1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent_ chest_ including preparation andadministration of agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9791","description":"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent_ chest_ including preparation andadministration of agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound prep addl 100 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15003","description":"Wound prep addl 100 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abrasion lesions add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15787","description":"Abrasion lesions add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPT","description":"HIPPS-1AGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advanced I","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2133","description":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advanced I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18G","description":"HIPPS-LC18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo plastic molded w/ankle j","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1970","description":"Afo plastic molded w/ankle j","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ limited_ joint or other nonvascular extremity structure(s) (eg_ joint space_ peri-articular tendon[s]_ muscle[s]_ nerve[s]_ other soft tissue structure[s]_ or soft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76882","description":"Ultrasound_ limited_ joint or other nonvascular extremity structure(s) (eg_ joint space_ peri-articular tendon[s]_ muscle[s]_ nerve[s]_ other soft tissue structure[s]_ or soft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2472","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2472","description":"HCPCS-J2472","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0545","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0545","description":"HCPCS-G0545","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHLX","description":"HIPPS-2AHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Performance Met: Multimodal Pain Management Was Used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2148","description":"Performance Met: Multimodal Pain Management Was Used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLU","description":"HIPPS-2BGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfers","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23397","description":"Muscle transfers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD230","description":"HIPPS-CD230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE254","description":"HIPPS-HE254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor xiii fibrin scrn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85291","description":"Clot factor xiii fibrin scrn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL2","description":"HIPPS-4CFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid skin barrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4362","description":"Solid skin barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole lauroxil (Aristada Initio)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9035","description":"Injection_ aripiprazole lauroxil (Aristada Initio)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pyridoxine hcl 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3415","description":"Pyridoxine hcl 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid repair/modifying","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5014","description":"Hearing aid repair/modifying","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB10","description":"HIPPS-RVB10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28190","description":"Removal of foot foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pelvis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26990","description":"Drainage of pelvis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser surg penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54057","description":"Laser surg penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control unit bowel system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0350","description":"Control unit bowel system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA260","description":"HIPPS-PA260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom fabricate w/c cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2609","description":"Custom fabricate w/c cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evasc prlng admn rx agnt add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61651","description":"Evasc prlng admn rx agnt add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Number Of Adult Patient-Months In The Denominator Who Were On Maintenance Hemodialysis Under The Care Of The Same Practitioner Or Group Partner As Of The Last Hemodialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1027","description":"The Number Of Adult Patient-Months In The Denominator Who Were On Maintenance Hemodialysis Under The Care Of The Same Practitioner Or Group Partner As Of The Last Hemodialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no dchg home postop day 7","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9602","description":"Pt no dchg home postop day 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation and curettage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58120","description":"Dilation and curettage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76529","description":"Echo exam of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Snrpn/ube3a gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81331","description":"Snrpn/ube3a gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX4D","description":"HIPPS-RHX4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anal/urinary muscle study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51784","description":"Anal/urinary muscle study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient_ who has a reactive hcv antibody test_ and has a follow up hcv viral test that detected hcv viremia_ has hcv treatment initiated within 3 months of the reactive hcv an","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1228","description":"Patient_ who has a reactive hcv antibody test_ and has a follow up hcv viral test that detected hcv viremia_ has hcv treatment initiated within 3 months of the reactive hcv an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC20","description":"HIPPS-RVC20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor speech goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9186","description":"Motor speech goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGK4","description":"HIPPS-2CGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove tissue expander(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11971","description":"Remove tissue expander(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R&l hrt art/ventricle angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93460","description":"R&l hrt art/ventricle angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Legion pneumo dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87542","description":"Legion pneumo dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC0B","description":"HIPPS-RMC0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj prohance multipack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9576","description":"Inj prohance multipack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA21","description":"HIPPS-RMA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Services provided as part of","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9990","description":"Services provided as part of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath mtral vlve repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0345T","description":"Transcath mtral vlve repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy rigid trnso","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43180","description":"Esophagoscopy rigid trnso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhcp-svs of s/l path_ea 15mn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0153","description":"Hhcp-svs of s/l path_ea 15mn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous auricular neurostimulation_ set-up_ calibration_ and patient education on use of equipment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0783T","description":"Transcutaneous auricular neurostimulation_ set-up_ calibration_ and patient education on use of equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPV","description":"HIPPS-1AGPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cus elbo skt in for con/atyp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6696","description":"Cus elbo skt in for con/atyp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (renal transplant)_ RNA expression by select transcriptome sequencing_ using pretransplant peripheral blood_ algorithm reported as a risk score for early acute reje","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0319U","description":"Nephrology (renal transplant)_ RNA expression by select transcriptome sequencing_ using pretransplant peripheral blood_ algorithm reported as a risk score for early acute reje","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE23B","description":"HIPPS-HE23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1/2 crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63001","description":"Remove spine lamina 1/2 crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0675U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0675U","description":"CPT-0675U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX0D","description":"HIPPS-RMX0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L8721","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8721","description":"HCPCS-L8721","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Str markers specimen anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81265","description":"Str markers specimen anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc exten prosth addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34826","description":"Endovasc exten prosth addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24363","description":"Replace elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0749T","description":"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer tub rail attachment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0246","description":"Transfer tub rail attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath concentrate tech","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88108","description":"Cytopath concentrate tech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1088T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1088T","description":"CPT-1088T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2180","description":"Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB0A","description":"HIPPS-RVB0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest auto stem cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38206","description":"Harvest auto stem cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq card angio/athrect addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92925","description":"Prq card angio/athrect addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0106","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0106","description":"HCPCS-C0106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC141","description":"HIPPS-CC141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko elastic w/joints pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1812","description":"Ko elastic w/joints pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp ilio-mesenteric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35633","description":"Art byp ilio-mesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB07","description":"HIPPS-RLB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy elbow joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24100","description":"Biopsy elbow joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28A","description":"HIPPS-LB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vertebral body tethering_ anterior; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0656T","description":"Vertebral body tethering_ anterior; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral speech device eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92597","description":"Oral speech device eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohols biomarkers 1or 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80321","description":"Alcohols biomarkers 1or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Improve visual funct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0913","description":"Improve visual funct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18D","description":"HIPPS-BA18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC14B","description":"HIPPS-CC14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX40","description":"HIPPS-RHX40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLV","description":"HIPPS-2CGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria toxoid_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90719","description":"Diphtheria toxoid_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are identified as having an intolerance or allergy to beta-blocker therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9800","description":"Patients who are identified as having an intolerance or allergy to beta-blocker therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 3 MCG TRS-SUCR","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91308","description":"SARSCOV2 VAC 3 MCG TRS-SUCR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mobility d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8980","description":"Mobility d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retinal polarization scan_ ocular screening with on-site automated results_ bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0469T","description":"Retinal polarization scan_ ocular screening with on-site automated results_ bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31291","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/subs interv >30 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0397","description":"Alcohol/subs interv >30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stomach surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43999","description":"Stomach surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0537","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0537","description":"HCPCS-G0537","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-S4024","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4024","description":"HCPCS-S4024","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB22A","description":"HIPPS-CB22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15738","description":"Muscle-skin graft leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01829","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01829","description":"CPT-01829","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHK6","description":"HIPPS-1CHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rebond/cement/repair retain","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8693","description":"Rebond/cement/repair retain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped term dev_ hook_ vol open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6711","description":"Ped term dev_ hook_ vol open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23525","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD246","description":"HIPPS-HD246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4341","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4341","description":"HCPCS-Q4341","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test def 8-14 classes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0481","description":"Drug test def 8-14 classes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental recement bridge","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6930","description":"Dental recement bridge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI brain w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70559","description":"MRI brain w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB11A","description":"HIPPS-PB11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0682","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0682","description":"HCPCS-G0682","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped critical care initial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99471","description":"Ped critical care initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat big toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28496","description":"Treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic appliance half arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0655","description":"Pneumatic appliance half arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guide wire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1769","description":"Guide wire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX1C","description":"HIPPS-RHX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Procarbazine_ oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0182","description":"Procarbazine_ oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML14","description":"HIPPS-RML14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0102","description":"HCPCS-B0102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AmnioText_ per cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4245","description":"AmnioText_ per cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for >12 wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1137F","description":"Epsd bk pain for >12 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syme typ expandabl wall sckt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5630","description":"Syme typ expandabl wall sckt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom power whlchr base","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0013","description":"Custom power whlchr base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast add lesion mr imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19086","description":"Bx breast add lesion mr imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tagraxofusp-erzs_ 10 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9269","description":"Injection_ tagraxofusp-erzs_ 10 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermabind ch_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4288","description":"Dermabind ch_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis-periapical radiographic image - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0389","description":"intraoral tomosynthesis-periapical radiographic image - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hc pro phone call 5-10 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98966","description":"Hc pro phone call 5-10 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glucagon tolerance panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80422","description":"Glucagon tolerance panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pacemaker monitr audible/vis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0610","description":"Pacemaker monitr audible/vis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ankle joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27626","description":"Remove ankle joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluid flow or fluid GF_ 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4206","description":"Fluid flow or fluid GF_ 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX10","description":"HIPPS-RHX10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD20A","description":"HIPPS-LD20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFPT","description":"HIPPS-1CFPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Known Familial Variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81353","description":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Known Familial Variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4402","description":"HCPCS-Q4402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27558","description":"Treat knee dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-76017","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76017","description":"CPT-76017","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26483","description":"Transplant/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Locm 100-199mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9965","description":"Locm 100-199mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67975","description":"Reconstruction of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Residential Habilitation 4-8","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0102","description":"Residential Habilitation 4-8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estrone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82679","description":"Assay of estrone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder blade lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23182","description":"Remove shoulder blade lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61692","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0303","description":"HCPCS-C0303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ABO GNOTYP ABO 7 EXONS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0180U","description":"ABO GNOTYP ABO 7 EXONS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33010","description":"Drainage of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress spinal cord lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63056","description":"Decompress spinal cord lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA131","description":"HIPPS-BA131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap myotomy heller","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43279","description":"Lap myotomy heller","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote retinal imaging mgmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92228","description":"Remote retinal imaging mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lymph nodes neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38700","description":"Removal of lymph nodes neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFP6","description":"HIPPS-3CFP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with the power source and control electronics unit_ controlled by phon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0493","description":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with the power source and control electronics unit_ controlled by phon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6074","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis g dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87527","description":"Hepatitis g dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37299","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37299","description":"CPT-37299","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0238","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0238","description":"HCPCS-M0238","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA22","description":"HIPPS-RHA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transparent film >16<=48 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6258","description":"Transparent film >16<=48 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION_ OCRELIZUMAB_ 1 MG (OCREVUS)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9494","description":"INJECTION_ OCRELIZUMAB_ 1 MG (OCREVUS)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ankle arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29899","description":"Ankle arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mechanical allergen particle barrier/inhalation filter_ cream_ nasal_ topical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7023","description":"Mechanical allergen particle barrier/inhalation filter_ cream_ nasal_ topical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gerd symps assessed 12 month","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1118F","description":"Gerd symps assessed 12 month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ corticotropin (ANI)_ up to 40 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0802","description":"Injection_ corticotropin (ANI)_ up to 40 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33425","description":"Repair of mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier solid 4x4 equiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4372","description":"Skin barrier solid 4x4 equiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM2","description":"HIPPS-2AHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cst hgh nble mtl inlay 2 srf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6602","description":"Cst hgh nble mtl inlay 2 srf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMW","description":"HIPPS-1CFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat metatarsal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28485","description":"Treat metatarsal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90382","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90382","description":"CPT-90382","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin sys stance flexion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5845","description":"Knee-shin sys stance flexion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18H","description":"HIPPS-ES18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB42","description":"HIPPS-RVB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score hip >= 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8651","description":"Fun stat score hip >= 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Of Substernal Implantable Defibrillator Electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0572T","description":"Insertion Of Substernal Implantable Defibrillator Electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 16 gene report_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0347U","description":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 16 gene report_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1083T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1083T","description":"CPT-1083T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB201","description":"HIPPS-LB201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Term dev precision pinch dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6810","description":"Term dev precision pinch dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspirate pleura w/o imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32554","description":"Aspirate pleura w/o imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0641T","description":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00326","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00326","description":"CPT-00326","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM6","description":"HIPPS-1BHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Influenza","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87804","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Influenza","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML24","description":"HIPPS-RML24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef incomplete/modular","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4155","description":"Ef incomplete/modular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain outer ear canal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69020","description":"Drain outer ear canal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel thomas extend to b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3470","description":"Shoe heel thomas extend to b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alveoplasty w/ extraction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7310","description":"Alveoplasty w/ extraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit2.6-7.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12042","description":"Intmd rpr n-hf/genit2.6-7.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped term dev_ hand_ vol open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6713","description":"Ped term dev_ hand_ vol open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External bleaching home app","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9975","description":"External bleaching home app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acth stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80406","description":"Acth stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close tear duct opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68761","description":"Close tear duct opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Set radiation therapy field","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77290","description":"Set radiation therapy field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy fundoplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43280","description":"Laparoscopy fundoplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE246","description":"HIPPS-HE246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth fat layer removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80251","description":"Anesth fat layer removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hgb <10g/dl_ med rsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8975","description":"Hgb <10g/dl_ med rsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ casirivimab and imdevimab includes infusion and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0243","description":"Intravenous infusion_ casirivimab and imdevimab includes infusion and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of skull lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61500","description":"Removal of skull lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total kt/v less than 1. 7 per week (total clearance of urea [kt] / volume [v])_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8720","description":"Total kt/v less than 1. 7 per week (total clearance of urea [kt] / volume [v])_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcysteine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0132","description":"Acetylcysteine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC21B","description":"HIPPS-LC21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Admin + supply_ tositumomab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G3001","description":"Admin + supply_ tositumomab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC23A","description":"HIPPS-PC23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI w/o fol w/cont_ brst_ un","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8905","description":"MRI w/o fol w/cont_ brst_ un","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adrenal tissue transplant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2103","description":"Adrenal tissue transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6069","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prost cncr rsk not lw/md/hgh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3274F","description":"Prost cncr rsk not lw/md/hgh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK6","description":"HIPPS-5BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84590","description":"Assay of vitamin a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc of neg or man pos tb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9360","description":"No doc of neg or man pos tb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Service for diagnosis_ evaluation_ or treatment of a mental health or substance use disorder_ initial 30-60 minutes_ provided remotely by hospital staff who are licensed to pr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7901","description":"Service for diagnosis_ evaluation_ or treatment of a mental health or substance use disorder_ initial 30-60 minutes_ provided remotely by hospital staff who are licensed to pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asth controlled","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9432","description":"Asth controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Camisole post-mast","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8460","description":"Camisole post-mast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ olipudase alfa-rpcp_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0218","description":"Injection_ olipudase alfa-rpcp_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1301","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1301","description":"CDT-D1301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prenatal flow sheet","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0501F","description":"Prenatal flow sheet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test for urine cystines","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82615","description":"Test for urine cystines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pessary_ non rubber_any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4562","description":"Pessary_ non rubber_any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00190","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00190","description":"CPT-00190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std mult pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0842","description":"Pwc gp2 std mult pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rna tstng hep c docd done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3218F","description":"Rna tstng hep c docd done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC117","description":"HIPPS-CC117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83655","description":"Assay of lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifo 7.25-12/.25-","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2211","description":"Lens sphcy bifo 7.25-12/.25-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens pmma-toric/prism","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2501","description":"Cntct lens pmma-toric/prism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC14A","description":"HIPPS-LC14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB12A","description":"HIPPS-HB12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27605","description":"Incision of achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Disease_ Bacterial Vaginosis And Vaginitis_ Quantitative Real-Time Amplification Of Dna Markers For Gardnerella Vaginalis_ Atopobium Vaginae_ Megasphaera Type 1_ Ba","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81514","description":"Infectious Disease_ Bacterial Vaginosis And Vaginitis_ Quantitative Real-Time Amplification Of Dna Markers For Gardnerella Vaginalis_ Atopobium Vaginae_ Megasphaera Type 1_ Ba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL4","description":"HIPPS-3BHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hbot_ full body chamber_ 30m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0277","description":"Hbot_ full body chamber_ 30m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis treatment performed exactly three times per week for > 90 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8714","description":"Hemodialysis treatment performed exactly three times per week for > 90 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq tx nasoethmoid fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21340","description":"Perq tx nasoethmoid fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX07","description":"HIPPS-RLX07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.00d/4.25-6d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2105","description":"Spherocylinder 4.00d/4.25-6d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB2B","description":"HIPPS-RLB2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2050","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2050","description":"HCPCS-A2050","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr wc dr wh motor/gear comb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2370","description":"Pwr wc dr wh motor/gear comb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abltj Perc Cryoabltj Img Gdn Uxtr/Perph Nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0440T","description":"Abltj Perc Cryoabltj Img Gdn Uxtr/Perph Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Io radiation tx management","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77469","description":"Io radiation tx management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain biopsy w/ct/mr guide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61751","description":"Brain biopsy w/ct/mr guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lpn/lvn services up to 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1003","description":"Lpn/lvn services up to 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1478","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1478","description":"HCPCS-M1478","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transab esoph hiat hern rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43333","description":"Transab esoph hiat hern rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL5","description":"HIPPS-4AHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pure tone hearing test air","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92551","description":"Pure tone hearing test air","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ tibial/peroneal artery(ies)_ with intravascular lithotripsy_ includes angioplasty within the same vessel (s)_ when perfo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9772","description":"Revascularization_ endovascular_ open or percutaneous_ tibial/peroneal artery(ies)_ with intravascular lithotripsy_ includes angioplasty within the same vessel (s)_ when perfo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External recharg sys extern","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8695","description":"External recharg sys extern","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of finger splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29130","description":"Application of finger splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21080","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/cont_ pelvis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8918","description":"Mra w/cont_ pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home vent non-invasive inter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0466","description":"Home vent non-invasive inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFM6","description":"HIPPS-2BFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rerepair ventrl hern reduce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49565","description":"Rerepair ventrl hern reduce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunfix e-phorsis/urine/csf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86335","description":"Immunfix e-phorsis/urine/csf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ waist length_ 30-40 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6563","description":"Gradient compression stocking_ waist length_ 30-40 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sc <2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21011","description":"Exc face les sc <2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temporary external pacing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92953","description":"Temporary external pacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement nasal cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7032","description":"Replacement nasal cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB0B","description":"HIPPS-RHB0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Substernal Implantable Defibrillator Electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0573T","description":"Removal Of Substernal Implantable Defibrillator Electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC155","description":"HIPPS-HC155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transab or transvag us","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8806","description":"Transab or transvag us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD15A","description":"HIPPS-LD15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Procenta_ per 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4244","description":"Procenta_ per 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB213","description":"HIPPS-BB213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1304","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1304","description":"HCPCS-A1304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artificial insemination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58321","description":"Artificial insemination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16378","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16378","description":"CPT-16378","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ any number of drug classes_ any number of devices or procedures; by instrument chemistry analyzers (eg_ utilizing immunoassay [eg_ EIA_ ELISA_ EMIT_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80307","description":"Drug test(s)_ presumptive_ any number of drug classes_ any number of devices or procedures; by instrument chemistry analyzers (eg_ utilizing immunoassay [eg_ EIA_ ELISA_ EMIT_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23921","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose/water","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7060","description":"5% dextrose/water","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL1B","description":"HIPPS-RVL1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee acrylic socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5629","description":"Below knee acrylic socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB07","description":"HIPPS-RUB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking full lngth 30-40","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6537","description":"Gc stocking full lngth 30-40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1059T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1059T","description":"CPT-1059T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA104","description":"HIPPS-CA104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01842","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01842","description":"CPT-01842","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28F","description":"HIPPS-BB28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Er- or pr- breast cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3316F","description":"Er- or pr- breast cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophth us b w/non-quant a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76512","description":"Ophth us b w/non-quant a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tacrol envarsus ex rel oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7503","description":"Tacrol envarsus ex rel oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4543","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4543","description":"HCPCS-A4543","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant maintenance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6080","description":"Implant maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0175","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0175","description":"HCPCS-J0175","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX17","description":"HIPPS-RMX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX3A","description":"HIPPS-RUX3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL0B","description":"HIPPS-RVL0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp carotid-subclavian","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35606","description":"Art byp carotid-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Ocular (Ovemp)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92518","description":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Ocular (Ovemp)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove nail plate add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11732","description":"Remove nail plate add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient provided a response other than completely true for the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1245","description":"Patient provided a response other than completely true for the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos microalbuminuria rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3060F","description":"Pos microalbuminuria rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analysis nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88356","description":"Analysis nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Construction of absent anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46730","description":"Construction of absent anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part hand myo exclu term dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6026","description":"Part hand myo exclu term dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No unpln rup post cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9390","description":"No unpln rup post cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adm Tocilizu COVID-19 2nd dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0250","description":"Adm Tocilizu COVID-19 2nd dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA120","description":"HIPPS-BA120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulm funct tst plethysmograp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94726","description":"Pulm funct tst plethysmograp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy fb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45307","description":"Proctosigmoidoscopy fb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lurbinectedin_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9223","description":"Injection_ lurbinectedin_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polycentric hinge pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6600","description":"Polycentric hinge pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1011T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1011T","description":"CPT-1011T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL1","description":"HIPPS-2AGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis bra & form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8001","description":"Breast prosthesis bra & form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dent appl desensitizing med","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9910","description":"Dent appl desensitizing med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx cml chronic phase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9123","description":"Onc dx cml chronic phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged service inpatient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99357","description":"Prolonged service inpatient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Copd measures group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8898","description":"Copd measures group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Single visn sphere 4.12-7.00","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2101","description":"Single visn sphere 4.12-7.00","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob prov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1255","description":"Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob prov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60220","description":"Partial removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0546","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0546","description":"HCPCS-G0546","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low extemity neur exam docum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8404","description":"Low extemity neur exam docum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52318","description":"Remove bladder stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE250","description":"HIPPS-PE250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57288","description":"Repair bladder defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone biopsy trocar/needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20225","description":"Bone biopsy trocar/needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interfyl_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4171","description":"Interfyl_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corneal transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65730","description":"Corneal transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of metanephrines","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83835","description":"Assay of metanephrines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stenger test pure tone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92565","description":"Stenger test pure tone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1476","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1476","description":"HCPCS-M1476","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrode stim brain add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95962","description":"Electrode stim brain add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ omadacycline_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9051","description":"Injection_ omadacycline_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human papillomavirus (HPV)_ high-risk types (ie_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 51_ 52_ 56_ 58_ 59_ 66_ 68)_ male urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0096U","description":"Human papillomavirus (HPV)_ high-risk types (ie_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 51_ 52_ 56_ 58_ 59_ 66_ 68)_ male urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photodynmc tx 30 min add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96570","description":"Photodynmc tx 30 min add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGM1","description":"HIPPS-1BGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP6","description":"HIPPS-1CHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Male vacuum erection system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7900","description":"Male vacuum erection system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44378","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth heart surg w/arrest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56351","description":"Anesth heart surg w/arrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay resin 2 surface","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2662","description":"Dental onlay resin 2 surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of guide into renal pelvis and/or ureter with dilation to establish nephrostomy tract_ percutaneous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50395","description":"Introduction of guide into renal pelvis and/or ureter with dilation to establish nephrostomy tract_ percutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assessment for hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5010","description":"Assessment for hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7518","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Administration of a standardized_ evidence-based social determinants of health risk assessment tool_ 5-15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0136","description":"Administration of a standardized_ evidence-based social determinants of health risk assessment tool_ 5-15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7172","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7172","description":"HCPCS-J7172","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scalp cooling_ mechanical; placement of device_ monitoring_ and removal of device (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0663T","description":"Scalp cooling_ mechanical; placement of device_ monitoring_ and removal of device (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hips bi 3-4 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73522","description":"X-ray exam hips bi 3-4 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinal male jug-type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0325","description":"Urinal male jug-type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calcium infusion test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82331","description":"Calcium infusion test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Als defibrillation supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0392","description":"Als defibrillation supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unexplained constitutional or other heritable disorders or syndromes_ tissue-specific gene expression by whole-transcriptome and next-generation sequencing_ blood_ formalin-fi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0266U","description":"Unexplained constitutional or other heritable disorders or syndromes_ tissue-specific gene expression by whole-transcriptome and next-generation sequencing_ blood_ formalin-fi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-Cement Or Re-Bond Bilateral Space Maintainer - Maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1551","description":"Re-Cement Or Re-Bond Bilateral Space Maintainer - Maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC30","description":"HIPPS-RHC30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33025","description":"Incision of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ talimogene laherparepvec_ 1 million plaque forming units (PFU) (Imlygic)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9472","description":"Injection_ talimogene laherparepvec_ 1 million plaque forming units (PFU) (Imlygic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7556","description":"Bronchoscopy_ rigid or flexible_ with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prothrombin time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85610","description":"Prothrombin time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHMT","description":"HIPPS-3BHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX02","description":"HIPPS-RVX02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (non-small cell lung cancer)_ cell-free DNA from plasma_ targeted sequence analysis of at least 109 genes_ including sequence variants_ substitutions_ insertions_ del","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0397U","description":"Oncology (non-small cell lung cancer)_ cell-free DNA from plasma_ targeted sequence analysis of at least 109 genes_ including sequence variants_ substitutions_ insertions_ del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop colon lavage add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44701","description":"Intraop colon lavage add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sales tax","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9999","description":"Sales tax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylindr 4.00d/12-2.00d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2103","description":"Spherocylindr 4.00d/12-2.00d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing rbc antigens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86905","description":"Blood typing rbc antigens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxytetracycline injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2460","description":"Oxytetracycline injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPU","description":"HIPPS-1AGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/dye_ upper extremity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8934","description":"Mra_ w/dye_ upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD24C","description":"HIPPS-HD24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD245","description":"HIPPS-CD245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimpanzee adenovirus Oxford 1 (ChAdOx1) vector_ pre","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91302","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimpanzee adenovirus Oxford 1 (ChAdOx1) vector_ pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid caster tire_ integrate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2392","description":"Solid caster tire_ integrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tigecycline (accord) not therapeutically equivalent to j3243_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3244","description":"Injection_ tigecycline (accord) not therapeutically equivalent to j3243_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB20B","description":"HIPPS-CB20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long qt synd gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81280","description":"Long qt synd gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18D","description":"HIPPS-CA18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adj skin pro/pos wc cus>=22","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2625","description":"Adj skin pro/pos wc cus>=22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX15","description":"HIPPS-RLX15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy_ vaginal; minimally invasive extra-peritoneal approach (sacrospinous)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9778","description":"Colpopexy_ vaginal; minimally invasive extra-peritoneal approach (sacrospinous)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightweight det a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1088","description":"Wheelchair lightweight det a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracran angioplsty w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61635","description":"Intracran angioplsty w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intend rpt card prev msr grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9673","description":"Intend rpt card prev msr grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a normal neurological examination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9535","description":"Patients with a normal neurological examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP1","description":"HIPPS-1BGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crgvr prov w/ ed addl rsrcs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4322F","description":"Crgvr prov w/ ed addl rsrcs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnicore pro_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4298","description":"Amnicore pro_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast 1st lesion mr imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19085","description":"Bx breast 1st lesion mr imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of spleen total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38100","description":"Removal of spleen total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lambswool sheepskin pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0189","description":"Lambswool sheepskin pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occlusal guard adjustment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9943","description":"Occlusal guard adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc stroke after cea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9258","description":"Doc stroke after cea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric motility studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91020","description":"Gastric motility studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A8006","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8006","description":"HCPCS-A8006","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ anesthetic agent; spinal accessory nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64412","description":"Injection_ anesthetic agent; spinal accessory nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-38228","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38228","description":"CPT-38228","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 0.6-1 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11441","description":"Exc face-mm b9+marg 0.6-1 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supp maint employ_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2026","description":"Supp maint employ_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD220","description":"HIPPS-PD220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lube sterile packet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4332","description":"Lube sterile packet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icut allergy titrate-airborn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95027","description":"Icut allergy titrate-airborn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop dsg bk ea add cast ch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5410","description":"Postop dsg bk ea add cast ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44370","description":"Small bowel endoscopy/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; Unmonitored","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95705","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; Unmonitored","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ftl cgen abnor three anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81510","description":"Ftl cgen abnor three anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC131","description":"HIPPS-LC131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam si joints 3/> vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72202","description":"X-ray exam si joints 3/> vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23616","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status was measured by the Oswestry Disability Index (ODI version 2.1a) patient reported outcome tool within three m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1050","description":"Functional status was measured by the Oswestry Disability Index (ODI version 2.1a) patient reported outcome tool within three m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7683","description":"Triamcinolone comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat recline mech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1004","description":"Pwr seat recline mech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part pulp for apexogenesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3222","description":"Part pulp for apexogenesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anterior thoracic derotation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1260","description":"Anterior thoracic derotation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Budesonide non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7633","description":"Budesonide non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gait training therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97116","description":"Gait training therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0406","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0406","description":"CDT-D0406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB121","description":"HIPPS-LB121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74775","description":"X-ray exam of perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dengue vaccine_ quadrivalent_ live_ 3 dose schedule_ for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90587","description":"Dengue vaccine_ quadrivalent_ live_ 3 dose schedule_ for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Co57/58","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9546","description":"Co57/58","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder-vagina lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57330","description":"Repair bladder-vagina lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical; with dilation of frontal and sphenoid sinus ostia (eg_ balloon dilation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31298","description":"Nasal/sinus endoscopy_ surgical; with dilation of frontal and sphenoid sinus ostia (eg_ balloon dilation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TOTAL_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4330","description":"TOTAL_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex arm/elbow tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24073","description":"Ex arm/elbow tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet image skull-thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78812","description":"Pet image skull-thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL30","description":"HIPPS-RHL30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6070","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 2.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12031","description":"Intmd rpr s/a/t/ext 2.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB255","description":"HIPPS-PB255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1327","description":"Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD115","description":"HIPPS-LD115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC106","description":"HIPPS-CC106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24930","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tumor imaging limited area","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78800","description":"Tumor imaging limited area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy eyelid & lid margin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67810","description":"Biopsy eyelid & lid margin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGM2","description":"HIPPS-2AGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1814","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1814","description":"HCPCS-E1814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 1.1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11622","description":"Exc s/n/h/f/g mal+mrg 1.1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Norsn incomp inf antibio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9302","description":"Norsn incomp inf antibio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote 30 day ecg rev/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93270","description":"Remote 30 day ecg rev/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00868","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00868","description":"CPT-00868","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE260","description":"HIPPS-HE260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amino acids mult qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82128","description":"Amino acids mult qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject for lymphatic x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38790","description":"Inject for lymphatic x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not administering zoster vaccine (e.g._ prior anaphylaxis due to the zoster vaccine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1175","description":"Documentation of medical reason(s) for not administering zoster vaccine (e.g._ prior anaphylaxis due to the zoster vaccine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26720","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cervical pneum trac equip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0849","description":"Cervical pneum trac equip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC25C","description":"HIPPS-HC25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFP5","description":"HIPPS-3AFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext ecg review and interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0298T","description":"Ext ecg review and interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close chest after drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32810","description":"Close chest after drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28192","description":"Removal of foot foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGMW","description":"HIPPS-2BGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged preventive service(s) (beyond the typical service time of the primary procedure)_ in the office or other outpatient setting requiring direct patient contact beyond t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0513","description":"Prolonged preventive service(s) (beyond the typical service time of the primary procedure)_ in the office or other outpatient setting requiring direct patient contact beyond t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8F","description":"HIPPS-RHB8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cranial bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21182","description":"Reconstruct cranial bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29819","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC10B","description":"HIPPS-HC10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18H","description":"HIPPS-PD18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ing hern premie blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49492","description":"Rpr ing hern premie blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calc bmi out nrm param nof/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8419","description":"Calc bmi out nrm param nof/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald_ tv caption decoder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5271","description":"Ald_ tv caption decoder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient has copd symptoms (e.g._ dyspnea_ cough/sputum_ wheezing)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1218","description":"Patient has copd symptoms (e.g._ dyspnea_ cough/sputum_ wheezing)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1dose menig vac btwn 11 & 13","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9414","description":"1dose menig vac btwn 11 & 13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA256","description":"HIPPS-CA256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj multihance multipack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9578","description":"Inj multihance multipack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein six or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33516","description":"Cabg vein six or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla class i high defin qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86832","description":"Hla class i high defin qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implanted vestibular device_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0726T","description":"Removal of implanted vestibular device_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet image ltd area","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78811","description":"Pet image ltd area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of lower leg tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27681","description":"Release of lower leg tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocortisone acetate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1700","description":"Hydrocortisone acetate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL6","description":"HIPPS-3CFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES320","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES320","description":"HIPPS-ES320","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreservation oocyte(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89337","description":"Cryopreservation oocyte(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual therapy 1/> regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97140","description":"Manual therapy 1/> regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient immunocompromised","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1062","description":"Patient immunocompromised","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC50","description":"HIPPS-RHC50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophys map 3d add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93613","description":"Electrophys map 3d add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0526U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0526U","description":"CPT-0526U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tick-borne relapsing fever Borrelia group_ antibody detection to 4 recombinant protein groups_ by immunoblot_ IgM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0043U","description":"Tick-borne relapsing fever Borrelia group_ antibody detection to 4 recombinant protein groups_ by immunoblot_ IgM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81249","description":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA2C","description":"HIPPS-RHA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vutrisiran_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0225","description":"Injection_ vutrisiran_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acupunct w/stimul 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97813","description":"Acupunct w/stimul 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA25D","description":"HIPPS-BA25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45346","description":"Sigmoidoscopy w/ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23174","description":"Remove humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not providing tobacco cessation intervention if identified as a tobacco user (e.g._ limited life expectancy_ other medical reason)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9909","description":"Documentation of medical reason(s) for not providing tobacco cessation intervention if identified as a tobacco user (e.g._ limited life expectancy_ other medical reason)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Docrsn for catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9239","description":"Docrsn for catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24800","description":"Fusion of elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nail bed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11750","description":"Removal of nail bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81405","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC0D","description":"HIPPS-RUC0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin advanced glycation endproducts (AGE) measurement by multi-wavelength fluorescent spectroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0233T","description":"Skin advanced glycation endproducts (AGE) measurement by multi-wavelength fluorescent spectroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Head control nonproportional","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2329","description":"Head control nonproportional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1402","description":"HCPCS-C1402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50940","description":"Release of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD120","description":"HIPPS-CD120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHM6","description":"HIPPS-1AHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of iliopsoas muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27110","description":"Transfer of iliopsoas muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0453T","description":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iodine i-123 sod iodide mic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9516","description":"Iodine i-123 sod iodide mic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replantation digit complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20816","description":"Replantation digit complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occupational therapy_ in the","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9129","description":"Occupational therapy_ in the","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control_ including vascular access and closure_ right heart catherization_ venou","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9783","description":"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control_ including vascular access and closure_ right heart catherization_ venou","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC4B","description":"HIPPS-RHC4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1023","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1023","description":"HCPCS-E1023","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carmustine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9050","description":"Carmustine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC55","description":"HIPPS-RVC55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91299","description":"Gastroenterology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echocardiography contrast","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9700","description":"Echocardiography contrast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99201","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart tmr w/other procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33141","description":"Heart tmr w/other procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paranasal sinus ultrasound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9024","description":"Paranasal sinus ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap insert tunnel ip cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49324","description":"Lap insert tunnel ip cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB50","description":"HIPPS-RLB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electro hearng aid tst both","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92595","description":"Electro hearng aid tst both","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1823","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1823","description":"HCPCS-E1823","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vascular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93979","description":"Vascular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01404","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01404","description":"CPT-01404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virus antibody nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86790","description":"Virus antibody nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB5B","description":"HIPPS-RVB5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cyclophosphamide (sandoz)_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9074","description":"Injection_ cyclophosphamide (sandoz)_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd tube/cath insertion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43241","description":"Egd tube/cath insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct chest spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72128","description":"Ct chest spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX2C","description":"HIPPS-RLX2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ gemcitabine hydrochloride (accord)_ not therapeutically equivalent to j9201_ 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9196","description":"Injection_ gemcitabine hydrochloride (accord)_ not therapeutically equivalent to j9201_ 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser treatment of retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67039","description":"Laser treatment of retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge payment: A one-time payment for the first Medicare Diabetes Prevention Program (MDPP) core session_ core maintenance session_ or ongoing maintenance session furnished b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9890","description":"Bridge payment: A one-time payment for the first Medicare Diabetes Prevention Program (MDPP) core session_ core maintenance session_ or ongoing maintenance session furnished b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peridontal medicament","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5994","description":"Peridontal medicament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep cadaver renal allograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50323","description":"Prep cadaver renal allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of unstable kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27422","description":"Revision of unstable kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thumb fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26650","description":"Treat thumb fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of homovanillic acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83150","description":"Assay of homovanillic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC211","description":"HIPPS-PC211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28070","description":"Removal of foot joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93971","description":"Extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1003","description":"HCPCS-A1003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bh ltc res r&b_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2048","description":"Bh ltc res r&b_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0492U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0492U","description":"CPT-0492U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1049T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1049T","description":"CPT-1049T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7530","description":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML5D","description":"HIPPS-RML5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC56","description":"HIPPS-RMC56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4342","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4342","description":"HCPCS-Q4342","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4367","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4367","description":"HCPCS-Q4367","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18D","description":"HIPPS-PC18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB43","description":"HIPPS-RHB43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Affinity1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4159","description":"Affinity1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA215","description":"HIPPS-CA215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA213","description":"HIPPS-BA213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rhythm ecg tracing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93041","description":"Rhythm ecg tracing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1904","description":"HCPCS-B1904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0635U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0635U","description":"CPT-0635U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular instrumnt screen bil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99177","description":"Ocular instrumnt screen bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve teasing preparations","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88362","description":"Nerve teasing preparations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner eye adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65875","description":"Incise inner eye adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18E","description":"HIPPS-CB18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC2B","description":"HIPPS-RMC2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remov/replc ur sphinctr comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53448","description":"Remov/replc ur sphinctr comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18C","description":"HIPPS-CD18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51530","description":"Removal of bladder lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX22","description":"HIPPS-RLX22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35537","description":"Art byp grft aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63267","description":"Excise intrspinl lesion lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of external ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69120","description":"Removal of external ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are receiving comfort care only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9930","description":"Patients who are receiving comfort care only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice general care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2045","description":"Hospice general care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth skull repair/fract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21551","description":"Anesth skull repair/fract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom breast prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8035","description":"Custom breast prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eardrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69421","description":"Incision of eardrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove muti-comp penis pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54406","description":"Remove muti-comp penis pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep c scrng docd as done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3514F","description":"Hep c scrng docd as done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99204","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advancing rheumatology patient care mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0053","description":"Advancing rheumatology patient care mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt infosys alarm 4 nxt mammo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"7025F","description":"Pt infosys alarm 4 nxt mammo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary leg bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5112","description":"Urinary leg bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alatrofloxacin mesylate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0200","description":"Alatrofloxacin mesylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Measure blood oxygen level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94760","description":"Measure blood oxygen level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dmd dup/delet analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81161","description":"Dmd dup/delet analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"64 lead ecg w/tracing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0179T","description":"64 lead ecg w/tracing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penile vascular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93981","description":"Penile vascular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dna/rna amplified probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87150","description":"Dna/rna amplified probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reverse osmosis h2o puri sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1610","description":"Reverse osmosis h2o puri sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain image w/flow 4 + views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78606","description":"Brain image w/flow 4 + views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) not achieved within the 30 minutes immediately before or the","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9773","description":"At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) not achieved within the 30 minutes immediately before or the","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psa screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0103","description":"Psa screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc hand tum deep 1.5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26113","description":"Exc hand tum deep 1.5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev cardrehab qualcardevent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4510F","description":"Prev cardrehab qualcardevent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33771","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laps rmvl nstim array vagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0313T","description":"Laps rmvl nstim array vagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remov/replc penis pros comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54411","description":"Remov/replc penis pros comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressants class 6/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80334","description":"Antidepressants class 6/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sympt sten-tia/strk<120days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9006F","description":"Sympt sten-tia/strk<120days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glasses cros hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5190","description":"Glasses cros hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal allograft pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48556","description":"Removal allograft pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion catheter artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36640","description":"Insertion catheter artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise spine eltrd plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63664","description":"Revise spine eltrd plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM3","description":"HIPPS-4CGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cine/video x-rays add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76125","description":"Cine/video x-rays add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple sleep latency test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95805","description":"Multiple sleep latency test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA1C","description":"HIPPS-RVA1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transect artery sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61611","description":"Transect artery sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for 12 wks/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1136F","description":"Epsd bk pain for 12 wks/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult day center_ 8-hour unit_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0530","description":"Adult day center_ 8-hour unit_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB4D","description":"HIPPS-RHB4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryptosporidium ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87272","description":"Cryptosporidium ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLS","description":"HIPPS-2CHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES14C","description":"HIPPS-ES14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97710","description":"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telecare equipment installation and removal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W2024","description":"Telecare equipment installation and removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sitz type bath or equipment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0160","description":"Sitz type bath or equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Treatment Management Services_ Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least One Interactive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98981","description":"Remote Therapeutic Monitoring Treatment Management Services_ Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least One Interactive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES106","description":"HIPPS-ES106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ed svc ckd grp per session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0421","description":"Ed svc ckd grp per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1826","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1826","description":"HCPCS-E1826","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGMS","description":"HIPPS-2BGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of salivary fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42600","description":"Closure of salivary fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation heart device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93640","description":"Evaluation heart device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hair trnspl 1-15 punch grfts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15775","description":"Hair trnspl 1-15 punch grfts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33362","description":"Replace aortic valve open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21083","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty w/cp bypass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33403","description":"Valvuloplasty w/cp bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker platform attachment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0154","description":"Walker platform attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical_ with frontal sinus exploration_ including removal of tissue from frontal sinus_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31276","description":"Nasal/sinus endoscopy_ surgical_ with frontal sinus exploration_ including removal of tissue from frontal sinus_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology Clinical Consultation; For A Clinical Problem_ With Limited Review Of Patient_S History And Medical Records And Straightforward Medical Decision Making When Using Ti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80503","description":"Pathology Clinical Consultation; For A Clinical Problem_ With Limited Review Of Patient_S History And Medical Records And Straightforward Medical Decision Making When Using Ti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise hernia & sperm veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55540","description":"Revise hernia & sperm veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.00d/2.1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2204","description":"Lens sphcy bifocal 4.00d/2.1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Molded socket shin sach foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5100","description":"Molded socket shin sach foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated reticulocyte count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85045","description":"Automated reticulocyte count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HTT (huntingtin) (eg_ Huntington disease) gene analysis; characterization of alleles (eg_ expanded size)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81274","description":"HTT (huntingtin) (eg_ Huntington disease) gene analysis; characterization of alleles (eg_ expanded size)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toc tool incl elem not used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9658","description":"Toc tool incl elem not used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE206","description":"HIPPS-CE206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59320","description":"Revision of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD250","description":"HIPPS-LD250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine disk surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63020","description":"Neck spine disk surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical opening esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43351","description":"Surgical opening esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL6","description":"HIPPS-1AHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1136","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch liq deodorant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4394","description":"Ostomy pouch liq deodorant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc visc aorta 4 graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34844","description":"Endovasc visc aorta 4 graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMS","description":"HIPPS-1AFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam sacrum tailbone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72220","description":"X-ray exam sacrum tailbone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ lower leg and foot_ padded_ for nighttime use_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6525","description":"Gradient compression garment_ lower leg and foot_ padded_ for nighttime use_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of natriuretic peptide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83880","description":"Assay of natriuretic peptide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for bladder x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51600","description":"Injection for bladder x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy_ with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7550","description":"Cystourethroscopy_ with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero w/renal strict","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52346","description":"Cystouretero w/renal strict","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gallium nitrate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1457","description":"Gallium nitrate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGL3","description":"HIPPS-1CGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ sotrovimab_ includes infusion and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0247","description":"Intravenous infusion_ sotrovimab_ includes infusion and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-84394","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84394","description":"CPT-84394","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Or More Antipsychotic Prescriptions Ordered For Patients Who Had A Diagnosis Of Schizophrenia_ Schizoaffective Disorder_ Or Bipolar Disorder On Or Between January 1 Of The","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0032","description":"Two Or More Antipsychotic Prescriptions Ordered For Patients Who Had A Diagnosis Of Schizophrenia_ Schizoaffective Disorder_ Or Bipolar Disorder On Or Between January 1 Of The","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-htn/htn_ no f/u_ not gvn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8952","description":"Pre-htn/htn_ no f/u_ not gvn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ftrst upper hanger bracket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0044","description":"Ftrst upper hanger bracket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLX","description":"HIPPS-2CGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59136","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak pelvic control belt pad/l","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5694","description":"Ak pelvic control belt pad/l","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay blood carbon dioxide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82374","description":"Assay blood carbon dioxide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGKW","description":"HIPPS-3BGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splicing of ureters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50770","description":"Splicing of ureters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enteral infusion pump w/ ala","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9002","description":"Enteral infusion pump w/ ala","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam breastbone 2/>vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71120","description":"X-ray exam breastbone 2/>vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Volume control ventilator_ without pressure support mode_ may include pressure control mode_ used with noninvasive interface (e.g._ mask)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0461","description":"Volume control ventilator_ without pressure support mode_ may include pressure control mode_ used with noninvasive interface (e.g._ mask)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ventricular device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33978","description":"Remove ventricular device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Budesonide comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7627","description":"Budesonide comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mgmt gene methylation anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81287","description":"Mgmt gene methylation anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ amisulpride_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0184","description":"Injection_ amisulpride_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drive belt power wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0098","description":"Drive belt power wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN4","description":"HIPPS-3AFN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB21C","description":"HIPPS-PB21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33363","description":"Replace aortic valve open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exercise Test For Bronchospasm_ Including Pre- And Post-Spirometry And Pulse Oximetry; Without Electrocardiographic Recording(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94619","description":"Exercise Test For Bronchospasm_ Including Pre- And Post-Spirometry And Pulse Oximetry; Without Electrocardiographic Recording(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco non-user","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1036F","description":"Tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of hand bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26230","description":"Partial removal of hand bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trichomonas vaginalis amplif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87661","description":"Trichomonas vaginalis amplif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB220","description":"HIPPS-HB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE115","description":"HIPPS-CE115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6700","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6700","description":"HCPCS-L6700","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No early ind/delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9355","description":"No early ind/delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7356","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7356","description":"HCPCS-J7356","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18C","description":"HIPPS-LE18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27495","description":"Reinforce thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop oct breast cavity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0353T","description":"Intraop oct breast cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1341","description":"Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0350U","description":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightwt fixed arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1087","description":"Wheelchair lightwt fixed arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace socket below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5700","description":"Replace socket below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52265","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC55","description":"HIPPS-RUC55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00836","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00836","description":"CPT-00836","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1434","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1434","description":"HCPCS-M1434","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL53","description":"HIPPS-RHL53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33411","description":"Replacement of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grad comp non-elastic bk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6545","description":"Grad comp non-elastic bk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laiv3 vaccine intranasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90660","description":"Laiv3 vaccine intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA2A","description":"HIPPS-RHA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1319","description":"Patients who had documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0507U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0507U","description":"CPT-0507U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation of wheezing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94060","description":"Evaluation of wheezing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intrvasc us noncoronary 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37252","description":"Intrvasc us noncoronary 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cannabinoids synthetic 1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80350","description":"Cannabinoids synthetic 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3290","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3290","description":"HCPCS-J3290","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/o coronary artery stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4562F","description":"Pt w/o coronary artery stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP5","description":"HIPPS-3BHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetics dna probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88271","description":"Cytogenetics dna probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splint digit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8450","description":"Splint digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat trigeminal tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61791","description":"Treat trigeminal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cell function assay w/stim","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86352","description":"Cell function assay w/stim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammogram both breasts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77056","description":"Mammogram both breasts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug scrn quant oxcarbazepin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80183","description":"Drug scrn quant oxcarbazepin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE22C","description":"HIPPS-LE22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxford w/ supinat/pronator c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3202","description":"Oxford w/ supinat/pronator c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise finger/toe nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64702","description":"Revise finger/toe nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES22C","description":"HIPPS-ES22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28I","description":"HIPPS-CA28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD20A","description":"HIPPS-HD20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGKS","description":"HIPPS-2CGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cervical laminoplsty 2/> seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63050","description":"Cervical laminoplsty 2/> seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA126","description":"HIPPS-PA126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision/fixation of femur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27165","description":"Incision/fixation of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compatibility test spin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86920","description":"Compatibility test spin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gene test hippel-lindau","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3842","description":"Gene test hippel-lindau","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27245","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasia)_ RNA_ BCR/ABL1 major and minor breakpoint fusion transcripts_ quantitative PCR amplification_ blood or bone marrow_ report of fusion not de","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0016U","description":"Oncology (hematolymphoid neoplasia)_ RNA_ BCR/ABL1 major and minor breakpoint fusion transcripts_ quantitative PCR amplification_ blood or bone marrow_ report of fusion not de","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD151","description":"HIPPS-CD151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC52","description":"HIPPS-RVC52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immune admin oral/nasal addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90474","description":"Immune admin oral/nasal addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4223","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4223","description":"HCPCS-Q4223","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1497","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1497","description":"HCPCS-M1497","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thromboemb risk assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1180F","description":"Thromboemb risk assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of gastrostomy tube_ percutaneous_ includes removal_ when performed_ without imaging or endoscopic guidance; not requiring revision of gastrostomy tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43762","description":"Replacement of gastrostomy tube_ percutaneous_ includes removal_ when performed_ without imaging or endoscopic guidance; not requiring revision of gastrostomy tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA206","description":"HIPPS-CA206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath ren art 1st bilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36252","description":"Ins cath ren art 1st bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX25","description":"HIPPS-RVX25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse bile ducts and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47785","description":"Fuse bile ducts and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA23D","description":"HIPPS-PA23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25526","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98006","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98006","description":"CPT-98006","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of knee cartilage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27332","description":"Removal of knee cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61600","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1028T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1028T","description":"CPT-1028T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB25D","description":"HIPPS-PB25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis be antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86707","description":"Hepatitis be antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Swivel adaptor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8186","description":"Swivel adaptor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD216","description":"HIPPS-LD216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ suprapubic/cystoscopic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2627","description":"Cath_ suprapubic/cystoscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37282","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37282","description":"CPT-37282","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL60","description":"HIPPS-RVL60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB114","description":"HIPPS-LB114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam drg >16<=48 sq in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6213","description":"Foam drg >16<=48 sq in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43425","description":"Repair esophagus opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22554","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of face wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15828","description":"Removal of face wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve (Monarch external Trigeminal Nerve Stimulation (eTNS) System.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1016","description":"Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve (Monarch external Trigeminal Nerve Stimulation (eTNS) System.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial thyroid excision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60212","description":"Partial thyroid excision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD11A","description":"HIPPS-PD11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of angiotensin ii","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82163","description":"Assay of angiotensin ii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE155","description":"HIPPS-HE155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3268","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3268","description":"HCPCS-J3268","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Azathioprine parenteral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7501","description":"Azathioprine parenteral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd serv 2-3 vsts p mo <2yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90952","description":"Esrd serv 2-3 vsts p mo <2yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1003","description":"HCPCS-B1003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB206","description":"HIPPS-HB206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for ankle x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27648","description":"Injection for ankle x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB2A","description":"HIPPS-RUB2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA51","description":"HIPPS-RUA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko elas w/ condyle pads & jo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1820","description":"Ko elas w/ condyle pads & jo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic fine wire emg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96003","description":"Dynamic fine wire emg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES354","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES354","description":"HIPPS-ES354","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53605","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance used to reduce upper airway collapsibility_ without fixed mechanical hinge_ custom fabricated_ includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1027","description":"Oral device/appliance used to reduce upper airway collapsibility_ without fixed mechanical hinge_ custom fabricated_ includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92638","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92638","description":"CPT-92638","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal invas px w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59897","description":"Fetal invas px w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin ischemia modified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82045","description":"Albumin ischemia modified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude and duration_ battery status_ electrode selectability and polarity_ impedanc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95979","description":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude and duration_ battery status_ electrode selectability and polarity_ impedanc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18F","description":"HIPPS-LE18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma risk assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2016F","description":"Asthma risk assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt disch home day #2 evar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8826","description":"Pt disch home day #2 evar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult size pull-on lg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4527","description":"Adult size pull-on lg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9370","description":"Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML11","description":"HIPPS-RML11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC21C","description":"HIPPS-PC21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX31","description":"HIPPS-RVX31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreserve stem cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38207","description":"Cryopreserve stem cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance response/treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0998","description":"Ambulance response/treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK3","description":"HIPPS-2AGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autonomic nrv parasym inervj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95921","description":"Autonomic nrv parasym inervj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHPV","description":"HIPPS-1CHPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4394","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4394","description":"HCPCS-Q4394","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug screenin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0003","description":"Alcohol and/or drug screenin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable male external cat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4349","description":"Disposable male external cat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX17","description":"HIPPS-RVX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67901","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGL6","description":"HIPPS-3CGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis c probe&rvrs trnsc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87521","description":"Hepatitis c probe&rvrs trnsc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC51","description":"HIPPS-RHC51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX3D","description":"HIPPS-RLX3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL1","description":"HIPPS-4AHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tap block unil by injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64486","description":"Tap block unil by injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nerve/shorten bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64876","description":"Repair nerve/shorten bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj ganirelix acetat 250 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0132","description":"Inj ganirelix acetat 250 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65110","description":"Removal of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ mon_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5255","description":"Hearing aid_ digit_ mon_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx head/neck ext unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9112","description":"Onc dx head/neck ext unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapy activation of implanted phrenic nerve stimulator system_ including all interrogation and programming","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93150","description":"Therapy activation of implanted phrenic nerve stimulator system_ including all interrogation and programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transvaginal us non-ob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76830","description":"Transvaginal us non-ob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC140","description":"HIPPS-CC140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe add rub insl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3510","description":"Orthopedic shoe add rub insl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN1","description":"HIPPS-1CHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No urtr inj at surg/1ms post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9633","description":"No urtr inj at surg/1ms post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot_ adductus positioning device_ adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3161","description":"Foot_ adductus positioning device_ adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam by pathologist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88304","description":"Tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB25C","description":"HIPPS-CB25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4399","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4399","description":"HCPCS-Q4399","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0702","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0702","description":"HCPCS-A0702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE23D","description":"HIPPS-CE23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6009","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder blade lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23172","description":"Remove shoulder blade lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No reason for no hep c rna","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9204","description":"No reason for no hep c rna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01933","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01933","description":"CPT-01933","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee allograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27415","description":"Osteochondral knee allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28675","description":"Repair of toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8A","description":"HIPPS-RHX8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of uvula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42140","description":"Excision of uvula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx head/neck t1-t2no prg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9109","description":"Onc dx head/neck t1-t2no prg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24565","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB22A","description":"HIPPS-BB22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP3","description":"HIPPS-1AHP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB124","description":"HIPPS-PB124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas on statin or contra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9507","description":"Doc reas on statin or contra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ic lbw inf < 1500 gm subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99478","description":"Ic lbw inf < 1500 gm subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion >2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11308","description":"Shave skin lesion >2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove forearm bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25145","description":"Remove forearm bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place ndl musc/tis for rt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20555","description":"Place ndl musc/tis for rt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forehead flap w/vasc pedicle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15731","description":"Forehead flap w/vasc pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ue not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8670","description":"Fun stat score ue not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syph scrng docd as done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3512F","description":"Syph scrng docd as done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPV","description":"HIPPS-3CFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1008T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1008T","description":"CPT-1008T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous component_ supply or accessory for use with total artificial heart system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8698","description":"Miscellaneous component_ supply or accessory for use with total artificial heart system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cine/vid x-ray throat/esoph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74230","description":"Cine/vid x-ray throat/esoph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lip surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40799","description":"Lip surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)_ including frontal sinus exploration_ with removal of tissue from frontal sinus_ when perfor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31253","description":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)_ including frontal sinus exploration_ with removal of tissue from frontal sinus_ when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prevocational services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W6107","description":"Prevocational services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00104","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00104","description":"CPT-00104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wcd device interrogate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93292","description":"Wcd device interrogate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90593","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90593","description":"CPT-90593","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0533","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0533","description":"HCPCS-G0533","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNW","description":"HIPPS-1BFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24600","description":"Treat elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL4","description":"HIPPS-2BGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30160","description":"Removal of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB201","description":"HIPPS-PB201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Power bone marrow bx needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1830","description":"Power bone marrow bx needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA25B","description":"HIPPS-CA25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject trigger points 3/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20553","description":"Inject trigger points 3/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES34B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES34B","description":"HIPPS-ES34B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emr pwr source combo vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0491","description":"Emr pwr source combo vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM6","description":"HIPPS-4BGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41800","description":"Drainage of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA13","description":"HIPPS-RHA13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy (trisomy 21_ and 18) DNA sequence analysis of selected reg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0112U","description":"Fetal aneuploidy (trisomy 21_ and 18) DNA sequence analysis of selected reg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep a vac injxn admin/recvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4148F","description":"Hep a vac injxn admin/recvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of selenium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84255","description":"Assay of selenium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii recomb novoeight","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7182","description":"Factor viii recomb novoeight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB11C","description":"HIPPS-LB11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1603","description":"HCPCS-C1603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18G","description":"HIPPS-PD18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge porcelain nobel metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6242","description":"Bridge porcelain nobel metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99205","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lamaze class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9436","description":"Lamaze class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ epcoritamab-bysp_ 0.16 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9155","description":"Injection_ epcoritamab-bysp_ 0.16 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD125","description":"HIPPS-CD125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9174","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9174","description":"HCPCS-C9174","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpectin based ostomy paste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4405","description":"Nonpectin based ostomy paste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES30A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES30A","description":"HIPPS-ES30A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ neurostimulator (implantable)_ non-rechargeable_ with transvenous sensing and stimulation leads","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1823","description":"Generator_ neurostimulator (implantable)_ non-rechargeable_ with transvenous sensing and stimulation leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Positron emission tomography radiopharmaceutical_ diagnostic_ for non-tumor identification_ not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9598","description":"Positron emission tomography radiopharmaceutical_ diagnostic_ for non-tumor identification_ not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis training complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90989","description":"Dialysis training complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary heart disease [CAD])_ 9 genes (12 variants)_ targeted variant genotyping_ blood_ saliva_ or buccal swab_ algorithm reported as a genetic risk score for a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0401U","description":"Cardiology (coronary heart disease [CAD])_ 9 genes (12 variants)_ targeted variant genotyping_ blood_ saliva_ or buccal swab_ algorithm reported as a genetic risk score for a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial proctectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45123","description":"Partial proctectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL10","description":"HIPPS-RVL10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK1","description":"HIPPS-4CFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biomechanical mapping_ transvaginal_ with report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0487T","description":"Biomechanical mapping_ transvaginal_ with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver disease_ 10 biochemical assays (a2-macroglobulin_ haptoglobin_ apolipoprotein A1_ bilirubin_ GGT_ ALT_ AST_ triglycerides_ cholesterol_ fasting glucose) and biometric an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0166U","description":"Liver disease_ 10 biochemical assays (a2-macroglobulin_ haptoglobin_ apolipoprotein A1_ bilirubin_ GGT_ ALT_ AST_ triglycerides_ cholesterol_ fasting glucose) and biometric an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Haloperidol decanoate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1631","description":"Haloperidol decanoate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx pancreatc p r1/r2 no","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9106","description":"Onc dx pancreatc p r1/r2 no","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 30-days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0516","description":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 30-days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray 2vw frontal&latl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71020","description":"Chest x-ray 2vw frontal&latl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chikungunya virus vaccine_ live attenuated_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90589","description":"Chikungunya virus vaccine_ live attenuated_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy pyeloplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50544","description":"Laparoscopy pyeloplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Barium swallow test ordered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3142F","description":"Barium swallow test ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1096T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1096T","description":"CPT-1096T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC16","description":"HIPPS-RMC16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26775","description":"Treat finger dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29826","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhc rn e&m plan svs_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0162","description":"Hhc rn e&m plan svs_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0014","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31293","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87637","description":"IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD20C","description":"HIPPS-HD20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eps Gast Cardia Plic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9724","description":"Eps Gast Cardia Plic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL6","description":"HIPPS-2BGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture tiss conditn maxill","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5850","description":"Denture tiss conditn maxill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic radiology simulation-aided field setting; complex_ including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy tre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9794","description":"Therapeutic radiology simulation-aided field setting; complex_ including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy tre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0632U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0632U","description":"CPT-0632U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx atrial fib pulm vein isol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93656","description":"Tx atrial fib pulm vein isol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g._ porcine small intestine submocosa[SIS])","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9796","description":"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g._ porcine small intestine submocosa[SIS])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70360","description":"X-ray exam of neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20606","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP6","description":"HIPPS-1AHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK6","description":"HIPPS-3AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct interp both jaw","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0367","description":"Cone beam ct interp both jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33417","description":"Repair of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC25D","description":"HIPPS-LC25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery electrocorticogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95829","description":"Surgery electrocorticogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impl/redo electrd antrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43881","description":"Impl/redo electrd antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"WoundEx_ BioSkin_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4163","description":"WoundEx_ BioSkin_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthoped ladies shoes dpth i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3216","description":"Orthoped ladies shoes dpth i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for salivary x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42550","description":"Injection for salivary x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice in ltch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5007","description":"Hospice in ltch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP5","description":"HIPPS-1CFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped specmetabolic inherit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4162","description":"Ef ped specmetabolic inherit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX5A","description":"HIPPS-RUX5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB160","description":"HIPPS-LB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ustekinumab-auub (Wezlana)_ biosimilar_ IV_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5138","description":"Injection_ ustekinumab-auub (Wezlana)_ biosimilar_ IV_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic Radiology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4001","description":"Diagnostic Radiology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Multiple Studies At","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78431","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Multiple Studies At","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35304","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin protect wc cus wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2604","description":"Skin protect wc cus wd>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52285","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb subq tissue 20 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11042","description":"Deb subq tissue 20 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adj cmo not pres rsn not gvn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8929","description":"Adj cmo not pres rsn not gvn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2390","description":"Solid drive wheel tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m exametazime","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9521","description":"Tc99m exametazime","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft axill-femoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35521","description":"Art byp grft axill-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair fixed retainers","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8694","description":"Repair fixed retainers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compact travel hemodialyzer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1635","description":"Compact travel hemodialyzer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct lower extremity w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73700","description":"Ct lower extremity w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-programble infusion pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0782","description":"Non-programble infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bupivacaine_ Collagen-Matrix Implant_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9089","description":"Bupivacaine_ Collagen-Matrix Implant_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary leg or abdomen bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4358","description":"Urinary leg or abdomen bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Malaria antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86750","description":"Malaria antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNX","description":"HIPPS-1CGNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of non-biodegradable drug delivery implants_ 4 or more (services for subdermal rod implant)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0516","description":"Insertion of non-biodegradable drug delivery implants_ 4 or more (services for subdermal rod implant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stab phleb veins xtr 10-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37765","description":"Stab phleb veins xtr 10-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Io map of sent lymph node","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38900","description":"Io map of sent lymph node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28A","description":"HIPPS-BB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair commode seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0968","description":"Wheelchair commode seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor <22.05._comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0207","description":"Traumatic brain injury with Motor <22.05._comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec rpt no doc class histo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9425","description":"Spec rpt no doc class histo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC43","description":"HIPPS-RUC43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delivery/set up/dispensing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9901","description":"Delivery/set up/dispensing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dipyridamole injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1245","description":"Dipyridamole injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE24B","description":"HIPPS-PE24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL1","description":"HIPPS-2AHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Received At Least One Dose Of The Herpes Zoster Live Vaccine Or Two Doses Of The Herpes Zoster Recombinant Vaccine (At Least 28 Days Apart) Anytime On Or After The Pat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2160","description":"Patient Received At Least One Dose Of The Herpes Zoster Live Vaccine Or Two Doses Of The Herpes Zoster Recombinant Vaccine (At Least 28 Days Apart) Anytime On Or After The Pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnio or biodmatrix_ inj 1cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4139","description":"Amnio or biodmatrix_ inj 1cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; initial 4 hours of monitoring time_ including hourly physiological and laboratory a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0895T","description":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; initial 4 hours of monitoring time_ including hourly physiological and laboratory a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ixabepilone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9207","description":"Ixabepilone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE160","description":"HIPPS-LE160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB50","description":"HIPPS-RUB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21087","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Signs of melanoma absent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8749","description":"Signs of melanoma absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgicl dress hold non-reuse","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4461","description":"Surgicl dress hold non-reuse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas iliac a device addon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34808","description":"Endovas iliac a device addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Offset knee joint heavy duty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2395","description":"Offset knee joint heavy duty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous rf vein add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36476","description":"Endovenous rf vein add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL4","description":"HIPPS-1CHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct lip with flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40525","description":"Reconstruct lip with flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28H","description":"HIPPS-PA28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand restorat thumb/1 finger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6900","description":"Hand restorat thumb/1 finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect ovarian malignancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58950","description":"Resect ovarian malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1048T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1048T","description":"CPT-1048T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA3C","description":"HIPPS-RHA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA52","description":"HIPPS-RHA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP4","description":"HIPPS-3BGP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK3","description":"HIPPS-5BGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place cath thoracic aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36221","description":"Place cath thoracic aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3mL dosage_ diluent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91300","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3mL dosage_ diluent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj common digit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64632","description":"N block inj common digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High risk prostate cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3273F","description":"High risk prostate cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmp22 gene known fam variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81326","description":"Pmp22 gene known fam variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leveen/shunt patency exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78291","description":"Leveen/shunt patency exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debridement of premalignant hyperkeratotic lesion(s) (ie_ targeted curettage_ abrasion) followed with photodynamic therapy by external application of light to destroy premalig","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96574","description":"Debridement of premalignant hyperkeratotic lesion(s) (ie_ targeted curettage_ abrasion) followed with photodynamic therapy by external application of light to destroy premalig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrical care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59410","description":"Obstetrical care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC15A","description":"HIPPS-CC15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal pentavalent vaccine_ conjugated Men A_ C_ W_ Y- tetanus toxoid carrier_ and Men B-FHbp_ for intracmuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90623","description":"Meningococcal pentavalent vaccine_ conjugated Men A_ C_ W_ Y- tetanus toxoid carrier_ and Men B-FHbp_ for intracmuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"At least two orders for the same high-risk medications not ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9638","description":"At least two orders for the same high-risk medications not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low risk for retinopathy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3072F","description":"Low risk for retinopathy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE12B","description":"HIPPS-HE12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ccp antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86200","description":"Ccp antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver whole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47143","description":"Prep donor liver whole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB44","description":"HIPPS-RHB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Driver pneumatic vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0480","description":"Driver pneumatic vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal exclusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48547","description":"Duodenal exclusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 1 vhd 451-600 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0802","description":"Pov group 1 vhd 451-600 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50727","description":"Revise ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC3D","description":"HIPPS-RHC3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE21B","description":"HIPPS-PE21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ spine_ thoracolumbar_ standing (scoliosis)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72069","description":"Radiologic examination_ spine_ thoracolumbar_ standing (scoliosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fos c chld non-ther per mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0042","description":"Fos c chld non-ther per mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Single lens spectacle mount","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2610","description":"Single lens spectacle mount","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD101","description":"HIPPS-LD101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla typing a b or c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86813","description":"Hla typing a b or c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPS","description":"HIPPS-3CGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligate leg veins open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37761","description":"Ligate leg veins open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spin&cord 2 stgs crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63198","description":"Incise spin&cord 2 stgs crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43123","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0526T","description":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph scope w/submucous inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43201","description":"Esoph scope w/submucous inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acute hepatitis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80074","description":"Acute hepatitis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0492","description":"Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Warfarin or another FDA-approved anticoagulant not prescribed_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9928","description":"Warfarin or another FDA-approved anticoagulant not prescribed_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Set radiation therapy field","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77280","description":"Set radiation therapy field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of jaw muscle/bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21295","description":"Revision of jaw muscle/bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA34","description":"HIPPS-RHA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54055","description":"Destruction penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s)_ with endoscopic cannulation of papilla with direct visual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7544","description":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s)_ with endoscopic cannulation of papilla with direct visual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE22B","description":"HIPPS-HE22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methadone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1230","description":"Methadone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL5A","description":"HIPPS-RUL5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA2C","description":"HIPPS-RLA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9981","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61543","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optic nerve head eval done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2027F","description":"Optic nerve head eval done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetics 100-300","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88275","description":"Cytogenetics 100-300","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0518U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0518U","description":"CPT-0518U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult disp brief/diap abv xl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4543","description":"Adult disp brief/diap abv xl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser inc for pkp/lkp recip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0290T","description":"Laser inc for pkp/lkp recip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cranial cervical orthosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0112","description":"Cranial cervical orthosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Octreotide inj_ non-depot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2354","description":"Octreotide inj_ non-depot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6517","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6517","description":"HCPCS-A6517","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Belatacept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0485","description":"Belatacept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vibrate quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0107T","description":"Vibrate quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ mon_ bte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5247","description":"Hearing aid_ prog_ mon_ bte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove abdominal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38747","description":"Remove abdominal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor xii hageman","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85280","description":"Clot factor xii hageman","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temp obturator prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5936","description":"Temp obturator prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Atropine comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7636","description":"Atropine comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Candida antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86628","description":"Candida antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement air bubble detec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1530","description":"Replacement air bubble detec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cardiac electrophys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53751","description":"Anesth cardiac electrophys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ decitabine (sun pharma) not therapeutically equivalent to j0894_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0893","description":"Injection_ decitabine (sun pharma) not therapeutically equivalent to j0894_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thorax spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22556","description":"Thorax spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull & explore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61253","description":"Pierce skull & explore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part removal of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28113","description":"Part removal of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC15D","description":"HIPPS-CC15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC03","description":"HIPPS-RMC03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cimetidine hydroc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0023","description":"Injection_ cimetidine hydroc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35092","description":"Repair artery rupture aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC211","description":"HIPPS-LC211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50570","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multi-durometer symes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5661","description":"Multi-durometer symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of serum sodium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84295","description":"Assay of serum sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tibia & fibula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27709","description":"Incision of tibia & fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo sing fre stirr thi/calf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2000","description":"Kafo sing fre stirr thi/calf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8D","description":"HIPPS-RVA8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune (systemic lupus erythematosus)_ IgG and IgM analysis of 80 biomarkers_ utilizing serum_ algorithm reported with a risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0062U","description":"Autoimmune (systemic lupus erythematosus)_ IgG and IgM analysis of 80 biomarkers_ utilizing serum_ algorithm reported with a risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMS","description":"HIPPS-4AHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC4B","description":"HIPPS-RVC4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Matrion_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4201","description":"Matrion_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no scrn hcv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9452","description":"Doc med reas no scrn hcv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin suppl 100 caps","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0194","description":"Vitamin suppl 100 caps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plas shoe insert w ank joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2180","description":"Plas shoe insert w ank joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Betadine/iodine swabs/wipes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4247","description":"Betadine/iodine swabs/wipes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8B","description":"HIPPS-RMC8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sincalide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2805","description":"Sincalide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL2","description":"HIPPS-1BHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of biceps tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24340","description":"Repair of biceps tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icatibant injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1744","description":"Icatibant injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Access av dial grft for eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36147","description":"Access av dial grft for eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOCOCCUS NEOFORMANS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87327","description":"IAAD IA CRYPTOCOCCUS NEOFORMANS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cognit impairment assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3720F","description":"Cognit impairment assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pm device interrogate remote","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93294","description":"Pm device interrogate remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allergy immunology services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95199","description":"Allergy immunology services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paraffin bath unit portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0235","description":"Paraffin bath unit portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 9 genotyping (HPA-9w)_ ITGA2B (integrin_ alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex_ antigen CD41] [GPIIb]) (eg_ neonatal alloimmune thromb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81111","description":"Human Platelet Antigen 9 genotyping (HPA-9w)_ ITGA2B (integrin_ alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex_ antigen CD41] [GPIIb]) (eg_ neonatal alloimmune thromb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esano aca_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4275","description":"Esano aca_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual cell count each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85032","description":"Manual cell count each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0548","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0548","description":"HCPCS-G0548","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen therapy rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4030F","description":"Oxygen therapy rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ filgrastim-ayow_ biosimilar_ (Releuko)_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5125","description":"Injection_ filgrastim-ayow_ biosimilar_ (Releuko)_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthoptic training; under supervision of a physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92066","description":"Orthoptic training; under supervision of a physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No qual card diag prior12mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1461F","description":"No qual card diag prior12mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resp virus 3-5 targets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87631","description":"Resp virus 3-5 targets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anterior asis pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1250","description":"Anterior asis pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18E","description":"HIPPS-CD18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29844","description":"Wrist arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0303","description":"HCPCS-B0303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00811","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811","description":"CPT-00811","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81259","description":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE226","description":"HIPPS-HE226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA4D","description":"HIPPS-RVA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ delandistrogene moxeparvovec-rokl_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1413","description":"Injection_ delandistrogene moxeparvovec-rokl_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyperthermia treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77605","description":"Hyperthermia treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion supplies w/o pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4223","description":"Infusion supplies w/o pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMV","description":"HIPPS-3CHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain canal shunt procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61070","description":"Brain canal shunt procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score hip pt no elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8653","description":"Fun stat score hip pt no elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX10","description":"HIPPS-RVX10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ home monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9006","description":"Mccd_ home monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ bin_ ite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5260","description":"Hearing aid_ digit_ bin_ ite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD126","description":"HIPPS-LD126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45300","description":"Proctosigmoidoscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain open retroperi abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49060","description":"Drain open retroperi abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD217","description":"HIPPS-HD217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA226","description":"HIPPS-BA226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ldl-c >/= 130 mg/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3050F","description":"Ldl-c >/= 130 mg/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 0.6-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11621","description":"Exc s/n/h/f/g mal+mrg 0.6-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ synojoynt_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7331","description":"Hyaluronan or derivative_ synojoynt_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLS","description":"HIPPS-4BGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of upper arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24940","description":"Revision of upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient  compression glove_ custom_ heavy weight_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6580","description":"Gradient  compression glove_ custom_ heavy weight_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43605","description":"Biopsy of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01638","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01638","description":"CPT-01638","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary rubber pouch w fcplt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4380","description":"Urinary rubber pouch w fcplt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB15B","description":"HIPPS-BB15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB23B","description":"HIPPS-LB23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor xiii fibrin stab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85290","description":"Clot factor xiii fibrin stab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl ntrstl/icav brchtx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77771","description":"Hdr rdncl ntrstl/icav brchtx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supplies For Maintenance Of Insulin Infusion Pump With Dosage Rate Adjustment Using Therapeutic Continuous Glucose Sensing_ Per Week","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4226","description":"Supplies For Maintenance Of Insulin Infusion Pump With Dosage Rate Adjustment Using Therapeutic Continuous Glucose Sensing_ Per Week","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD121","description":"HIPPS-LD121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC0B","description":"HIPPS-RVC0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture type immunologic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87147","description":"Culture type immunologic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat tail bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27200","description":"Treat tail bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos macroalbuminuria rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3062F","description":"Pos macroalbuminuria rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; removal_ each balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0550T","description":"Transperineal periurethral balloon continence device; removal_ each balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC224","description":"HIPPS-HC224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ clevidipine butyrate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9248","description":"Inj_ clevidipine butyrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1251","description":"Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0664U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0664U","description":"CPT-0664U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aneurysm press sensor add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34806","description":"Aneurysm press sensor add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ent procedure/service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92700","description":"Ent procedure/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8D","description":"HIPPS-RML8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77402","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery charger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7368","description":"Lithium ion battery charger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj w/fluor eval cv device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36598","description":"Inj w/fluor eval cv device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES34D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES34D","description":"HIPPS-ES34D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen_ qualitative; single drug class method (e.g._ immunoassay_ enzyme assay)_ each drug class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0431","description":"Drug screen_ qualitative; single drug class method (e.g._ immunoassay_ enzyme assay)_ each drug class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18B","description":"HIPPS-LE18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Performance Not Met: The Residual Change Score Is Less Than 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2167","description":"Performance Not Met: The Residual Change Score Is Less Than 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occupational therapy evaluation_ high complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes review of medical and/or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97167","description":"Occupational therapy evaluation_ high complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes review of medical and/or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA155","description":"HIPPS-PA155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom shape cvr knee disart","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5706","description":"Custom shape cvr knee disart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28820","description":"Amputation of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0577","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0577","description":"HCPCS-G0577","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antineutrophil Cytoplasmic Antibody (Anca); Screen_ Each Antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86036","description":"Antineutrophil Cytoplasmic Antibody (Anca); Screen_ Each Antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA22A","description":"HIPPS-CA22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL1C","description":"HIPPS-RUL1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair septal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33852","description":"Repair septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace cover w/c seat cush","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2619","description":"Replace cover w/c seat cush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of shoulder cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29058","description":"Application of shoulder cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behind ear binaur hearing ai","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5140","description":"Behind ear binaur hearing ai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK5","description":"HIPPS-5AFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal t1-2 no progr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9090","description":"Onc dx rectal t1-2 no progr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18I","description":"HIPPS-PB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis procedure at a Medicare certified ESRD facility for acute kidney injury without ESRD","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0491","description":"Dialysis procedure at a Medicare certified ESRD facility for acute kidney injury without ESRD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28I","description":"HIPPS-PA28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray/ct/ultrsnd et al ord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3319F","description":"X-ray/ct/ultrsnd et al ord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPS","description":"HIPPS-3AFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Breast)_ Mrna_ Next-Generation Sequencing Gene Expression Profiling Of 70 Content Genes And 31 Housekeeping Genes_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81523","description":"Oncology (Breast)_ Mrna_ Next-Generation Sequencing Gene Expression Profiling Of 70 Content Genes And 31 Housekeeping Genes_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1399","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1399","description":"HCPCS-M1399","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30420","description":"Reconstruction of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alprostadil for injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0270","description":"Alprostadil for injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNV","description":"HIPPS-3AFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup hip spica plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4025","description":"Cast sup hip spica plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC14B","description":"HIPPS-HC14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM6","description":"HIPPS-1AFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Disease Other Than Dissection (Eg_ Aneurysm)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33859","description":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Disease Other Than Dissection (Eg_ Aneurysm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0661U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0661U","description":"CPT-0661U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE212","description":"HIPPS-HE212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0904","description":"HCPCS-A0904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peg interferon alfa-2b/10","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0148","description":"Peg interferon alfa-2b/10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE25A","description":"HIPPS-LE25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fomepizole_ 15 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1451","description":"Fomepizole_ 15 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27825","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49429","description":"Removal of shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity medical tubing/lines enclosure or covering device_ restricts elbow range of motion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0711","description":"Upper extremity medical tubing/lines enclosure or covering device_ restricts elbow range of motion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital observation per hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0378","description":"Hospital observation per hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal focal laser ablation of malignant prostate tissue_ including transrectal imaging guidance_ with MR-fused images or other enhanced ultrasound imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0655T","description":"Transperineal focal laser ablation of malignant prostate tissue_ including transrectal imaging guidance_ with MR-fused images or other enhanced ultrasound imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest femoropopliteal vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35572","description":"Harvest femoropopliteal vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ clindamycin phosphate (baxter)_ not therapeutically equivalent to j0736_ 300 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0737","description":"Injection_ clindamycin phosphate (baxter)_ not therapeutically equivalent to j0736_ 300 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0485T","description":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist/elbow bowden cbl dir f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6582","description":"Wrist/elbow bowden cbl dir f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg splnt fbrgl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4042","description":"Cast sup lng leg splnt fbrgl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophgl motil w/stim/perfus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91013","description":"Esophgl motil w/stim/perfus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lining lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68135","description":"Remove eyelid lining lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of stomach lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43611","description":"Excision of stomach lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70010","description":"Contrast x-ray of brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures immediat mandible","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5140","description":"Dentures immediat mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX4D","description":"HIPPS-RUX4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM6","description":"HIPPS-2AHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntr interr eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0306T","description":"Icar ischm mntr interr eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment Of Amblyopia Using An Online Digital Program; Assessment Of Patient Performance And Program Data By Physician Or Other Qualified Health Care Professional_ With Repor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0688T","description":"Treatment Of Amblyopia Using An Online Digital Program; Assessment Of Patient Performance And Program Data By Physician Or Other Qualified Health Care Professional_ With Repor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethro w/addl implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52442","description":"Cystourethro w/addl implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respite not-in-home per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0045","description":"Respite not-in-home per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78831","description":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cataract mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8765","description":"Cataract mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0547","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0547","description":"HCPCS-G0547","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Install spinal shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63740","description":"Install spinal shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNS","description":"HIPPS-3AHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ballistocardiogram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3902","description":"Ballistocardiogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4343","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4343","description":"HCPCS-Q4343","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB220","description":"HIPPS-LB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNT","description":"HIPPS-3BFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0633U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0633U","description":"CPT-0633U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hand or foot nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64836","description":"Repair of hand or foot nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom shape cvr hip disart","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5707","description":"Custom shape cvr hip disart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coping","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2975","description":"Coping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No reas_ no ret or w/in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9515","description":"No reas_ no ret or w/in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/repair hearing aid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69711","description":"Remove/repair hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psysoc rehab svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2018","description":"Psysoc rehab svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE21A","description":"HIPPS-CE21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28G","description":"HIPPS-LB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rsv mab im 50mg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90378","description":"Rsv mab im 50mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mitomycin pyelocalyceal instillation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9064","description":"Mitomycin pyelocalyceal instillation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert multi-comp penis pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54405","description":"Insert multi-comp penis pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18F","description":"HIPPS-CA18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES14B","description":"HIPPS-ES14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23530","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef not performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8396","description":"Lvef not performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic circulation assist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33971","description":"Aortic circulation assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genome sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81425","description":"Genome sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leukocyte histamine release","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86343","description":"Leukocyte histamine release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology autism_ 32 amines by LC-MS/MS_ using plasma_ algorithm reported as metabolic signature associated with autism spectrum disorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0063U","description":"Neurology autism_ 32 amines by LC-MS/MS_ using plasma_ algorithm reported as metabolic signature associated with autism spectrum disorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PROTON THERAPY","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77524","description":"PROTON THERAPY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Natalizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2323","description":"Natalizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg >16<=48 w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6235","description":"Hydrocolld drg >16<=48 w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37279","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37279","description":"CPT-37279","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thumb fusion with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26842","description":"Thumb fusion with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ire abltj 1+tumors open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0601T","description":"Ire abltj 1+tumors open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0686U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0686U","description":"CPT-0686U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med txmnt options rvwd w/pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4325F","description":"Med txmnt options rvwd w/pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin reuse pen 1.5 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5560","description":"Insulin reuse pen 1.5 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef <40% or dep lv sys fcn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8934","description":"Lvef <40% or dep lv sys fcn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bicarbonate conc sol per gal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4706","description":"Bicarbonate conc sol per gal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibio rx w in 10d of sympt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9286","description":"Antibio rx w in 10d of sympt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA20","description":"HIPPS-AAA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt/caregiver queried falls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6080F","description":"Pt/caregiver queried falls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP1","description":"HIPPS-1CHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glycopyrrolate (Fresenius Kabi)_ not therapeutically equivalent to J1596_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1598","description":"Injection_ glycopyrrolate (Fresenius Kabi)_ not therapeutically equivalent to J1596_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of teeth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70300","description":"X-ray exam of teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL4B","description":"HIPPS-RVL4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastoid surgery revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69601","description":"Mastoid surgery revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC220","description":"HIPPS-PC220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc visc aorta 1 graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34841","description":"Endovasc visc aorta 1 graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe lifts tapered to one-ha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3332","description":"Shoe lifts tapered to one-ha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R hrt art/grft angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93457","description":"R hrt art/grft angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8B","description":"HIPPS-RLB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art trnsposj subclav carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35694","description":"Art trnsposj subclav carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd prerec msg >8min <=20min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2502","description":"Sgd prerec msg >8min <=20min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent_ including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent_ including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj benztropine mesylate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0515","description":"Inj benztropine mesylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18A","description":"HIPPS-BA18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; each additional 30 minutes of technician time (List separate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0367T","description":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; each additional 30 minutes of technician time (List separate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL34","description":"HIPPS-RVL34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE150","description":"HIPPS-LE150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy unspecified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96549","description":"Chemotherapy unspecified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osseous surgl-3teethperquad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4261","description":"Osseous surgl-3teethperquad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denileukin diftitox inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9160","description":"Denileukin diftitox inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinician Determines Patient Does Not Require Referral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0038","description":"Clinician Determines Patient Does Not Require Referral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thymus gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60521","description":"Removal of thymus gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corplex P_ per cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4231","description":"Corplex P_ per cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corneal hysteresis deter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92145","description":"Corneal hysteresis deter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0549U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0549U","description":"CPT-0549U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apheresis adsorp/reinfuse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36515","description":"Apheresis adsorp/reinfuse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rotary wing air transport","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0431","description":"Rotary wing air transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL41","description":"HIPPS-RHL41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup long arm ped fbrgls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4008","description":"Cast sup long arm ped fbrgls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thyroid duct lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60281","description":"Remove thyroid duct lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair_ any appr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49623","description":"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair_ any appr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Norsn no ct rpt to reg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9326","description":"Norsn no ct rpt to reg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc rf ablate renal tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50592","description":"Perc rf ablate renal tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dispensing fee binaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5160","description":"Dispensing fee binaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topotecan injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9351","description":"Topotecan injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair umbilical lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49600","description":"Repair umbilical lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exam/biopsy of vag w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57421","description":"Exam/biopsy of vag w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chloroquine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0390","description":"Chloroquine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fremanezumab-vfrm_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9040","description":"Injection_ fremanezumab-vfrm_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC201","description":"HIPPS-PC201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB116","description":"HIPPS-BB116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA2A","description":"HIPPS-RLA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA2C","description":"HIPPS-RUA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy management","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77431","description":"Radiation therapy management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq abltj lvr cryoablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47383","description":"Perq abltj lvr cryoablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinusitis comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9464","description":"Sinusitis comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Final refract +/- 1.0 in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9519","description":"Final refract +/- 1.0 in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming Device Evaluation (In-Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0683T","description":"Programming Device Evaluation (In-Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17280","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB11A","description":"HIPPS-HB11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antiepileptics nos 1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80339","description":"Antiepileptics nos 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec stim unattend for press","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0281","description":"Elec stim unattend for press","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray exam of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74280","description":"Contrast x-ray exam of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neutralization test viral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86382","description":"Neutralization test viral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ gemcitabine hydrochloride_ (Infugem)_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9198","description":"Injection_ gemcitabine hydrochloride_ (Infugem)_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable oxygen concentrator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1392","description":"Portable oxygen concentrator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg ordered rvwd reqstd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3650F","description":"Eeg ordered rvwd reqstd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0139","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0139","description":"HCPCS-J0139","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays for bone age","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77072","description":"X-rays for bone age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tongue lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41113","description":"Excision of tongue lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9942","description":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD15D","description":"HIPPS-PD15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0966T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0966T","description":"CPT-0966T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8E","description":"HIPPS-RLB8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA50","description":"HIPPS-RUA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj test 9-10 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95911","description":"Nrv cndj test 9-10 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smoking & 2nd hand assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1031F","description":"Smoking & 2nd hand assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perp bk ptb thermopls direct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5520","description":"Perp bk ptb thermopls direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGL2","description":"HIPPS-1CGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ethylene glycol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82693","description":"Assay of ethylene glycol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC21","description":"HIPPS-RHC21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contour of face bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21029","description":"Contour of face bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast bath therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97034","description":"Contrast bath therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC105","description":"HIPPS-PC105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc comm risk calc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9316","description":"Doc comm risk calc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev breast add us imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19286","description":"Perq dev breast add us imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC150","description":"HIPPS-LC150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound pouch each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6154","description":"Wound pouch each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collect & appl blood product","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7921","description":"Collect & appl blood product","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI lumbar spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72158","description":"MRI lumbar spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC214","description":"HIPPS-PC214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8X","description":"HIPPS-RHA8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL4","description":"HIPPS-2AHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin w/noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6722","description":"Crown resin w/noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of tsi globulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84445","description":"Assay of tsi globulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputate hand at wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25920","description":"Amputate hand at wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pm device progr eval sngl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93279","description":"Pm device progr eval sngl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit mech ventilator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99504","description":"Home visit mech ventilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD14D","description":"HIPPS-LD14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment Supported Crown - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6097","description":"Abutment Supported Crown - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35182","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toe joint transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26556","description":"Toe joint transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone/skin graft microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20969","description":"Bone/skin graft microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Matristem micromatrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4118","description":"Matristem micromatrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Admission to mccm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9480","description":"Admission to mccm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ige","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82785","description":"Assay of ige","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ivf canc a stim case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4017","description":"Ivf canc a stim case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apheresis rbc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36512","description":"Apheresis rbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit complex cath care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5501","description":"Hit complex cath care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB53","description":"HIPPS-RLB53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9121","description":"Injection_ argatroban","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aicd_ single chamber","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1722","description":"Aicd_ single chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28576","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67808","description":"Remove eyelid lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28X","description":"HIPPS-CA28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1737","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1737","description":"HCPCS-C1737","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gene test sickle cell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3850","description":"Gene test sickle cell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFLU","description":"HIPPS-2BFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKV","description":"HIPPS-3CHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levalbuterol non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7612","description":"Levalbuterol non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Provider who referred the patient to another provider did not receive a report from the provider to whom the patient was referred","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9970","description":"Provider who referred the patient to another provider did not receive a report from the provider to whom the patient was referred","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1191","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing patient serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86904","description":"Blood typing patient serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgmdsc w/band ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45350","description":"Sgmdsc w/band ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us follow-up per fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76816","description":"Ob us follow-up per fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce eye wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67250","description":"Reinforce eye wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise thumb tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26496","description":"Revise thumb tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE254","description":"HIPPS-CE254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Space maintainer_ fixed_ bilateral_ mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1517","description":"Space maintainer_ fixed_ bilateral_ mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17272","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous measurement of wheeze rate during treatment assessment or during sleep for documentation of nocturnal wheeze and cough for diagnostic evaluation 3 to 24 hours","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0244T","description":"Continuous measurement of wheeze rate during treatment assessment or during sleep for documentation of nocturnal wheeze and cough for diagnostic evaluation 3 to 24 hours","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67420","description":"Explore/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial)_ mRNA_ gene-expression profiling by real-time quantitative PCR of 5 genes (MDK_ HOXA13_ CDC2 [CDK1]_ IGFBP5_ and CXCR2)_ utilizing urine_ algorithm incor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0363U","description":"Oncology (urothelial)_ mRNA_ gene-expression profiling by real-time quantitative PCR of 5 genes (MDK_ HOXA13_ CDC2 [CDK1]_ IGFBP5_ and CXCR2)_ utilizing urine_ algorithm incor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87389","description":"IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient receives hcv antibody test with nonreactive result","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1231","description":"Patient receives hcv antibody test with nonreactive result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above knee cushion socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5648","description":"Above knee cushion socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc leg/ankle tum < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27618","description":"Exc leg/ankle tum < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surg dx exam anorectal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45990","description":"Surg dx exam anorectal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"corticotomy - four or more teeth or tooth spaces_ per quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7297","description":"corticotomy - four or more teeth or tooth spaces_ per quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein_ open or percutaneous_ including all vascular access_ catheter manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0524T","description":"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein_ open or percutaneous_ including all vascular access_ catheter manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Middle cerebral artery echo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76821","description":"Middle cerebral artery echo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reaching/grabbing device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9281","description":"Reaching/grabbing device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adenosine inj 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0153","description":"Adenosine inj 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (fungi)_ fungal pathogen identification_ DNA (15 fungal targets)_ blood culture_ amplified probe technique_ each target reported as detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0140U","description":"Infectious disease (fungi)_ fungal pathogen identification_ DNA (15 fungal targets)_ blood culture_ amplified probe technique_ each target reported as detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB60","description":"HIPPS-RMB60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Naltrexone; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Tes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2073","description":"Medication Assisted Treatment_ Naltrexone; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Tes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Polatuzumab Vedotin-Piiq_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9309","description":"Injection_ Polatuzumab Vedotin-Piiq_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther behav svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2020","description":"Ther behav svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90624","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90624","description":"CPT-90624","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35276","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation physics consult","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77370","description":"Radiation physics consult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carry d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8986","description":"Carry d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/in 2yr dxa not order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9471","description":"W/in 2yr dxa not order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antipsychotics nos 7/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80344","description":"Antipsychotics nos 7/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD115","description":"HIPPS-PD115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epilepsy Genomic Sequence Analysis Panel_ Must Include Analyses For Aldh7A1_ Cacna1A_ Cdkl5_ Chd2_ Gabrg2_ Grin2A_ Kcnq2_ Mecp2_ Pcdh19_ Polg_ Prrt2_ Scn1A_ Scn1B_ Scn2A_ Scn8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81419","description":"Epilepsy Genomic Sequence Analysis Panel_ Must Include Analyses For Aldh7A1_ Cacna1A_ Cdkl5_ Chd2_ Gabrg2_ Grin2A_ Kcnq2_ Mecp2_ Pcdh19_ Polg_ Prrt2_ Scn1A_ Scn1B_ Scn2A_ Scn8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placement of seton","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46020","description":"Placement of seton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES313","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES313","description":"HIPPS-ES313","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing facility care init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99305","description":"Nursing facility care init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bleomycin sulfate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9040","description":"Bleomycin sulfate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE215","description":"HIPPS-HE215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place perm pacing cardiovert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0448","description":"Place perm pacing cardiovert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt for aed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0607","description":"Repl batt for aed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg urin trac obstr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2401","description":"Fetal surg urin trac obstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK4","description":"HIPPS-4BGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family homecare training 15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5110","description":"Family homecare training 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip socket fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27220","description":"Treat hip socket fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; known familial variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81174","description":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; known familial variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth pelvic organ surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84851","description":"Anesth pelvic organ surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Integra drt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4105","description":"Integra drt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla ii typing 1 loc hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81382","description":"Hla ii typing 1 loc hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22116","description":"Remove extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental prophylaxis child","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1120","description":"Dental prophylaxis child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18X","description":"HIPPS-LC18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received active chemotherapy any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1156","description":"Patient received active chemotherapy any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp tibial-tib/peroneal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35570","description":"Art byp tibial-tib/peroneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amino acid single qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82127","description":"Amino acid single qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-ophthalmic fva","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9733","description":"Non-ophthalmic fva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise reconst elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24370","description":"Revise reconst elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory nuclear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78599","description":"Respiratory nuclear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep corneal endo allograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65757","description":"Prep corneal endo allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX23","description":"HIPPS-RVX23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MSH6 (mutS homolog 6) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0160U","description":"MSH6 (mutS homolog 6) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD224","description":"HIPPS-HD224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetically controlled capsule endoscopy_ esophagus through stomach_ including intraprocedural positioning of capsule_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0651T","description":"Magnetically controlled capsule endoscopy_ esophagus through stomach_ including intraprocedural positioning of capsule_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFLS","description":"HIPPS-2BFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE115","description":"HIPPS-HE115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmprsburngarment glove-elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6505","description":"Cmprsburngarment glove-elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA5D","description":"HIPPS-RUA5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/3-p part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34803","description":"Endovas aaa repr w/3-p part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed var ht w/o matt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0256","description":"Hospital bed var ht w/o matt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35082","description":"Repair artery rupture aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Germline disorders_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ whole blood_ report of specific gene rearrangement(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0012U","description":"Germline disorders_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ whole blood_ report of specific gene rearrangement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD156","description":"HIPPS-PD156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE24D","description":"HIPPS-PE24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28D","description":"HIPPS-CA28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation_ upper extremity_ separate access sites of the peripheral artery and peripheral vein_ including fistula maturation procedures (eg_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36837","description":"Percutaneous arteriovenous fistula creation_ upper extremity_ separate access sites of the peripheral artery and peripheral vein_ including fistula maturation procedures (eg_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric - first dose (SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 1)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1713","description":"Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric - first dose (SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol amino acid 7-","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4176","description":"Parenteral sol amino acid 7-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toilet rail","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0243","description":"Toilet rail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychia interven order","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4525F","description":"Neuropsychia interven order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Weight mgmt class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9449","description":"Weight mgmt class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin and muscle repair face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15845","description":"Skin and muscle repair face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plaelet rich plasma unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9020","description":"Plaelet rich plasma unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External heart rate and 3-axis accelerometer data recording from 15 to 30 days to assess changes in heart rate and to monitor motion analysis for the purposes of diagnosing no","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0384T","description":"External heart rate and 3-axis accelerometer data recording from 15 to 30 days to assess changes in heart rate and to monitor motion analysis for the purposes of diagnosing no","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4354","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4354","description":"HCPCS-Q4354","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36578","description":"Replace tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE220","description":"HIPPS-LE220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01170","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01170","description":"CPT-01170","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8B","description":"HIPPS-RUB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLU","description":"HIPPS-3CHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB160","description":"HIPPS-BB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood type antigen donor ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86902","description":"Blood type antigen donor ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gen w/c cushion wdth >=22 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2602","description":"Gen w/c cushion wdth >=22 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15015","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15015","description":"CPT-15015","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"History of or active diagnosis of familial or pure hypercholesterolemia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9782","description":"History of or active diagnosis of familial or pure hypercholesterolemia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA113","description":"HIPPS-BA113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX0C","description":"HIPPS-RUX0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ablate liver tumor rf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47370","description":"Laparo ablate liver tumor rf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sheath upper limb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8415","description":"Sheath upper limb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8G","description":"HIPPS-RHA8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ra meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8499","description":"Ra meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC13C","description":"HIPPS-PC13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/sac fb remove","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32658","description":"Thoracoscopy w/sac fb remove","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Community health integration services performed by certified or trained auxiliary personnel_ including a community health worker_ under the direction of a physician or other p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0019","description":"Community health integration services performed by certified or trained auxiliary personnel_ including a community health worker_ under the direction of a physician or other p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us urine capacity measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51798","description":"Us urine capacity measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD13A","description":"HIPPS-PD13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penis study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54240","description":"Penis study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1469","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1469","description":"HCPCS-M1469","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom shape cover ak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5705","description":"Custom shape cover ak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of serotonin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84260","description":"Assay of serotonin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx nose fx w/o manj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21310","description":"Closed tx nose fx w/o manj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"So hard plas stabili pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3677","description":"So hard plas stabili pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Novafix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4208","description":"Novafix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ non-coronary_ temporary_ with delivery system (propel)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1091","description":"Stent_ non-coronary_ temporary_ with delivery system (propel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion >2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11303","description":"Shave skin lesion >2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med nutrition indiv subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97803","description":"Med nutrition indiv subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove impacted ear wax uni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69209","description":"Remove impacted ear wax uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Report_ prev care measures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8486","description":"Report_ prev care measures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61607","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX0C","description":"HIPPS-RHX0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyoscyamine sulfate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1980","description":"Hyoscyamine sulfate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External upper limb tremor stimulator of the peripheral nerves of the wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1018","description":"External upper limb tremor stimulator of the peripheral nerves of the wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay toxin or antitoxin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87230","description":"Assay toxin or antitoxin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol 52-73 gm prot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4193","description":"Parenteral sol 52-73 gm prot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of urethra abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53060","description":"Drainage of urethra abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual funct status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1055F","description":"Visual funct status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grp psych partial hosp 45-50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0410","description":"Grp psych partial hosp 45-50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD225","description":"HIPPS-HD225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body gum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41805","description":"Removal foreign body gum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow-up/reassessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0316","description":"Follow-up/reassessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rilonacept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2793","description":"Rilonacept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Soft protect helmet custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A8002","description":"Soft protect helmet custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC14D","description":"HIPPS-PC14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doxorubicin hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9000","description":"Doxorubicin hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mumps virus vaccine_ live_ for subcutaneous or jet injection use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90704","description":"Mumps virus vaccine_ live_ for subcutaneous or jet injection use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD14D","description":"HIPPS-HD14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2003","description":"HCPCS-B2003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bundle of his recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93600","description":"Bundle of his recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Disease_ Bacterial Vaginosis_ Quantitative Real-Time Amplification Of Rna Markers For Atopobium Vaginae_ Gardnerella Vaginalis_ And Lactobacillus Species_ Utilizing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81513","description":"Infectious Disease_ Bacterial Vaginosis_ Quantitative Real-Time Amplification Of Rna Markers For Atopobium Vaginae_ Gardnerella Vaginalis_ And Lactobacillus Species_ Utilizing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mirvetuximab soravtansine-gynx_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9063","description":"Injection_ mirvetuximab soravtansine-gynx_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and radiotracer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52250","description":"Cystoscopy and radiotracer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPU","description":"HIPPS-3CHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back Pain Measured By The Visual Analog Scale (Vas) Pain At One Year (9 To 15 Months) Postoperatively Was Greater Than 3.0 And Back Pain Measured By The Visual Analog Scale (V","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2139","description":"Back Pain Measured By The Visual Analog Scale (Vas) Pain At One Year (9 To 15 Months) Postoperatively Was Greater Than 3.0 And Back Pain Measured By The Visual Analog Scale (V","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr e/n/e/l addl 5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13153","description":"Cmplx rpr e/n/e/l addl 5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6980","description":"Bridge repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML12","description":"HIPPS-RML12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost skn barr extnd =4sq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4411","description":"Ost skn barr extnd =4sq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43130","description":"Removal of esophagus pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fungi identification yeast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87106","description":"Fungi identification yeast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLV","description":"HIPPS-2CFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5165","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5165","description":"HCPCS-Q5165","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0500","description":"Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Approp anticonvuls tstng","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4191F","description":"Approp anticonvuls tstng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Co-morbid condition assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1026F","description":"Co-morbid condition assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Misc integral lens serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0590","description":"Misc integral lens serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive sternum surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21630","description":"Extensive sternum surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst stg1-2 noprogres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9072","description":"Onc dx brst stg1-2 noprogres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp pop-tibl-prl-other","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35571","description":"Art byp pop-tibl-prl-other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical nutrition indiv in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97802","description":"Medical nutrition indiv in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24586","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9275","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9275","description":"HCPCS-J9275","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of one of the following medical reason(s) for not achieving at least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degree","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9772","description":"Documentation of one of the following medical reason(s) for not achieving at least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degree","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery for vulva lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56440","description":"Surgery for vulva lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whchr h-duty det arm leg res","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1280","description":"Whchr h-duty det arm leg res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45114","description":"Partial removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible mlc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87187","description":"Microbe susceptible mlc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP2","description":"HIPPS-1BHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19499","description":"Breast surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20902","description":"Removal of bone for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1029T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1029T","description":"CPT-1029T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abdomen surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49999","description":"Abdomen surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc count of ct in 12mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9321","description":"Doc count of ct in 12mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ldl-c 100-129 mg/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3049F","description":"Ldl-c 100-129 mg/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Es sph augmnt device removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0393T","description":"Es sph augmnt device removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE212","description":"HIPPS-CE212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8C","description":"HIPPS-RUA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endocerv curettage w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57456","description":"Endocerv curettage w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1102","description":"HCPCS-A1102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0505U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0505U","description":"CPT-0505U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28H","description":"HIPPS-LD28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK1","description":"HIPPS-4AFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tension ring_ vac erect dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7902","description":"Tension ring_ vac erect dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mast rad urban type","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19306","description":"Mast rad urban type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00625","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00625","description":"CPT-00625","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dwelling lead investigation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1029","description":"Dwelling lead investigation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of parathormone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83970","description":"Assay of parathormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES125","description":"HIPPS-ES125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneum compressor segmental","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0651","description":"Pneum compressor segmental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Curette/treat cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65435","description":"Curette/treat cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1106T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1106T","description":"CPT-1106T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative epicardial cardiac ultrasound (ie_ echocardiography) for congenital heart disease_ diagnostic; including placement and manipulation of transducer_ image acquisi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76987","description":"Intraoperative epicardial cardiac ultrasound (ie_ echocardiography) for congenital heart disease_ diagnostic; including placement and manipulation of transducer_ image acquisi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote multi-day complex uroflowmetry (eg_ calibrated electronic equipment); device supply with automated report generation_ up to 10 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0812T","description":"Remote multi-day complex uroflowmetry (eg_ calibrated electronic equipment); device supply with automated report generation_ up to 10 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Dissection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33858","description":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4421","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4421","description":"HCPCS-Q4421","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Devlopment test interpt&rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0451","description":"Devlopment test interpt&rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC235","description":"HIPPS-PC235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ue triple control harness","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6677","description":"Ue triple control harness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive chest wall surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19272","description":"Extensive chest wall surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43635","description":"Removal of stomach partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1109","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ domic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0076","description":"Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ domic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8F","description":"HIPPS-RHA8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt recvd 2 rx anti-emet agt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4558F","description":"Pt recvd 2 rx anti-emet agt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of abdominal muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27100","description":"Transfer of abdominal muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace thrc unit hrt syst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0052T","description":"Replace thrc unit hrt syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77401","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periurethral Transperineal Adjustable Balloon Continence Device; Percutaneous Adjustment Of Balloon(S) Fluid Volume","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53454","description":"Periurethral Transperineal Adjustable Balloon Continence Device; Percutaneous Adjustment Of Balloon(S) Fluid Volume","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vancomycin hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3370","description":"Vancomycin hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ human fibrinogen concentrate (Fibryga)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7177","description":"Injection_ human fibrinogen concentrate (Fibryga)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln cmplt mand chr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5731","description":"Denture reln cmplt mand chr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB10A","description":"HIPPS-CB10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed wing air mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0435","description":"Fixed wing air mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 1.1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11422","description":"Exc h-f-nk-sp b9+marg 1.1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of multivisc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2054","description":"Transplantation of multivisc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE231","description":"HIPPS-LE231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES135","description":"HIPPS-ES135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abx pres w/in 10 dys of symp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9505","description":"Abx pres w/in 10 dys of symp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifocal 4.25-7/2.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2308","description":"Lens sphc trifocal 4.25-7/2.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"End of life counseling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0257","description":"End of life counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore wound abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20102","description":"Explore wound abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult day care per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5102","description":"Adult day care per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Static or dynami afo pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4397","description":"Static or dynami afo pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA05","description":"HIPPS-RUA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physician Direct Care - Must be provided by a hospice physician and must be related to the patient_s terminal illness","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0607","description":"Physician Direct Care - Must be provided by a hospice physician and must be related to the patient_s terminal illness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext amb insulin delivery sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9274","description":"Ext amb insulin delivery sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Technical Preparation And Transmission Of Data For Analysis To Be Performed Elsewhere","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77090","description":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Technical Preparation And Transmission Of Data For Analysis To Be Performed Elsewhere","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGNV","description":"HIPPS-3CGNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht pharm per hour","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9810","description":"Ht pharm per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria lmtd add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33257","description":"Ablate atria lmtd add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Straight tip urine catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4351","description":"Straight tip urine catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert uteri tandem/ovoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57155","description":"Insert uteri tandem/ovoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8000","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8000","description":"HCPCS-C8000","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thrombomodulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85337","description":"Thrombomodulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17266","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo radical nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50545","description":"Laparo radical nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daptomycin (Xellia)_ unrefrigerated_ not therapeutically equivalent to J0878 or J0873_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0872","description":"Injection_ daptomycin (Xellia)_ unrefrigerated_ not therapeutically equivalent to J0878 or J0873_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX60","description":"HIPPS-RUX60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bowel lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44111","description":"Excision of bowel lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision malig les complicat","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7415","description":"Excision malig les complicat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ dinutuximab_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1246","description":"Injection_ dinutuximab_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair venous anomaly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33724","description":"Repair venous anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chloroprocaine hcl ophthalmic_ 3% gel_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2403","description":"Chloroprocaine hcl ophthalmic_ 3% gel_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL5","description":"HIPPS-2AHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eculizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1300","description":"Eculizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reteplase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2993","description":"Reteplase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Serum immunoelectrophoresis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86320","description":"Serum immunoelectrophoresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27254","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 2 vhd 451-600 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0808","description":"Pov group 2 vhd 451-600 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoglobulin Light Chains (Ie_ Kappa_ Lambda)_ Free_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83521","description":"Immunoglobulin Light Chains (Ie_ Kappa_ Lambda)_ Free_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB24D","description":"HIPPS-PB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterovirus probe&revrs trns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87498","description":"Enterovirus probe&revrs trns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor revasc chro sin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9607","description":"Perc d-e cor revasc chro sin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD116","description":"HIPPS-PD116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Managem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0703T","description":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Managem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of neck cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42810","description":"Excision of neck cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-axilary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35516","description":"Art byp grft subclav-axilary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC22D","description":"HIPPS-CC22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with single or multiple bronchial or endobronchial biopsy(ies)_ single or multiple sites_ with transendoscopic endobronchial ultrasound (ebus)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7512","description":"Bronchoscopy_ rigid or flexible_ with single or multiple bronchial or endobronchial biopsy(ies)_ single or multiple sites_ with transendoscopic endobronchial ultrasound (ebus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us detailed sngl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76811","description":"Ob us detailed sngl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microprocessor control uplmb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6882","description":"Microprocessor control uplmb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flexion/extension wrist unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6620","description":"Flexion/extension wrist unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylindr 7.25d/2.25-4d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2112","description":"Spherocylindr 7.25d/2.25-4d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX26","description":"HIPPS-RVX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lateral trochanteric pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1290","description":"Lateral trochanteric pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conductive garment for tens/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0731","description":"Conductive garment for tens/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM4","description":"HIPPS-3AGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Av fusion direct any site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36821","description":"Av fusion direct any site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray strenoclavic jt 3/>vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71130","description":"X-ray strenoclavic jt 3/>vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat mouth roof fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21423","description":"Treat mouth roof fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHK6","description":"HIPPS-3BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of circulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37145","description":"Revision of circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE105","description":"HIPPS-PE105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB1C","description":"HIPPS-RHB1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx pancreatic unresectab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9107","description":"Onc dx pancreatic unresectab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ustekinumab Intravenous Inj 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9989","description":"Ustekinumab Intravenous Inj 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37286","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37286","description":"CPT-37286","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 120 or more drugs and metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ includes specimen validity and a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0328U","description":"Drug assay_ definitive_ 120 or more drugs and metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ includes specimen validity and a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9896","description":"Documentation of patient reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vacc 2 dose adolesc im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90743","description":"Hepb vacc 2 dose adolesc im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA156","description":"HIPPS-PA156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neg press wound therapy pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2402","description":"Neg press wound therapy pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval npgs apnea study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0436T","description":"Prgrmg eval npgs apnea study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM1","description":"HIPPS-2BHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp common ipsi carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35601","description":"Art byp common ipsi carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of CHA2DS2-VASc risk score of 0 or 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9931","description":"Documentation of CHA2DS2-VASc risk score of 0 or 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped hospital bed_ manual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0328","description":"Ped hospital bed_ manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD21C","description":"HIPPS-CD21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95165","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rep dev_ urinary_ w/sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1771","description":"Rep dev_ urinary_ w/sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52317","description":"Remove bladder stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of fascia for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20920","description":"Removal of fascia for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech therapy_ in the home_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9128","description":"Speech therapy_ in the home_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0540U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0540U","description":"CPT-0540U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMV","description":"HIPPS-4CHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe lifts elevation heel /i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3334","description":"Shoe lifts elevation heel /i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous carboxyhb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88740","description":"Transcutaneous carboxyhb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB10C","description":"HIPPS-PB10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imaging of the head (CT or MRI) was not obtained_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1029","description":"Imaging of the head (CT or MRI) was not obtained_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab and hyaluronidase_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9467","description":"Injection_ rituximab and hyaluronidase_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocyte culture primed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86822","description":"Lymphocyte culture primed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC13","description":"HIPPS-RUC13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart image (pet) single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78491","description":"Heart image (pet) single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg_ carrier testing)_ includes SMN2 (survival of motor neur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81329","description":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg_ carrier testing)_ includes SMN2 (survival of motor neur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnosticmammographydigital","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0206","description":"Diagnosticmammographydigital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-specific kinase (MuSK) antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86366","description":"Muscle-specific kinase (MuSK) antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35302","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx bronchoscope/lavage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31624","description":"Dx bronchoscope/lavage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vascular surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37799","description":"Vascular surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj >24 hr in ed gcs <15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9532","description":"Inj >24 hr in ed gcs <15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin cartridge 300 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5566","description":"Insulin cartridge 300 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8E","description":"HIPPS-RUA8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cptr ophth dx img post segmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92134","description":"Cptr ophth dx img post segmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1pc ost pch drain hgh output","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4435","description":"1pc ost pch drain hgh output","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for cholangiogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47532","description":"Injection for cholangiogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ 25 mcg/0.25 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91321","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ 25 mcg/0.25 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE221","description":"HIPPS-CE221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable gaseous 02","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0431","description":"Portable gaseous 02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uvl md cabinet sys 6 ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0694","description":"Uvl md cabinet sys 6 ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise spinal cord ligaments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63180","description":"Revise spinal cord ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25415","description":"Repair radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open tx nose & septal fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21335","description":"Open tx nose & septal fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement of multi-joint range of motion_ posture_ gait_ and muscl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0778T","description":"Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement of multi-joint range of motion_ posture_ gait_ and muscl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX26","description":"HIPPS-RUX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ melphalan flufenamide_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9247","description":"Injection_ melphalan flufenamide_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Certified translation or sign-language services per visit.","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9990","description":"Certified translation or sign-language services per visit.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFKX","description":"HIPPS-2CFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMU","description":"HIPPS-1BHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41828","description":"Excision of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Structured Day Habilitation Group 1:1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0105","description":"Structured Day Habilitation Group 1:1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood pressure recorded during inpatient stays_ emergency room visits_ urgent care visits_ and patient self-reported BP_s (home and health fair BP results)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9789","description":"Blood pressure recorded during inpatient stays_ emergency room visits_ urgent care visits_ and patient self-reported BP_s (home and health fair BP results)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA117","description":"HIPPS-CA117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg Pain As Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 3.0 Or Leg Pain Measured By The Visual Analog Scal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2146","description":"Leg Pain As Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 3.0 Or Leg Pain Measured By The Visual Analog Scal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27832","description":"Treat lower leg dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26392","description":"Repair/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54530","description":"Removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient provided a response other than completely true for the question of patient felt this provider and team put my best interests first when making recommendations about","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1244","description":"Patient provided a response other than completely true for the question of patient felt this provider and team put my best interests first when making recommendations about","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit blood products diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9538","description":"Hit blood products diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA224","description":"HIPPS-CA224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75820","description":"Vein x-ray arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phq-9 >9 during 12m time","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9511","description":"Phq-9 >9 during 12m time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid lined pre one pie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0488","description":"Tlso rigid lined pre one pie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sheath below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8400","description":"Sheath below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00530","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00530","description":"CPT-00530","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Combined anteroposterior colporrhaphy_ including cystourethroscopy_ when performed; with enterocele repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57265","description":"Combined anteroposterior colporrhaphy_ including cystourethroscopy_ when performed; with enterocele repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine screen for bacteria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81007","description":"Urine screen for bacteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63086","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit hydra 1 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9374","description":"Hit hydra 1 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA INFLUENZA A/B EACH","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87400","description":"IAAD IA INFLUENZA A/B EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA14","description":"HIPPS-RLA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2753","description":"Crown - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray exam of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74270","description":"Contrast x-ray exam of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monitor elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0483","description":"Monitor elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1242","description":"Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42225","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice_ inpatient hospital","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5005","description":"Hospice_ inpatient hospital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stress tte complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93351","description":"Stress tte complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo dbl solid stirrup w/o j","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2030","description":"Kafo dbl solid stirrup w/o j","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD124","description":"HIPPS-PD124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX2B","description":"HIPPS-RMX2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prim art m-thrmbc sbsq vsl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37185","description":"Prim art m-thrmbc sbsq vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGK1","description":"HIPPS-4CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Edetate disodium per 150 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3520","description":"Edetate disodium per 150 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ bupivacaine liposome","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9290","description":"Inj_ bupivacaine liposome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prkns diag rviewed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1400F","description":"Prkns diag rviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pouch drainable w barrier at","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5061","description":"Pouch drainable w barrier at","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61770","description":"Incise skull for treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg arterial four or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33536","description":"Cabg arterial four or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (chronic kidney disease)_ carboxymethyllysine_ methylglyoxal hydroimidazolone_ and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry (LC-MS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0384U","description":"Nephrology (chronic kidney disease)_ carboxymethyllysine_ methylglyoxal hydroimidazolone_ and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry (LC-MS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Free/remove chest lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32320","description":"Free/remove chest lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ furosemide (furoscix)_ 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1941","description":"Injection_ furosemide (furoscix)_ 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mlh1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81288","description":"Mlh1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy trisom risk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0009M","description":"Fetal aneuploidy trisom risk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8G","description":"HIPPS-RHL8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder bone part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23130","description":"Remove shoulder bone part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_ domiciliary_ rest home_ assi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2014","description":"Limited (30 minutes) care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_ domiciliary_ rest home_ assi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Benesch boot pair infant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3212","description":"Benesch boot pair infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us nuchal meas 1 gest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76813","description":"Ob us nuchal meas 1 gest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tun ip cath w/port","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49419","description":"Insert tun ip cath w/port","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microvolt t-wave assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93025","description":"Microvolt t-wave assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18G","description":"HIPPS-HD18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB52","description":"HIPPS-RVB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23515","description":"Treat clavicle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES105","description":"HIPPS-ES105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt/rpl crtd sns dev total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0266T","description":"Implt/rpl crtd sns dev total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophoretic test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82664","description":"Electrophoretic test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood_ l/r_ irradiated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9056","description":"Blood_ l/r_ irradiated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens lenticular bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2215","description":"Lens lenticular bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo drain lymphocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49323","description":"Laparo drain lymphocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX13","description":"HIPPS-RMX13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB07","description":"HIPPS-RVB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB144","description":"HIPPS-HB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diag bronchoscope/catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31643","description":"Diag bronchoscope/catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC20B","description":"HIPPS-CC20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine vma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84585","description":"Assay of urine vma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0665","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0665","description":"HCPCS-G0665","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL02","description":"HIPPS-RVL02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cyclosporin parenteral 250mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7516","description":"Cyclosporin parenteral 250mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA23","description":"HIPPS-RVA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHKU","description":"HIPPS-3AHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/ tc 1 marker","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88184","description":"Flowcytometry/ tc 1 marker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE104","description":"HIPPS-HE104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor revasc t cabg s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9604","description":"Perc d-e cor revasc t cabg s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No postop ren fail","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8576","description":"No postop ren fail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bebtelovimab_ 175 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0222","description":"Injection_ bebtelovimab_ 175 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ASXL1 (additional sex combs like 1_ transcriptional regulator) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms_ chronic myelomonocytic leukemia)_ gene analysis; fu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81175","description":"ASXL1 (additional sex combs like 1_ transcriptional regulator) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms_ chronic myelomonocytic leukemia)_ gene analysis; fu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semen anal vol/count/mot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89320","description":"Semen anal vol/count/mot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatrics Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4024","description":"Pediatrics Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44625","description":"Repair bowel opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation Supply; Sleeve_ Disposable_ Per Month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4437","description":"Irrigation Supply; Sleeve_ Disposable_ Per Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1104T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1104T","description":"CPT-1104T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE245","description":"HIPPS-PE245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX3C","description":"HIPPS-RLX3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM2","description":"HIPPS-1BHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2099","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGN1","description":"HIPPS-3BGN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN3","description":"HIPPS-3AFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology hrt trnspl mrna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81595","description":"Cardiology hrt trnspl mrna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE260","description":"HIPPS-PE260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27033","description":"Exploration of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE24D","description":"HIPPS-HE24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69716","description":"Implantation_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1194","description":"Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical; with guided transhepatic cholangiography with biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47561","description":"Laparoscopy_ surgical; with guided transhepatic cholangiography with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01670","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01670","description":"CPT-01670","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN3","description":"HIPPS-3CGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve pedicle transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64905","description":"Nerve pedicle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP5","description":"HIPPS-3BGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1462","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1462","description":"HCPCS-M1462","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA60","description":"HIPPS-RLA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA30","description":"HIPPS-RHA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycophenolate mofetil oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7517","description":"Mycophenolate mofetil oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In-line cartridge containing digestive enzyme(s) for enteral feeding_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4105","description":"In-line cartridge containing digestive enzyme(s) for enteral feeding_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ targeted hybrid-capture genomic sequence analysis panel_ circulating tumor DNA (ctDNA) analysis of 56 or more genes_ interrogation for sequence variants_ ge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0428U","description":"Oncology (breast)_ targeted hybrid-capture genomic sequence analysis panel_ circulating tumor DNA (ctDNA) analysis of 56 or more genes_ interrogation for sequence variants_ ge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant palm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26485","description":"Transplant palm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Olanzapine long-acting inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2358","description":"Olanzapine long-acting inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43832","description":"Place gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69642","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nandrolone decanoate 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2320","description":"Nandrolone decanoate 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA and RNA)_ surgical wound pathogens_ 34 microorganisms and identification of 21 associated antibiotic-resistance genes_ multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0370U","description":"Infectious agent detection by nucleic acid (DNA and RNA)_ surgical wound pathogens_ 34 microorganisms and identification of 21 associated antibiotic-resistance genes_ multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve pedicle transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64907","description":"Nerve pedicle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spinal fluid tap diagnostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62270","description":"Spinal fluid tap diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK1","description":"HIPPS-5CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko single upright pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1843","description":"Ko single upright pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB53","description":"HIPPS-RVB53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intro/sheath_ fixed_non-peel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1893","description":"Intro/sheath_ fixed_non-peel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protein e-phoresis/urine/csf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84166","description":"Protein e-phoresis/urine/csf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0457","description":"Chest shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/subs interv 15-30mn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0396","description":"Alcohol/subs interv 15-30mn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A7021","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7021","description":"HCPCS-A7021","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0555T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interim abutment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6051","description":"Interim abutment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diab manage trn  per indiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0108","description":"Diab manage trn  per indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laps impltj nstim vagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0312T","description":"Laps impltj nstim vagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No interv req for leak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9305","description":"No interv req for leak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap ing hernia repair init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49650","description":"Lap ing hernia repair init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq card stent/ath/angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92933","description":"Prq card stent/ath/angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES330","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES330","description":"HIPPS-ES330","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"At least two orders for the same high-risk medication","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9637","description":"At least two orders for the same high-risk medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not elig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9629","description":"Pt not elig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech volume modulation system_ any type_ including all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E3000","description":"Speech volume modulation system_ any type_ including all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0528","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0528","description":"HCPCS-J0528","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj vocal cord bulking agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8607","description":"Inj vocal cord bulking agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval on foot not performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8415","description":"Eval on foot not performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng arm splnt ped f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4020","description":"Cast sup lng arm splnt ped f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNW","description":"HIPPS-3AHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous islet celltrans","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0341","description":"Percutaneous islet celltrans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipopro bld electrophoretic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83700","description":"Lipopro bld electrophoretic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92993","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18I","description":"HIPPS-PD18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stimulants synthetic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80371","description":"Stimulants synthetic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromodulation stimulator system_ adjunct to rehabilitation therapy regime","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4593","description":"Neuromodulation stimulator system_ adjunct to rehabilitation therapy regime","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36575","description":"Repair tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB25B","description":"HIPPS-CB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emr pwr source elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0490","description":"Emr pwr source elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2108","description":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace foot drop spint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4394","description":"Replace foot drop spint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation hemorrhoid w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0249T","description":"Ligation hemorrhoid w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rec ace/arb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8506","description":"Pt rec ace/arb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD110","description":"HIPPS-CD110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosaprepitant (teva)_ not therapeutically equivalent to j1453_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1456","description":"Injection_ fosaprepitant (teva)_ not therapeutically equivalent to j1453_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sys bp > or = 140","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8753","description":"Sys bp > or = 140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toxoplasma antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86777","description":"Toxoplasma antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29836","description":"Elbow arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adj chem pres ajcc iii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8927","description":"Adj chem pres ajcc iii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I131 serum albumin_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9524","description":"I131 serum albumin_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient Respite Care - A flat per diem rate before area wage adjustment paid for each day on which the patient is in an inpatient facility and is receiving respite care.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0604","description":"Inpatient Respite Care - A flat per diem rate before area wage adjustment paid for each day on which the patient is in an inpatient facility and is receiving respite care.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27391","description":"Incision of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric analy w/ph ea spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82930","description":"Gastric analy w/ph ea spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply short leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29405","description":"Apply short leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impact tooth remov comp bony","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7240","description":"Impact tooth remov comp bony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bath tub rail floor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0242","description":"Bath tub rail floor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75870","description":"Vein x-ray skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhcp-svs of csw_ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0155","description":"Hhcp-svs of csw_ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scaling and debridement in the presence of inflammation or mucositis of a single implant_ including cleaning of the implant surfaces_ without flap entry and closure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6081","description":"Scaling and debridement in the presence of inflammation or mucositis of a single implant_ including cleaning of the implant surfaces_ without flap entry and closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocortisone sodium succ i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1720","description":"Hydrocortisone sodium succ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tooth splitting","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3920","description":"Tooth splitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or the 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9771","description":"At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or the 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1802","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1802","description":"HCPCS-B1802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ gadopiclenol_ 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9573","description":"Injection_ gadopiclenol_ 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ calcium gluconate (wg critical care)_ per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0613","description":"Injection_ calcium gluconate (wg critical care)_ per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK1","description":"HIPPS-3CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPW","description":"HIPPS-1AFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00160","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00160","description":"CPT-00160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18D","description":"HIPPS-LD18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-81558","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81558","description":"CPT-81558","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMS","description":"HIPPS-2AFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carboplatin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9045","description":"Carboplatin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Er+ or pr+ breast cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3315F","description":"Er+ or pr+ breast cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrolyte panel this panel must include the following: carbon dioxide (82374) chloride (82435) potassium (84132) sodium (84295)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80051","description":"Electrolyte panel this panel must include the following: carbon dioxide (82374) chloride (82435) potassium (84132) sodium (84295)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psori tool doc w/benchmk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9649","description":"Psori tool doc w/benchmk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart image spect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78494","description":"Heart image spect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trim skin lesions 2 to 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11056","description":"Trim skin lesions 2 to 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpt implant pros dev_no cov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9899","description":"Inpt implant pros dev_no cov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glucagon hydrochloride/1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1610","description":"Glucagon hydrochloride/1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA44","description":"HIPPS-RMA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alpha-fetoprotein amniotic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82106","description":"Alpha-fetoprotein amniotic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture screen only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87081","description":"Culture screen only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Single Study_ At Re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78430","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Single Study_ At Re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE217","description":"HIPPS-PE217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing serologic rh(d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86901","description":"Blood typing serologic rh(d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo mech stance ph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5716","description":"Knee-shin exo mech stance ph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor &/ sens nrve cndj test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95905","description":"Motor &/ sens nrve cndj test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41821","description":"Excision of gum flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Near-infrared spectroscopy studies of lower extremity wounds (eg_ for oxyhemoglobin measurement)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0493T","description":"Near-infrared spectroscopy studies of lower extremity wounds (eg_ for oxyhemoglobin measurement)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray measurement of pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74710","description":"X-ray measurement of pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ace/arb thxpy rxd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8473","description":"Ace/arb thxpy rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Residual limb support system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1020","description":"Residual limb support system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excis uppr jaw cyst w/repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21049","description":"Excis uppr jaw cyst w/repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std sing pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0836","description":"Pwc gp2 std sing pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for ureter x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50690","description":"Injection for ureter x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55821","description":"Removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated macular exam was not performed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9893","description":"Dilated macular exam was not performed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC4C","description":"HIPPS-RUC4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thorax stereo rad targetw/tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32701","description":"Thorax stereo rad targetw/tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens hydrophilic toric","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2521","description":"Cntct lens hydrophilic toric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28E","description":"HIPPS-LC28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA3B","description":"HIPPS-RHA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01996","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01996","description":"CPT-01996","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB4C","description":"HIPPS-RLB4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove intracorporeal device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33980","description":"Remove intracorporeal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ tubular protective absorption layer_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6607","description":"Gradient compression bandaging supply_ tubular protective absorption layer_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Factor IX_ (antihemophilic factor_ recombinant)_ glycopegylated_ (Rebinyn)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7203","description":"Injection Factor IX_ (antihemophilic factor_ recombinant)_ glycopegylated_ (Rebinyn)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Val rsn hd ct ord reg indic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9595","description":"Val rsn hd ct ord reg indic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ceruloplasmin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82390","description":"Assay of ceruloplasmin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory heart surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33310","description":"Exploratory heart surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enfuvirtide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1324","description":"Enfuvirtide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK4","description":"HIPPS-3AFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL2","description":"HIPPS-2BHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cataract surgery complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66982","description":"Cataract surgery complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKT","description":"HIPPS-1AHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise lumb artif disc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0165T","description":"Revise lumb artif disc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy & biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50574","description":"Kidney endoscopy & biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB05","description":"HIPPS-RMB05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8013","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8013","description":"HCPCS-C8013","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty_ medialization_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31591","description":"Laryngoplasty_ medialization_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq coronary mech thrombect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92973","description":"Prq coronary mech thrombect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHMU","description":"HIPPS-2CHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76978","description":"Ultrasound_ targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 2 hd 301-450 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0807","description":"Pov group 2 hd 301-450 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE25D","description":"HIPPS-HE25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External recharging system for battery for use with cochlear implant or auditory osseointegrated device_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8625","description":"External recharging system for battery for use with cochlear implant or auditory osseointegrated device_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay carbamazepine free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80157","description":"Assay carbamazepine free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hfo nontorsion jnts pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3929","description":"Hfo nontorsion jnts pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE244","description":"HIPPS-CE244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove armpit lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38745","description":"Remove armpit lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CoreCyte_ for topical use only_ per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4240","description":"CoreCyte_ for topical use only_ per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amniotic fluid scan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82143","description":"Amniotic fluid scan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject l ventr/atrial angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93565","description":"Inject l ventr/atrial angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest wall manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94668","description":"Chest wall manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calibrator solution/chips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4256","description":"Calibrator solution/chips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00454","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00454","description":"CPT-00454","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amiodarone hcl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0282","description":"Amiodarone hcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7637","description":"Dexamethasone comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Annual gynecological examina","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0612","description":"Annual gynecological examina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK2","description":"HIPPS-4BGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test def 22+ classes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0483","description":"Drug test def 22+ classes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transport bus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0110","description":"Nonemergency transport bus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLS","description":"HIPPS-2BGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72190","description":"X-ray exam of pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE151","description":"HIPPS-LE151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thromboplastin time partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85730","description":"Thromboplastin time partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKW","description":"HIPPS-5AFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not screened for tobacco use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1312","description":"Patient not screened for tobacco use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debridement of a periimplant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6101","description":"Debridement of a periimplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKS","description":"HIPPS-5BFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gliadin (Deamidated) (Dgp) Antibody_ Each Immunoglobulin (Ig) Class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86258","description":"Gliadin (Deamidated) (Dgp) Antibody_ Each Immunoglobulin (Ig) Class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00740","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00740","description":"CPT-00740","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB231","description":"HIPPS-PB231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic shoe w/off set heel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5506","description":"Diabetic shoe w/off set heel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of temporary anchorage device without flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7300","description":"Removal of temporary anchorage device without flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk removable medial brim sus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5672","description":"Bk removable medial brim sus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-60660","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60660","description":"CPT-60660","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups_ utilizing whole blood_ common RBC alleles reported","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001U","description":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups_ utilizing whole blood_ common RBC alleles reported","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of breast capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19371","description":"Removal of breast capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise/repair mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40814","description":"Excise/repair mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES306","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES306","description":"HIPPS-ES306","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Athletic training evaluation_ moderate complexity_ requiring these components: A medical history and physical activity profile with 1-2 comorbidities that affect physical acti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97170","description":"Athletic training evaluation_ moderate complexity_ requiring these components: A medical history and physical activity profile with 1-2 comorbidities that affect physical acti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal kidney open radical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50230","description":"Removal kidney open radical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0962T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0962T","description":"CPT-0962T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47600","description":"Removal of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67314","description":"Revise eye muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of rectal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45160","description":"Excision of rectal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28D","description":"HIPPS-HB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac MRI for morph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75557","description":"Cardiac MRI for morph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA60","description":"HIPPS-RUA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forearm or wrist surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25999","description":"Forearm or wrist surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat forearm bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25035","description":"Treat forearm bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PuraPly_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4195","description":"PuraPly_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18E","description":"HIPPS-HD18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extrnl bleaching per arch","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9972","description":"Extrnl bleaching per arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8A","description":"HIPPS-RLX8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystometrogram w/vp&up","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51729","description":"Cystometrogram w/vp&up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palate/uvula surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42299","description":"Palate/uvula surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath fl nongyn smears","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88104","description":"Cytopath fl nongyn smears","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knuckle with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26852","description":"Fusion of knuckle with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject for sacroiliac joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0259","description":"Inject for sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AJCC breast cancer stage I: T1 mic or T1a documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9704","description":"AJCC breast cancer stage I: T1 mic or T1a documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge noble metal cast","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6212","description":"Bridge noble metal cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD255","description":"HIPPS-HD255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complex lymphedema therapy_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8950","description":"Complex lymphedema therapy_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96130","description":"Psychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Renal abscess open drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50020","description":"Renal abscess open drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+ cell >=15% (hiv)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3498F","description":"Cd4+ cell >=15% (hiv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB4B","description":"HIPPS-RLB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"K flow/funct image w/drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78708","description":"K flow/funct image w/drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ belantamab mafodontin-blmf_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9037","description":"Injection_ belantamab mafodontin-blmf_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ levothyroxine sodium (hikma) not therapeutically equivalent to j0650_ 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0652","description":"Injection_ levothyroxine sodium (hikma) not therapeutically equivalent to j0650_ 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone biopsy trocar/needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20220","description":"Bone biopsy trocar/needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection_ all nonselec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34705","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection_ all nonselec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo ak ultra-light material","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5950","description":"Endo ak ultra-light material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC135","description":"HIPPS-LC135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA17","description":"HIPPS-AAA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE131","description":"HIPPS-CE131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inirs each vessel add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0205T","description":"Inirs each vessel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ranitidine hydrochloride inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2780","description":"Ranitidine hydrochloride inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive jaw surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21045","description":"Extensive jaw surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGKX","description":"HIPPS-3AGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow sequential","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7180","description":"Electronic elbow sequential","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ imm glob bivigam_ 500mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1556","description":"Inj_ imm glob bivigam_ 500mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB01","description":"HIPPS-RHB01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryosurg ablate fa each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19105","description":"Cryosurg ablate fa each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic appliance half leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0666","description":"Pneumatic appliance half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6037","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6037","description":"HCPCS-L6037","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC32","description":"HIPPS-RHC32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0087","description":"Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of knee ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27407","description":"Repair of knee ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ls not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8662","description":"Fun stat score ls not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No pt cat and  pt1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9431","description":"No pt cat and  pt1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP5","description":"HIPPS-1BGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo tib fx semi-rigid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2114","description":"Afo tib fx semi-rigid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl bifocal 4.00d/.1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2203","description":"Lens sphcyl bifocal 4.00d/.1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein_ extremity_ inclusive of all imaging guidance and monitoring_ percutaneous_ mechanochemical; first vein treated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36473","description":"Endovenous ablation therapy of incompetent vein_ extremity_ inclusive of all imaging guidance and monitoring_ percutaneous_ mechanochemical; first vein treated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0937T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0937T","description":"CPT-0937T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj paracervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64435","description":"N block inj paracervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mult mech switches","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2322","description":"Mult mech switches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pessary rubber_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4561","description":"Pessary rubber_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA3B","description":"HIPPS-RMA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back school visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9117","description":"Back school visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC121","description":"HIPPS-CC121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch drain w bar & filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4424","description":"Ost pch drain w bar & filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFN3","description":"HIPPS-1CFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pentamidine iseth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0080","description":"Injection_ pentamidine iseth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove uterus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59100","description":"Remove uterus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kanamycin sulfate 75 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1850","description":"Kanamycin sulfate 75 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy revise stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31638","description":"Bronchoscopy revise stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE105","description":"HIPPS-HE105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharm dx agent noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4641","description":"Radiopharm dx agent noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc antibio given b/4 surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4048F","description":"Doc antibio given b/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMU","description":"HIPPS-2BHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9901","description":"Patient age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rural health clinic or federally qualified health center (RHC or FQHC) only_ general care management_ 20 minutes or more of clinical staff time for chronic care management ser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0511","description":"Rural health clinic or federally qualified health center (RHC or FQHC) only_ general care management_ 20 minutes or more of clinical staff time for chronic care management ser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coccidioides antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86635","description":"Coccidioides antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bed safety enclosure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0316","description":"Bed safety enclosure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagosc dilate balloon 30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43214","description":"Esophagosc dilate balloon 30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD221","description":"HIPPS-PD221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crisis interven svc_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2011","description":"Crisis interven svc_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgicord_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4218","description":"Surgicord_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"marsupialization of odontogenic cyst","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7509","description":"marsupialization of odontogenic cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC154","description":"HIPPS-CC154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28B","description":"HIPPS-LD28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinus endo w/balloon dil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31295","description":"Sinus endo w/balloon dil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical placement: zygomatic implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7994","description":"Surgical placement: zygomatic implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch w st wear barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4392","description":"Urinary pouch w st wear barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of peripherally inserted central venous catheter (PICC)_ without subcutaneous port or pump_ including all imaging guidance_ image documentation_ and all associated r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36573","description":"Insertion of peripherally inserted central venous catheter (PICC)_ without subcutaneous port or pump_ including all imaging guidance_ image documentation_ and all associated r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec size w/ leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1222","description":"Wheelchair spec size w/ leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67101","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMW","description":"HIPPS-1AFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Promazine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2950","description":"Promazine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No srch for ct in 12mo norsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9342","description":"No srch for ct in 12mo norsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN2","description":"HIPPS-1AFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6071","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1467","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1467","description":"HCPCS-M1467","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sugars single qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84376","description":"Sugars single qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lyse chest fibrin init day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32561","description":"Lyse chest fibrin init day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trnscth renal symp denrv unl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0338T","description":"Trnscth renal symp denrv unl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE204","description":"HIPPS-CE204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apomorphine hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0364","description":"Apomorphine hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0677U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0677U","description":"CPT-0677U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic total diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9494","description":"Hit antibiotic total diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolong e&m/psyctx serv o/p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99354","description":"Prolong e&m/psyctx serv o/p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add metal substructure to acrylic full denture (per arch)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5876","description":"Add metal substructure to acrylic full denture (per arch)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4438","description":"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Was Provided Pallative Care Services Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9993","description":"Patient Was Provided Pallative Care Services Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD260","description":"HIPPS-LD260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0109","description":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast add lesion strtctc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19082","description":"Bx breast add lesion strtctc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care pl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9038","description":"Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care pl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 1.1-2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11312","description":"Shave skin lesion 1.1-2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28436","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC20B","description":"HIPPS-LC20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63088","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25909","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0501T","description":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5938","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5938","description":"CDT-D5938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat dislocation/fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23670","description":"Treat dislocation/fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC20","description":"HIPPS-RMC20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect diaphragm complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39561","description":"Resect diaphragm complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intent pot remv time placemt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9539","description":"Intent pot remv time placemt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electric stimulation therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97014","description":"Electric stimulation therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC43","description":"HIPPS-RHC43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastro/jejuno tube_ std","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4087","description":"Gastro/jejuno tube_ std","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic prop tire tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2212","description":"Pneumatic prop tire tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Position wc cush wdth>=22 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2606","description":"Position wc cush wdth>=22 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise gastric port open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43886","description":"Revise gastric port open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL40","description":"HIPPS-RUL40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe metatarsal bar between","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3410","description":"Shoe metatarsal bar between","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA156","description":"HIPPS-CA156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation stating the patient has received or is currently receiving palliative or hospice care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1307","description":"Documentation stating the patient has received or is currently receiving palliative or hospice care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional_ per calendar month. (list separately in additio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G3003","description":"Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional_ per calendar month. (list separately in additio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1474","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1474","description":"HCPCS-M1474","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply long arm splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29105","description":"Apply long arm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent motor threshold re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0892T","description":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent motor threshold re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMT","description":"HIPPS-4CGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and identified as a tobacco non-user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9903","description":"Patient screened for tobacco use and identified as a tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Powered air mattress overlay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0372","description":"Powered air mattress overlay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE205","description":"HIPPS-CE205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61680","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv cancer screen docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3015F","description":"Cerv cancer screen docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mometasone sinus implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1090","description":"Mometasone sinus implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization admin each add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90472","description":"Immunization admin each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ruptured tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24342","description":"Repair of ruptured tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ phenobarbital sodium (sezaby)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2561","description":"Injection_ phenobarbital sodium (sezaby)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bowel surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44899","description":"Bowel surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq lamot/lam lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0275T","description":"Perq lamot/lam lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd demo bundle level i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9013","description":"Esrd demo bundle level i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI low field","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8042","description":"MRI low field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKS","description":"HIPPS-4AHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain fused base m","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2751","description":"Crown porcelain fused base m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology_ malabsorption evaluation of alpha-1-antitrypsin_ calprotectin_ pancreatic elastase and reducing substances_ feces_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0430U","description":"Gastroenterology_ malabsorption evaluation of alpha-1-antitrypsin_ calprotectin_ pancreatic elastase and reducing substances_ feces_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lengthen metacarpal/finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26568","description":"Lengthen metacarpal/finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq sacral augmt unilat inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0200T","description":"Perq sacral augmt unilat inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cataract surg w/iol 1 stage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66984","description":"Cataract surg w/iol 1 stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK3","description":"HIPPS-5BFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37260","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37260","description":"CPT-37260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nras gene variants exon 2&3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81311","description":"Nras gene variants exon 2&3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML3B","description":"HIPPS-RML3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE21A","description":"HIPPS-PE21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA4C","description":"HIPPS-RUA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vkorc1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81355","description":"Vkorc1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Capillary blood draw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36416","description":"Capillary blood draw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX43","description":"HIPPS-RMX43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/drug screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0049","description":"Alcohol/drug screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA17","description":"HIPPS-RUA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastro/jejuno tube_ low-pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4088","description":"Gastro/jejuno tube_ low-pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epi etiol synd rvwd and docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1205F","description":"Epi etiol synd rvwd and docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/2-p part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34802","description":"Endovas aaa repr w/2-p part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlordiazepoxide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1990","description":"Chlordiazepoxide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB42","description":"HIPPS-RHB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pancreatic duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48148","description":"Removal of pancreatic duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit high risk/escort","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9381","description":"Hit high risk/escort","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50040","description":"Drainage of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay for phencyclidine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83992","description":"Assay for phencyclidine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lactoferrin fecal (quant)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83631","description":"Lactoferrin fecal (quant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/submuc inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45335","description":"Sigmoidoscopy w/submuc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28D","description":"HIPPS-CE28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN3","description":"HIPPS-1AGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency anesthesia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99140","description":"Emergency anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary artery disease [CAD])_ DNA_ genome-wide association studies (564856 single-nucleotide polymorphisms [SNPs]_ targeted variant genotyping)_ patient lifestyl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0466U","description":"Cardiology (coronary artery disease [CAD])_ DNA_ genome-wide association studies (564856 single-nucleotide polymorphisms [SNPs]_ targeted variant genotyping)_ patient lifestyl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFN6","description":"HIPPS-1BFN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2045","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2045","description":"HCPCS-A2045","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brake for wheeled walker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0159","description":"Brake for wheeled walker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLV","description":"HIPPS-1AHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of inf vena cava","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37619","description":"Ligation of inf vena cava","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28X","description":"HIPPS-HC28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein access cutdown < 1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36420","description":"Vein access cutdown < 1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetaminophen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80143","description":"Acetaminophen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Halo cervical into body jack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0820","description":"Halo cervical into body jack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rhophylac injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2791","description":"Rhophylac injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0201","description":"HCPCS-B0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red cell sequestration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78140","description":"Red cell sequestration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phosphatase forensic exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84061","description":"Phosphatase forensic exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1404","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1404","description":"CDT-D1404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Female patients unable to bear children","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1016","description":"Female patients unable to bear children","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biodfence 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4140","description":"Biodfence 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX46","description":"HIPPS-RHX46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX2D","description":"HIPPS-RLX2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB255","description":"HIPPS-CB255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA0A","description":"HIPPS-RVA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intra-vaginal motion sensor system_ provides biofeedback for pelvic floor muscle rehabilitation device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9002","description":"Intra-vaginal motion sensor system_ provides biofeedback for pelvic floor muscle rehabilitation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam by pathologist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88309","description":"Tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repos nstim apnea sensing ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0433T","description":"Repos nstim apnea sensing ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC226","description":"HIPPS-LC226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1720","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1720","description":"CDT-D1720","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC146","description":"HIPPS-LC146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient is not on a statin therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9797","description":"Patient is not on a statin therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixation of shoulder blade","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23400","description":"Fixation of shoulder blade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematocrit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85014","description":"Hematocrit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE14A","description":"HIPPS-CE14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plasma 1 donor frz w/in 8 hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9017","description":"Plasma 1 donor frz w/in 8 hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDC Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"U0001","description":"CDC Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg) Continuous Recording_ With Video When Performed_ Setup_ Patient Education_ And Takedown When Performed_ Administered In Person By Eeg Technologist_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95700","description":"Electroencephalogram (Eeg) Continuous Recording_ With Video When Performed_ Setup_ Patient Education_ And Takedown When Performed_ Administered In Person By Eeg Technologist_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE240","description":"HIPPS-CE240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impact tooth remov soft tiss","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7220","description":"Impact tooth remov soft tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eptifibatide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1327","description":"Eptifibatide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX55","description":"HIPPS-RUX55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas non-cardiac abl cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1888","description":"Endovas non-cardiac abl cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung function test (mbc/mvv)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94200","description":"Lung function test (mbc/mvv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLS","description":"HIPPS-3AFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage lymph node lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38305","description":"Drainage lymph node lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auditory function + 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92621","description":"Auditory function + 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lobar lung transplantation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2060","description":"Lobar lung transplantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL2","description":"HIPPS-3CFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of breast lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19120","description":"Removal of breast lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB41","description":"HIPPS-RVB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD23A","description":"HIPPS-PD23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatrics (vasculitis_ Kawasaki disease [KD])_ analysis of 3 biomarkers (NT-proBNP_ C-reactive protein_ and T-uptake)_ plasma_ algorithm reported as a risk score for KD","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0310U","description":"Pediatrics (vasculitis_ Kawasaki disease [KD])_ analysis of 3 biomarkers (NT-proBNP_ C-reactive protein_ and T-uptake)_ plasma_ algorithm reported as a risk score for KD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable liquid 02","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0434","description":"Portable liquid 02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD201","description":"HIPPS-PD201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB2D","description":"HIPPS-RVB2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optx thigh fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27269","description":"Optx thigh fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKX","description":"HIPPS-2AFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGKU","description":"HIPPS-1AGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0106U","description":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA2D","description":"HIPPS-RLA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD11B","description":"HIPPS-PD11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC60","description":"HIPPS-RVC60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Basic life support mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0380","description":"Basic life support mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply rem fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20660","description":"Apply rem fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lenacapavir_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1961","description":"Injection_ lenacapavir_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28220","description":"Release of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pm device eval in person","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93288","description":"Pm device eval in person","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of serum potassium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84132","description":"Assay of serum potassium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver/arterial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47147","description":"Prep donor liver/arterial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL33","description":"HIPPS-RHL33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heat quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0109T","description":"Heat quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0667T","description":"Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial psychiatric collaborative care management_ first 70 minutes in the first calendar month of behavioral health care manager activities_ in consultation with a psychiatri","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0502","description":"Initial psychiatric collaborative care management_ first 70 minutes in the first calendar month of behavioral health care manager activities_ in consultation with a psychiatri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen specific nucleic acid (DNA or RNA)_ 33 targets_ real-time semi-quantitative PCR_ bronchoalveolar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0151U","description":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen specific nucleic acid (DNA or RNA)_ 33 targets_ real-time semi-quantitative PCR_ bronchoalveolar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31603","description":"Incision of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE135","description":"HIPPS-LE135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay porcelin 3 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2643","description":"Dental onlay porcelin 3 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB14C","description":"HIPPS-LB14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PEANUT ALLG ASMT EPI CLIN RX","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0178U","description":"PEANUT ALLG ASMT EPI CLIN RX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59120","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKU","description":"HIPPS-1CGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"New lenses in pts old frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0595","description":"New lenses in pts old frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 vhd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0852","description":"Pwc gp 3 vhd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB56","description":"HIPPS-RLB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oversize lens/es","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2780","description":"Oversize lens/es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orbitocranial approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61585","description":"Orbitocranial approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93018","description":"Cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmi not calculated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8421","description":"Bmi not calculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKS","description":"HIPPS-1CFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial visit for episode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0525F","description":"Initial visit for episode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cricotracheal resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31592","description":"Cricotracheal resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metaproterenol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7669","description":"Metaproterenol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise finger tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26055","description":"Incise finger tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mast subq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19304","description":"Mast subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28415","description":"Treat heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLX","description":"HIPPS-3BHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forceps esoph biopsy done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3150F","description":"Forceps esoph biopsy done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA0B","description":"HIPPS-RLA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA2D","description":"HIPPS-AAA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disease modif pharmacothxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4540F","description":"Disease modif pharmacothxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-elastic extremity binder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4465","description":"Non-elastic extremity binder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB224","description":"HIPPS-LB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Create tear sac drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68720","description":"Create tear sac drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow molded w/ expand inter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6205","description":"Elbow molded w/ expand inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible disk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87184","description":"Microbe susceptible disk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cltx post ankle fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27767","description":"Cltx post ankle fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB52","description":"HIPPS-RUB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 1.1-2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11442","description":"Exc face-mm b9+marg 1.1-2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscop stent placement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43212","description":"Esophagoscop stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise sperm duct pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55600","description":"Incise sperm duct pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0910T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0910T","description":"CPT-0910T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy bra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8000","description":"Mastectomy bra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78830","description":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breath recording infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94772","description":"Breath recording infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast_ Followed By Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0638T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast_ Followed By Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye/revise socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65114","description":"Remove eye/revise socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients age 75 or older on their initiation of dialysis date","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1264","description":"Patients age 75 or older on their initiation of dialysis date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient discharged alive following endovascular AAA repair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9263","description":"Documentation of patient discharged alive following endovascular AAA repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0555U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0555U","description":"CPT-0555U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antid glbln rcvd w/in 26wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4178F","description":"Antid glbln rcvd w/in 26wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD12A","description":"HIPPS-CD12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ropivacaine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2795","description":"Ropivacaine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83051","description":"Anesth repair of hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B virus (HBV) status not assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9913","description":"Hepatitis B virus (HBV) status not assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFKW","description":"HIPPS-3CFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0604U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0604U","description":"CPT-0604U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bendamustine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9033","description":"Bendamustine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0534U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0534U","description":"CPT-0534U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131_ Iobenguane_ 1 Millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9590","description":"Iodine I-131_ Iobenguane_ 1 Millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acute vitreous hemorrhage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1333","description":"Acute vitreous hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4380","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4380","description":"HCPCS-Q4380","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat tail bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27202","description":"Treat tail bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43113","description":"Removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect hip tum w/innom bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27077","description":"Resect hip tum w/innom bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental tmj arthrogram incl i","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0320","description":"Dental tmj arthrogram incl i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM5","description":"HIPPS-4AFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1301","description":"HCPCS-C1301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB26","description":"HIPPS-RUB26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP1","description":"HIPPS-3CHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"American amnion_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4307","description":"American amnion_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heavyduty walker no wheels","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0148","description":"Heavyduty walker no wheels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA15","description":"HIPPS-RHA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25685","description":"Treat wrist fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins lt atrl press monitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0293T","description":"Ins lt atrl press monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD205","description":"HIPPS-LD205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Riboflavin 5_-phosphate_ ophthalmic solution_ up to 3 mL","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2787","description":"Riboflavin 5_-phosphate_ ophthalmic solution_ up to 3 mL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal septal prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5922","description":"Nasal septal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4613","description":"Battery charger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect recurrent gyn mal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58957","description":"Resect recurrent gyn mal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial)_ quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)–based antimicrobial susceptibility for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0311U","description":"Infectious disease (bacterial)_ quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)–based antimicrobial susceptibility for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; 2-12 Channels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77786","description":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; 2-12 Channels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heroin metabolite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80356","description":"Heroin metabolite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01960","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01960","description":"CPT-01960","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 81 Years And Older With A Diagnosis Of Frailty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2131","description":"Patients 81 Years And Older With A Diagnosis Of Frailty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18C","description":"HIPPS-BB18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant semi-imp hear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2230","description":"Implant semi-imp hear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM5","description":"HIPPS-1BHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25442","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cad measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8489","description":"Cad measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36415","description":"Routine venipuncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nocardia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86744","description":"Nocardia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist endoscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29848","description":"Wrist endoscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB250","description":"HIPPS-HB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK1","description":"HIPPS-1BGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD150","description":"HIPPS-PD150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01522","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01522","description":"CPT-01522","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score le pt no elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8657","description":"Fun stat score le pt no elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL3","description":"HIPPS-3CHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec size w foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1221","description":"Wheelchair spec size w foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27040","description":"Biopsy of soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC3C","description":"HIPPS-RUC3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interprof phone/online 21-30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99448","description":"Interprof phone/online 21-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0527","description":"Management of established patient with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28555","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tebentafusp-tebn_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9095","description":"Injection_ tebentafusp-tebn_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB15A","description":"HIPPS-HB15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44372","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocation of skin pocket with replacement of implanted aortic counterpulsation ventricular assist device_ mechano-electrical skin interface and electrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0459T","description":"Relocation of skin pocket with replacement of implanted aortic counterpulsation ventricular assist device_ mechano-electrical skin interface and electrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA55","description":"HIPPS-RHA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK4","description":"HIPPS-1BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uri episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to or on the episode date","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2174","description":"Uri episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to or on the episode date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC2B","description":"HIPPS-RHC2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55877","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55877","description":"CPT-55877","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr f/c/c/m/n/a/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14040","description":"Tis trnfr f/c/c/m/n/a/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA42","description":"HIPPS-RUA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture belly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35122","description":"Repair artery rupture belly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc arm/elbow les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24075","description":"Exc arm/elbow les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Durolane_ for intra-articular injection_ per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9465","description":"Hyaluronan or derivative_ Durolane_ for intra-articular injection_ per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX05","description":"HIPPS-RLX05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLV","description":"HIPPS-3AGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull/sutures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61557","description":"Incise skull/sutures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hd shck absrber for hd powwc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1018","description":"Hd shck absrber for hd powwc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pentobarbital sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2515","description":"Pentobarbital sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0202","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0202","description":"HCPCS-C0202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pharyngeal walls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42894","description":"Revision of pharyngeal walls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28D","description":"HIPPS-PB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE25D","description":"HIPPS-LE25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI lower extremity w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73719","description":"MRI lower extremity w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1808","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1808","description":"HCPCS-E1808","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6686","description":"Suction socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tkr intent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9234","description":"Tkr intent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMS","description":"HIPPS-4CHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28525","description":"Treat toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Free jejunum flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43496","description":"Free jejunum flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar artif diskectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22857","description":"Lumbar artif diskectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse pancreas and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48548","description":"Fuse pancreas and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adults currently taking pharmacotherapy for OUD","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1032","description":"Adults currently taking pharmacotherapy for OUD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA135","description":"HIPPS-CA135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Durable medical equipment mi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1399","description":"Durable medical equipment mi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI pelvis w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72195","description":"MRI pelvis w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99215","description":"Office/outpatient visit est","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phenytoin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1165","description":"Phenytoin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ear mold/insert_ disp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5265","description":"Ear mold/insert_ disp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood platelet aggregation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85576","description":"Blood platelet aggregation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL1","description":"HIPPS-1AHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01500","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01500","description":"CPT-01500","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA SHIGA-LIKE TOXIN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87427","description":"IAAD IA SHIGA-LIKE TOXIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL5","description":"HIPPS-1AHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclr rx interstit colloid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79300","description":"Nuclr rx interstit colloid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11300","description":"Shave skin lesion 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Othe therapist at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9478","description":"Othe therapist at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of leg at hip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27290","description":"Amputation of leg at hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Current percep threshold tst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0255","description":"Current percep threshold tst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLU","description":"HIPPS-4AGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii fc fusion recomb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7205","description":"Factor viii fc fusion recomb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair Accessory_ Dynamic Positioning Hardware For Back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2398","description":"Wheelchair Accessory_ Dynamic Positioning Hardware For Back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening tramadol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80373","description":"Drug screening tramadol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test urine for lactose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83633","description":"Test urine for lactose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26860","description":"Fusion of finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII/von Willebrand factor complex_ recombinant (Altuviiio)_ per Factor VIII IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7214","description":"Injection_ Factor VIII/von Willebrand factor complex_ recombinant (Altuviiio)_ per Factor VIII IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Standard control cable extra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6655","description":"Standard control cable extra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27238","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dsm-5 info mdd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1040F","description":"Dsm-5 info mdd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow aspirate &biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0364","description":"Bone marrow aspirate &biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ DNA_ next-generation sequencing (NGS) of 60 genes and whole genome aneuploidy_ urine_ algorithms reported as minimal residual disease (MRD) status positive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0467U","description":"Oncology (bladder)_ DNA_ next-generation sequencing (NGS) of 60 genes and whole genome aneuploidy_ urine_ algorithms reported as minimal residual disease (MRD) status positive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC21C","description":"HIPPS-HC21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft wrist bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25440","description":"Repair/graft wrist bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD135","description":"HIPPS-CD135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of halo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20664","description":"Application of halo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo molded plas rig ant tib","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1945","description":"Afo molded plas rig ant tib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28299","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient does not achieve refraction +-1 d for the eye that underwent cataract surgery_ measured at the one month follow up visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9392","description":"Patient does not achieve refraction +-1 d for the eye that underwent cataract surgery_ measured at the one month follow up visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 1-2 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98925","description":"Osteopath manj 1-2 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin depression screen not d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8432","description":"Clin depression screen not d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelography lumbar injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62302","description":"Myelography lumbar injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP4","description":"HIPPS-1AFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imuglucerase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1786","description":"Imuglucerase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daptomycin (hospira)_ not therapeutically equivalent to j0878_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0877","description":"Injection_ daptomycin (hospira)_ not therapeutically equivalent to j0878_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group psychotherapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90853","description":"Group psychotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc visc aorta 2 graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34842","description":"Endovasc visc aorta 2 graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supply allowance for non-adjunctive_ non-implanted continuous glucose monitor (cgm)_ includes all supplies and accessories_ 1 month supply = 1 unit of service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4239","description":"Supply allowance for non-adjunctive_ non-implanted continuous glucose monitor (cgm)_ includes all supplies and accessories_ 1 month supply = 1 unit of service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscop w/arytenoidectom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31560","description":"Laryngoscop w/arytenoidectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA43","description":"HIPPS-RLA43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA120","description":"HIPPS-CA120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove aorta constriction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33851","description":"Remove aorta constriction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess bengn docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3342F","description":"Mammo assess bengn docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPV","description":"HIPPS-3BFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61891","description":"Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB151","description":"HIPPS-HB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I&d abscess extraoral","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7520","description":"I&d abscess extraoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of psa free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84154","description":"Assay of psa free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated macular exam was not performed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9977","description":"Dilated macular exam was not performed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect metatarsal tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28173","description":"Resect metatarsal tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam l-2 spine 4/>vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72110","description":"X-ray exam l-2 spine 4/>vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Completed epsdt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0302","description":"Completed epsdt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of throat abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42725","description":"Drainage of throat abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virus inoculate tissue addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87253","description":"Virus inoculate tissue addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rho d immune globulin 50 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2788","description":"Rho d immune globulin 50 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9175","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9175","description":"HCPCS-C9175","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer For Fpd - Porcelain Fused To Noble Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6099","description":"Implant Supported Retainer For Fpd - Porcelain Fused To Noble Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary compliance study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94750","description":"Pulmonary compliance study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGM3","description":"HIPPS-2AGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth pharyngeal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17651","description":"Anesth pharyngeal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95718","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGN3","description":"HIPPS-1BGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25420","description":"Repair/graft radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB15C","description":"HIPPS-HB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Voriconazole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80285","description":"Voriconazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RFC1 (replication factor C subunit 1)_ repeat expansion variant analysis by traditional and repeat-primed PCR_ blood_ saliva_ or buccal swab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0378U","description":"RFC1 (replication factor C subunit 1)_ repeat expansion variant analysis by traditional and repeat-primed PCR_ blood_ saliva_ or buccal swab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open ablate liver tumor cryo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47381","description":"Open ablate liver tumor cryo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM5","description":"HIPPS-1CFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortorenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35560","description":"Art byp grft aortorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of bladder abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51080","description":"Drainage of bladder abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD110","description":"HIPPS-HD110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd place gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43246","description":"Egd place gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot_ adductus positioning device_ adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1015","description":"Foot_ adductus positioning device_ adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient is not ambulatory_ bed ridden_ immobile_ confined to chair_ wheelchair bound_ dependent on helper pushing wheelchair_ independent in wheelchair or minimal help in whee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9719","description":"Patient is not ambulatory_ bed ridden_ immobile_ confined to chair_ wheelchair bound_ dependent on helper pushing wheelchair_ independent in wheelchair or minimal help in whee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Axolotl graft or axolotl dualgraft_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4210","description":"Axolotl graft or axolotl dualgraft_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of facial/other nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64866","description":"Fusion of facial/other nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/a/gen/trk12.6-20.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12005","description":"Rpr s/n/a/gen/trk12.6-20.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nicotine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6055","description":"Nicotine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maxilla open reduct simple","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7610","description":"Maxilla open reduct simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC12B","description":"HIPPS-PC12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL3","description":"HIPPS-4CHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycoplasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87109","description":"Mycoplasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hfo without joints pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3923","description":"Hfo without joints pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC15C","description":"HIPPS-PC15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31511","description":"Remove foreign body larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK6","description":"HIPPS-2AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine bacteria culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87088","description":"Urine bacteria culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24515","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rickettsia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86757","description":"Rickettsia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE112","description":"HIPPS-CE112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87502","description":"Influenza dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth heart surg <1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56152","description":"Anesth heart surg <1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of chest tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32551","description":"Insertion of chest tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair iris & ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66680","description":"Repair iris & ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMV","description":"HIPPS-1BHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB246","description":"HIPPS-BB246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1402","description":"HCPCS-B1402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99202","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Variable concentration mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4620","description":"Variable concentration mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1002T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1002T","description":"CPT-1002T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA06","description":"HIPPS-RHA06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Voltage-Gated Calcium Channel Antibody_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86596","description":"Voltage-Gated Calcium Channel Antibody_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28X","description":"HIPPS-CC28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trach-esoph voice pros md in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8509","description":"Trach-esoph voice pros md in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c seat lift mechanism","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0985","description":"W/c seat lift mechanism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of pyruvate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84210","description":"Assay of pyruvate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Porcelain/ceramic inlay 2srf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6600","description":"Porcelain/ceramic inlay 2srf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heavy duty control cable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6660","description":"Heavy duty control cable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM3","description":"HIPPS-3AFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Lung)_ Mrna_ Quantitative Pcr Analysis Of 11 Genes (Bag1_ Brca1_ Cdc6_ Cdk2Ap1_ Erbb3_ Fut3_ Il11_ Lck_ Rnd3_ Sh3Bgr_ Wnt3A) And 3 Reference Genes (Esd_ Tbp_ Yap1)_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0288U","description":"Oncology (Lung)_ Mrna_ Quantitative Pcr Analysis Of 11 Genes (Bag1_ Brca1_ Cdc6_ Cdk2Ap1_ Erbb3_ Fut3_ Il11_ Lck_ Rnd3_ Sh3Bgr_ Wnt3A) And 3 Reference Genes (Esd_ Tbp_ Yap1)_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL26","description":"HIPPS-RUL26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95723","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ below knee_ 30-40 mmhg_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6552","description":"Gradient compression stocking_ below knee_ 30-40 mmhg_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occupational therapy evaluation_ low complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes a brief history including","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97165","description":"Occupational therapy evaluation_ low complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes a brief history including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mw therapy for breast tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0301T","description":"Mw therapy for breast tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrin degradj d-dimer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85380","description":"Fibrin degradj d-dimer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo fem fx cast molded to p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2128","description":"Kafo fem fx cast molded to p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD14C","description":"HIPPS-LD14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLX","description":"HIPPS-3CFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00902","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00902","description":"CPT-00902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54316","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD104","description":"HIPPS-PD104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no sleep apnea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8840","description":"Doc reas no sleep apnea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18G","description":"HIPPS-CD18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ ablation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1886","description":"Catheter_ ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"100 insulin syringes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8490","description":"100 insulin syringes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Additive for enteral formula","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4104","description":"Additive for enteral formula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sebelipase alfa_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2840","description":"Injection_ sebelipase alfa_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove intestinal allograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44137","description":"Remove intestinal allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment with protocol modification_ administered by physician or other qualified health care professional_ face-to-face with multiple patients_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97158","description":"Group adaptive behavior treatment with protocol modification_ administered by physician or other qualified health care professional_ face-to-face with multiple patients_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cnslng provided symp mngmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4350F","description":"Cnslng provided symp mngmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release muscles of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26593","description":"Release muscles of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The MDPP b eneficiary achieved at least 5% weight loss (WL) from his/he r baseline weight in months 1-12 of the MDPP services period under the MDPP Expanded Model (EM).","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9880","description":"The MDPP b eneficiary achieved at least 5% weight loss (WL) from his/he r baseline weight in months 1-12 of the MDPP services period under the MDPP Expanded Model (EM).","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17108","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0516T","description":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1090T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1090T","description":"CPT-1090T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Or Replacement Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0680T","description":"Insertion Or Replacement Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnt pain noted none prsnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1126F","description":"Amnt pain noted none prsnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-75577","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75577","description":"CPT-75577","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain canal fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61050","description":"Remove brain canal fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair liver wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47360","description":"Repair liver wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"OPH AMD ALYS 3 GENE VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0205U","description":"OPH AMD ALYS 3 GENE VARIANTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP2","description":"HIPPS-1BFP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angiograph pelv w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72191","description":"Ct angiograph pelv w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKX","description":"HIPPS-4CFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML45","description":"HIPPS-RML45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neonate crit care initial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99468","description":"Neonate crit care initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17283","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo fem fx cast thermoplas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2126","description":"Kafo fem fx cast thermoplas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hmatrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4134","description":"Hmatrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cxr doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3006F","description":"Cxr doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD20C","description":"HIPPS-PD20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap revise gastr adj device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43771","description":"Lap revise gastr adj device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10004","description":"Fine needle aspiration biopsy_ without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00539","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00539","description":"CPT-00539","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of toe(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73660","description":"X-ray exam of toe(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28I","description":"HIPPS-HD28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening oxycodone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80365","description":"Drug screening oxycodone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx l/r atrial fib addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93657","description":"Tx l/r atrial fib addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25028","description":"Drainage of forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corneal transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65755","description":"Corneal transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast exam thoracic aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75605","description":"Contrast exam thoracic aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9813","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9813","description":"HCPCS-C9813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9460","description":"Diabetic management program_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLV","description":"HIPPS-2CHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPS","description":"HIPPS-3CHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of gastrin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82941","description":"Assay of gastrin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change of gastrostomy tube_ percutaneous_ without imaging or endoscopic guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43760","description":"Change of gastrostomy tube_ percutaneous_ without imaging or endoscopic guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN2","description":"HIPPS-3CGN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse hand bones with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25825","description":"Fuse hand bones with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parasymp&symp hrt rate test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95943","description":"Parasymp&symp hrt rate test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB25B","description":"HIPPS-BB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m succimer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9551","description":"Tc99m succimer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Per pm reeval est pat infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99391","description":"Per pm reeval est pat infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid fitting/checking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5011","description":"Hearing aid fitting/checking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromogenic substrate assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85130","description":"Chromogenic substrate assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no lipid profile","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8726","description":"Doc reas no lipid profile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures complete maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5110","description":"Dentures complete maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hair analysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P2031","description":"Hair analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programmable infusion pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0783","description":"Programmable infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection eye drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67028","description":"Injection eye drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM1","description":"HIPPS-4BHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fo pip dip no jt spr pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3927","description":"Fo pip dip no jt spr pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull & explore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61250","description":"Pierce skull & explore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Air injection into abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49400","description":"Air injection into abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD12A","description":"HIPPS-PD12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shoulder cast fbrgl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4004","description":"Cast sup shoulder cast fbrgl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release finger contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26525","description":"Release finger contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA24D","description":"HIPPS-PA24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fx growth plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27517","description":"Treat thigh fx growth plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhc lis nurse train ea 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0164","description":"Hhc lis nurse train ea 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L5827","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5827","description":"HCPCS-L5827","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE25C","description":"HIPPS-PE25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD10B","description":"HIPPS-HD10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IDH1 (isocitrate dehydrogenase 1 [NADP+]_ soluble) (eg_ glioma)_ common variants (eg_ R132H_ R132C)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81120","description":"IDH1 (isocitrate dehydrogenase 1 [NADP+]_ soluble) (eg_ glioma)_ common variants (eg_ R132H_ R132C)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lens material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66852","description":"Removal of lens material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC134","description":"HIPPS-HC134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16071","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16071","description":"CPT-16071","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anes spine transthor w/vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62651","description":"Anes spine transthor w/vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC54","description":"HIPPS-RMC54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Continuous_ Real-Time Monitoring And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95710","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Continuous_ Real-Time Monitoring And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Melanomaajcc stage 0 or ia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3322F","description":"Melanomaajcc stage 0 or ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc xdrl/idrl lsn any lvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63290","description":"Bx/exc xdrl/idrl lsn any lvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromodulation stimulator system_ adjunct to rehabilitation therapy regime_ mouthpiece each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4594","description":"Neuromodulation stimulator system_ adjunct to rehabilitation therapy regime_ mouthpiece each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chron care mgmt srvc 20 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99490","description":"Chron care mgmt srvc 20 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ bra_ for nighttime use_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6528","description":"Gradient compression garment_ bra_ for nighttime use_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M.avium-intra dna dir prob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87560","description":"M.avium-intra dna dir prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy flex remove fb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43215","description":"Esophagoscopy flex remove fb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD144","description":"HIPPS-CD144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained without diagnostic magnetic r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0723T","description":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained without diagnostic magnetic r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0603","description":"HCPCS-J0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Distal shoe space maintainer - fixed - unilateral","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1575","description":"Distal shoe space maintainer - fixed - unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plast socket jts/thgh lacer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5105","description":"Plast socket jts/thgh lacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pontic - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6243","description":"Pontic - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54435","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8E","description":"HIPPS-RVX8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clean rem part denture max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9934","description":"Clean rem part denture max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score shdl < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8664","description":"Fun stat score shdl < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr adpt pneum vad_ rep veh","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0504","description":"Pwr adpt pneum vad_ rep veh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert heart pm ventricular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33207","description":"Insert heart pm ventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1092T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1092T","description":"CPT-1092T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Halo cervical into jckt vest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0810","description":"Halo cervical into jckt vest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin splt grft t/a/l add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15101","description":"Skin splt grft t/a/l add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment_ history obtained from pati","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0505","description":"Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment_ history obtained from pati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood glucose test strips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4772","description":"Blood glucose test strips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD13B","description":"HIPPS-HD13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFKV","description":"HIPPS-3AFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99156","description":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-53865","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53865","description":"CPT-53865","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hocm 150-199mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9959","description":"Hocm 150-199mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim-apgf_ biosimilar_ (nyvepria)_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5122","description":"Injection_ pegfilgrastim-apgf_ biosimilar_ (nyvepria)_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35121","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Eac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95720","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Eac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8E","description":"HIPPS-RUC8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rectal catheter for use with the manual pump-operated enema","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4453","description":"Rectal catheter for use with the manual pump-operated enema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Normal saline solution infus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7040","description":"Normal saline solution infus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLX","description":"HIPPS-3CGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj filgrastim gcsf biosimil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5101","description":"Inj filgrastim gcsf biosimil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefotetan disodiu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0074","description":"Injection_ cefotetan disodiu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Has Any Emergency Department Encounter During The Performance Period With Place Of Service Indicator 23","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0035","description":"Patient Has Any Emergency Department Encounter During The Performance Period With Place Of Service Indicator 23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95977","description":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7528","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7528","description":"HCPCS-J7528","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 1 std seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0815","description":"Pwc gp 1 std seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/repl vagus n eltrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64569","description":"Revise/repl vagus n eltrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1704","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1704","description":"HCPCS-B1704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq art m-thrombect &/nfs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61645","description":"Perq art m-thrombect &/nfs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had at least two HPV vaccines (with at least 146 days between the two) or three HPV vaccines on or between the patient_s 9th and 13th birthdays","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9762","description":"Patient had at least two HPV vaccines (with at least 146 days between the two) or three HPV vaccines on or between the patient_s 9th and 13th birthdays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1073T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1073T","description":"CPT-1073T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA2B","description":"HIPPS-RVA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Medica re Diabetes Prevention Program (MDPP) core maintenance sessi on s (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM).","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9878","description":"Two Medica re Diabetes Prevention Program (MDPP) core maintenance sessi on s (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM).","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Water pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0187","description":"Water pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of mastoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70130","description":"X-ray exam of mastoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam with photos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92230","description":"Eye exam with photos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKU","description":"HIPPS-5CGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0624U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0624U","description":"CPT-0624U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extraoral first film","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0250","description":"Extraoral first film","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PreTRM®_ Sera Prognostics_ Sera Prognostics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0247U","description":"PreTRM®_ Sera Prognostics_ Sera Prognostics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth stone removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91851","description":"Anesth stone removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tonsils","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42826","description":"Removal of tonsils","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Near ifr guide of vasc site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0287T","description":"Near ifr guide of vasc site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ evaluation of 65 common drugs by LC-MS/MS_ urine_ each drug reported detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0093U","description":"Prescription drug monitoring_ evaluation of 65 common drugs by LC-MS/MS_ urine_ each drug reported detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD10D","description":"HIPPS-HD10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace/irrigate catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62194","description":"Replace/irrigate catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most recent tobacco status is not tobacco free","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9792","description":"Most recent tobacco status is not tobacco free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caster pin lock each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0073","description":"Caster pin lock each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40804","description":"Removal foreign body mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15012","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15012","description":"CPT-15012","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE10B","description":"HIPPS-CE10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58578","description":"Laparo proc uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla x-match noncytotoxc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86826","description":"Hla x-match noncytotoxc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE245","description":"HIPPS-LE245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plasma_ cryoprecipitate reduced_ pathogen reduced_ each unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9025","description":"Plasma_ cryoprecipitate reduced_ pathogen reduced_ each unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft/av fist patency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35686","description":"Bypass graft/av fist patency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspiration orbital contents","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67415","description":"Aspiration orbital contents","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc t-pa admin considered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4077F","description":"Doc t-pa admin considered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt offered tx for pseudobulb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4541F","description":"Pt offered tx for pseudobulb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eribulin mesylate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9179","description":"Eribulin mesylate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Community/work reintegration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97537","description":"Community/work reintegration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28I","description":"HIPPS-ES28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNV","description":"HIPPS-1AFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I & d vag hematoma non-ob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57023","description":"I & d vag hematoma non-ob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Depo-estradiol cypionate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1000","description":"Depo-estradiol cypionate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA07","description":"HIPPS-RHA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo iv push addl drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96411","description":"Chemo iv push addl drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rectum surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45999","description":"Rectum surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6794","description":"Crown titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant/graft palm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26489","description":"Transplant/graft palm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy cerv/thor facet jnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64633","description":"Destroy cerv/thor facet jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan caremng angnl symptdocd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0557F","description":"Plan caremng angnl symptdocd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hocm 250-299mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9961","description":"Hocm 250-299mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ chest; single view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71045","description":"Radiologic examination_ chest; single view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gr34 sealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2359","description":"Gr34 sealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL3D","description":"HIPPS-RVL3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8H","description":"HIPPS-RVC8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shingrix vaccine was not administered for reasons documented by clinician (e.g._ patient administered vaccine other than Shingr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1065","description":"Shingrix vaccine was not administered for reasons documented by clinician (e.g._ patient administered vaccine other than Shingr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB15C","description":"HIPPS-LB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL2","description":"HIPPS-2CHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC10","description":"HIPPS-RUC10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8A","description":"HIPPS-RLB8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB114","description":"HIPPS-BB114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB251","description":"HIPPS-BB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK3","description":"HIPPS-1CGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 vhd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0839","description":"Pwc gp2 vhd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Particle agglut antbdy scrn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86403","description":"Particle agglut antbdy scrn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spine & skull spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22590","description":"Spine & skull spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0640T","description":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC40","description":"HIPPS-RUC40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interphalangeal joint spacer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8658","description":"Interphalangeal joint spacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Htlv-i antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86687","description":"Htlv-i antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurofilament light chain_ digital immunoassay_ plasma_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0361U","description":"Neurofilament light chain_ digital immunoassay_ plasma_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable sensor_ cgm sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9276","description":"Disposable sensor_ cgm sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN1","description":"HIPPS-3CHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLW","description":"HIPPS-4AHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25695","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK4","description":"HIPPS-3BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove part of neck vertebra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22110","description":"Remove part of neck vertebra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coombs test indirect qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86885","description":"Coombs test indirect qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meperidine/promethazine inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2180","description":"Meperidine/promethazine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0804","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0804","description":"CDT-D0804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27513","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Scanning Analysis With Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93247","description":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Scanning Analysis With Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; transvenous sti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33288","description":"Removal and replacement of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; transvenous sti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flutamide 125 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0175","description":"Flutamide 125 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB1A","description":"HIPPS-RLB1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of intraosseous basivertebral nerve_ first two vertebral bodies_ including imaging guidance (e.g._ fluoroscopy)_ lu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9752","description":"Destruction of intraosseous basivertebral nerve_ first two vertebral bodies_ including imaging guidance (e.g._ fluoroscopy)_ lu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IDH2 (isocitrate dehydrogenase 2 [NADP+]_ mitochondrial) (eg_ glioma)_ common variants (eg_ R140W_ R172M)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81121","description":"IDH2 (isocitrate dehydrogenase 2 [NADP+]_ mitochondrial) (eg_ glioma)_ common variants (eg_ R140W_ R172M)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metal frame recipro hip & ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2628","description":"Metal frame recipro hip & ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB10","description":"HIPPS-RHB10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC113","description":"HIPPS-LC113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8A","description":"HIPPS-RHA8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls daily mgmt artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33949","description":"Ecmo/ecls daily mgmt artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genome re-evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81427","description":"Genome re-evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D8091","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D8091","description":"CDT-D8091","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5940","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5940","description":"CDT-D5940","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrst mold sock w/exp interfa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6055","description":"Wrst mold sock w/exp interfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure wrap with adjustable straps_ foot_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6587","description":"Gradient pressure wrap with adjustable straps_ foot_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC SLD TUM ALYS BRCA1 BRCA2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0172U","description":"ONC SLD TUM ALYS BRCA1 BRCA2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE106","description":"HIPPS-LE106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hd trapeze bar attach to bed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0911","description":"Hd trapeze bar attach to bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for transfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76941","description":"Echo guide for transfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo tibial fracture soft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2112","description":"Afo tibial fracture soft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ luspatercept-aamt_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0896","description":"Injection_ luspatercept-aamt_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conization of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57522","description":"Conization of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37290","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37290","description":"CPT-37290","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Cutaneous Melanoma)_ Mrna_ Gene Expression Profiling By Real-Time Rt-Pcr Of 31 Genes (28 Content And 3 Housekeeping)_ Utilizing Formalin-Fixed Paraffin-Embedded Tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81529","description":"Oncology (Cutaneous Melanoma)_ Mrna_ Gene Expression Profiling By Real-Time Rt-Pcr Of 31 Genes (28 Content And 3 Housekeeping)_ Utilizing Formalin-Fixed Paraffin-Embedded Tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00834","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00834","description":"CPT-00834","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove&replace pm gen singl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33227","description":"Remove&replace pm gen singl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr elctrnc skn surf brchytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0394T","description":"Hdr elctrnc skn surf brchytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open bone biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20250","description":"Open bone biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.6-1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11311","description":"Shave skin lesion 0.6-1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGKT","description":"HIPPS-3CGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB112","description":"HIPPS-HB112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL06","description":"HIPPS-RUL06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ selective-cellular enhancement technique with interpretation (eg_ liquid-based slide preparation method)_ except cer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0830T","description":"Digitization of glass microscope slides for cytopathology_ selective-cellular enhancement technique with interpretation (eg_ liquid-based slide preparation method)_ except cer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9308","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9308","description":"HCPCS-C9308","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99310","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous breast biopsies using stereotactic guidance_ with placement of breast localization device(s) (eg_ clip_ metallic pellet)_ when performed_ and imaging of the biops","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7501","description":"Percutaneous breast biopsies using stereotactic guidance_ with placement of breast localization device(s) (eg_ clip_ metallic pellet)_ when performed_ and imaging of the biops","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ infliximab-dyyb_ biosimilar_ (Inflectra)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5103","description":"Injection_ infliximab-dyyb_ biosimilar_ (Inflectra)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sedation (non-iv)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9248","description":"Sedation (non-iv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7571","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7571","description":"HCPCS-C7571","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scoliosis dna alys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0004M","description":"Scoliosis dna alys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cln cncr stage 0 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3382F","description":"Ajcc cln cncr stage 0 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For Not Screening For Tobacco Use (E.G._ Limited Life Expectancy_ Other Medical Reason)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0028","description":"Documentation Of Medical Reason(S) For Not Screening For Tobacco Use (E.G._ Limited Life Expectancy_ Other Medical Reason)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ Cardiac Contractility Modulation (Implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1824","description":"Generator_ Cardiac Contractility Modulation (Implantable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28D","description":"HIPPS-BB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cartilage for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20910","description":"Remove cartilage for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular stim for scoli","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0744","description":"Neuromuscular stim for scoli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC117","description":"HIPPS-HC117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray head for orthodontia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70350","description":"X-ray head for orthodontia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of arm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24320","description":"Repair of arm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and identified as a tobacco user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1283","description":"Patient screened for tobacco use and identified as a tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-35602","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35602","description":"CPT-35602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt/redo spine n generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63685","description":"Insrt/redo spine n generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fabrication & fitting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2628","description":"Fabrication & fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of web finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26560","description":"Repair of web finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18B","description":"HIPPS-LC18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic band & belt thigh fla","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2192","description":"Pelvic band & belt thigh fla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML03","description":"HIPPS-RML03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy with biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31576","description":"Laryngoscopy with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of androsterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82160","description":"Assay of androsterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert lens prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66985","description":"Insert lens prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjustment gastric band","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2083","description":"Adjustment gastric band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC24A","description":"HIPPS-PC24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE225","description":"HIPPS-PE225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic colonoscopy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9937","description":"Diagnostic colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psa/t/glsc docd b/4 txmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3268F","description":"Psa/t/glsc docd b/4 txmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18F","description":"HIPPS-HB18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8B","description":"HIPPS-RVB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE260","description":"HIPPS-CE260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Range of motion measurements","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95852","description":"Range of motion measurements","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of neck artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37615","description":"Ligation of neck artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allergy/immunology mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0060","description":"Allergy/immunology mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise hip/thigh nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64766","description":"Incise hip/thigh nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ whole blood or buccal_ DNA single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0460U","description":"Oncology_ whole blood or buccal_ DNA single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caster fork","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2396","description":"Caster fork","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug delivery system >=50 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4305","description":"Drug delivery system >=50 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL35","description":"HIPPS-RVL35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of sacroiliac joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27280","description":"Fusion of sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post chmbr intraocular lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2632","description":"Post chmbr intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore orbit/remove lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61333","description":"Explore orbit/remove lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28F","description":"HIPPS-LD28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE211","description":"HIPPS-PE211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18F","description":"HIPPS-LC18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9485","description":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Miniature knee joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5826","description":"Miniature knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for heart biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76932","description":"Echo guide for heart biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX50","description":"HIPPS-RMX50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deli/install chrg hemo equip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1600","description":"Deli/install chrg hemo equip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24360","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis delta agent antbdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86692","description":"Hepatitis delta agent antbdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51520","description":"Removal of bladder lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93620","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD155","description":"HIPPS-CD155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithromb no presc no reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8698","description":"Antithromb no presc no reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42960","description":"Control throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Staph a dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87640","description":"Staph a dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36010","description":"Place catheter in vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External urinary catheters; disposable_ with wicking material_ for use with suction pump_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6590","description":"External urinary catheters; disposable_ with wicking material_ for use with suction pump_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay prostate phosphatase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84066","description":"Assay prostate phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of hip joint/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27036","description":"Excision of hip joint/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic passive restor comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6360","description":"Thoracic passive restor comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61690","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iv hanger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0105","description":"Iv hanger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vte prophylaxis rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4069F","description":"Vte prophylaxis rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP2","description":"HIPPS-1CHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery blockage each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75968","description":"Repair artery blockage each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; data upload_ analysis and initial report configura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0535T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; data upload_ analysis and initial report configura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extraoral posterior image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0251","description":"Extraoral posterior image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLX","description":"HIPPS-3AGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01210","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01210","description":"CPT-01210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nitroblue tetrazolium dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86384","description":"Nitroblue tetrazolium dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHNV","description":"HIPPS-1AHNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB225","description":"HIPPS-LB225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt/redo neurostim 1 array","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61885","description":"Insrt/redo neurostim 1 array","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL4","description":"HIPPS-3AGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evoked auditory test limited","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92587","description":"Evoked auditory test limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physical therapy evaluation: moderate complexity_ requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97162","description":"Physical therapy evaluation: moderate complexity_ requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE134","description":"HIPPS-HE134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absorp drg >48 suc pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0746","description":"Absorp drg >48 suc pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX3D","description":"HIPPS-RUX3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methadone oral 5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0109","description":"Methadone oral 5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bamlanivimab and etesevimab_ 2100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0245","description":"Injection_ bamlanivimab and etesevimab_ 2100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vedolizumab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80280","description":"Vedolizumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA11","description":"HIPPS-RVA11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse pancreas cyst and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48520","description":"Fuse pancreas cyst and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC3D","description":"HIPPS-RUC3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA14C","description":"HIPPS-BA14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0765T","description":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28B","description":"HIPPS-PE28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ofloxacin_ 400 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0034","description":"Injection_ ofloxacin_ 400 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo removal donor kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50547","description":"Laparo removal donor kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ necitumumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9295","description":"Injection_ necitumumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD101","description":"HIPPS-CD101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"P2y inhib not presc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9440","description":"P2y inhib not presc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Bezlotoxumab 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9490","description":"Injection Bezlotoxumab 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain cavity fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61020","description":"Remove brain cavity fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj beta interferon sq 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q3028","description":"Inj beta interferon sq 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB13A","description":"HIPPS-HB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA106","description":"HIPPS-BA106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK3","description":"HIPPS-5CHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo rig ant tib prefab tcf/=","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1932","description":"Afo rig ant tib prefab tcf/=","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety concerns screen provided and negative","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9923","description":"Safety concerns screen provided and negative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus_ monoclonal antibody_ seasonal dose; 1 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90381","description":"Respiratory syncytial virus_ monoclonal antibody_ seasonal dose; 1 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB130","description":"HIPPS-BB130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Renin stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80417","description":"Renin stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67800","description":"Remove eyelid lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Odontoplasty 1-2 teeth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9971","description":"Odontoplasty 1-2 teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24470","description":"Revision of elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Factor V111 FC Fusion Protein (Recombinant) Per IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9975","description":"Injection Factor V111 FC Fusion Protein (Recombinant) Per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ipilimumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9228","description":"Ipilimumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; download review_ interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0536T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; download review_ interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topical prep rx aoe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4130F","description":"Topical prep rx aoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hfo nontorsion jnts pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3930","description":"Hfo nontorsion jnts pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA0D","description":"HIPPS-AAA0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1703","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1703","description":"HCPCS-A1703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst unknown nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9131","description":"Onc dx brst unknown nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18A","description":"HIPPS-HE18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wc planar back cush wd <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2620","description":"Wc planar back cush wd <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2001","description":"HCPCS-B2001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of fetal heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76828","description":"Echo exam of fetal heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screen pap by tech w md supv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P3000","description":"Screen pap by tech w md supv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g._ patients with dementia or tracheostomy)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1215","description":"Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g._ patients with dementia or tracheostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0240U","description":"NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 2.6-7.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12032","description":"Intmd rpr s/a/t/ext 2.6-7.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incid ct liver/kid/adre fdg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9547","description":"Incid ct liver/kid/adre fdg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18X","description":"HIPPS-LD18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat metacarpal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26605","description":"Treat metacarpal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dengue vaccine_ quadrivalent_ live_ 2 dose schedule_ for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90584","description":"Dengue vaccine_ quadrivalent_ live_ 2 dose schedule_ for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL1","description":"HIPPS-4CHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28B","description":"HIPPS-LE28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"L colectomy/coloproctostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44207","description":"L colectomy/coloproctostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient was a permanent nursing home resident at any time during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1058","description":"Patient was a permanent nursing home resident at any time during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraabdominal pressure test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51797","description":"Intraabdominal pressure test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cult epiderm grft f/n/hfg +%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15157","description":"Cult epiderm grft f/n/hfg +%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX3C","description":"HIPPS-RMX3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sympathetic nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64821","description":"Remove sympathetic nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC214","description":"HIPPS-HC214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ pmkr/aicd combination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1899","description":"Lead_ pmkr/aicd combination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam filled propulsion tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2216","description":"Foam filled propulsion tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB251","description":"HIPPS-HB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder prosthesis removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23335","description":"Shoulder prosthesis removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB41","description":"HIPPS-RMB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preventive behavior change_ online/electronic structured intensive program for prevention of diabetes using a standardized diabetes prevention program curriculum_ provided to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0488T","description":"Preventive behavior change_ online/electronic structured intensive program for prevention of diabetes using a standardized diabetes prevention program curriculum_ provided to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1075T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1075T","description":"CPT-1075T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0228T","description":"Njx tfrml eprl w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99308","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump_ non-prog_temp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2626","description":"Infusion pump_ non-prog_temp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D8671","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D8671","description":"CDT-D8671","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath occlusion non-cns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61626","description":"Transcath occlusion non-cns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Death occurring after discharge from the hospital but within 30 days post procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9816","description":"Death occurring after discharge from the hospital but within 30 days post procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61530","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx periorbital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21386","description":"Opn tx orbit fx periorbital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA231","description":"HIPPS-PA231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N.gonorrhoeae dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87592","description":"N.gonorrhoeae dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ceftriaxone sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0696","description":"Ceftriaxone sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ccnd1/Igh (T(11;14)) (Eg_ Mantle Cell Lymphoma) Translocation Analysis_ Major Breakpoint_ Qualitative And Quantitative_ If Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81168","description":"Ccnd1/Igh (T(11;14)) (Eg_ Mantle Cell Lymphoma) Translocation Analysis_ Major Breakpoint_ Qualitative And Quantitative_ If Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX12","description":"HIPPS-RUX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB2C","description":"HIPPS-RLB2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPW","description":"HIPPS-1BFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-inhalation drug for dme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7799","description":"Non-inhalation drug for dme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0206","description":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA0C","description":"HIPPS-AAA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24575","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM2","description":"HIPPS-3AFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl ntrstl/icav brchtx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77772","description":"Hdr rdncl ntrstl/icav brchtx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy knee joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27330","description":"Biopsy knee joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental gold foil three surfa","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2430","description":"Dental gold foil three surfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza imm order/admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4037F","description":"Influenza imm order/admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15951","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apligraf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4101","description":"Apligraf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; Each Add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0628T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; Each Add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report_ unilateral or b","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92242","description":"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report_ unilateral or b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biphos thxpy vein ord/recvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4100F","description":"Biphos thxpy vein ord/recvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Each Additional Prosthesis During Same Session (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0570T","description":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Each Additional Prosthesis During Same Session (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantable pump replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0786","description":"Implantable pump replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL46","description":"HIPPS-RHL46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace socket brim cust fit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4030","description":"Replace socket brim cust fit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX05","description":"HIPPS-RUX05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54430","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy through stoma; with transendoscopic stent placement (includes predilation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6020","description":"Colonoscopy through stoma; with transendoscopic stent placement (includes predilation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0805","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0805","description":"HCPCS-C0805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA4A","description":"HIPPS-RMA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB136","description":"HIPPS-LB136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not providing brief counseling (e.g._ limited life expectancy_ other medical reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2201","description":"Documentation of medical reason(s) for not providing brief counseling (e.g._ limited life expectancy_ other medical reasons)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Midface flap (ie_ zygomaticofacial flap) with preservation of vascular pedicle(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15730","description":"Midface flap (ie_ zygomaticofacial flap) with preservation of vascular pedicle(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Buccal/labial frenectomy (frenulectomy)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7961","description":"Buccal/labial frenectomy (frenulectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thrombolytic venous therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37212","description":"Thrombolytic venous therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2033","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2033","description":"HCPCS-A2033","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18I","description":"HIPPS-CD18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42210","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the pat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1174","description":"Patient received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdomen vessel surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88051","description":"Anesth abdomen vessel surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture interm cmplt maxill","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5810","description":"Denture interm cmplt maxill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB5A","description":"HIPPS-RLB5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quick disconn hook adapter o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6628","description":"Quick disconn hook adapter o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther/proph/diag inj ia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96373","description":"Ther/proph/diag inj ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/drug service 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0050","description":"Alcohol/drug service 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had an intravitreal or periocular corticosteroid injection (e.g._ triamcinolone_ preservative-free triamcinolone_ dexamethasone_ dexamethasone intravitreal implan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1324","description":"Patients who had an intravitreal or periocular corticosteroid injection (e.g._ triamcinolone_ preservative-free triamcinolone_ dexamethasone_ dexamethasone intravitreal implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelet survival","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78191","description":"Platelet survival","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hygienic item or device_ disposable or non-disposable_ any type_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9286","description":"Hygienic item or device_ disposable or non-disposable_ any type_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eltrd/thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33243","description":"Remove eltrd/thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Air polymer-type A intrauterine foam_ 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9574","description":"Air polymer-type A intrauterine foam_ 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18G","description":"HIPPS-ES18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB156","description":"HIPPS-LB156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98004","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98004","description":"CPT-98004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bls-emergency","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0429","description":"Bls-emergency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0703","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0703","description":"HCPCS-A0703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL3","description":"HIPPS-1AGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr trunk addl 5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13102","description":"Cmplx rpr trunk addl 5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compatibility test antiglob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86922","description":"Compatibility test antiglob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61460","description":"Incise skull for surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation of bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51700","description":"Irrigation of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES155","description":"HIPPS-ES155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunodiffusion ouchterlony","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86331","description":"Immunodiffusion ouchterlony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Localized delivery antimicro","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4381","description":"Localized delivery antimicro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autonomic nrv adrenrg inervj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95922","description":"Autonomic nrv adrenrg inervj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of hip cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29305","description":"Application of hip cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of circulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37140","description":"Revision of circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic outlet reduction_ gastric pouch application_ with endoscopy and intraluminal tube insertion_ if performed_ including all system and tissue anchoring components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9785","description":"Endoscopic outlet reduction_ gastric pouch application_ with endoscopy and intraluminal tube insertion_ if performed_ including all system and tissue anchoring components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cranial prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5924","description":"Cranial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vascular access","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53251","description":"Anesth vascular access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apexification/recalc initial","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3351","description":"Apexification/recalc initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18F","description":"HIPPS-CB18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ventilating tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69424","description":"Remove ventilating tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ho flex pavlik harns pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1620","description":"Ho flex pavlik harns pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx gastr intub w/asp spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43754","description":"Dx gastr intub w/asp spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immntx 2 sting insects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95131","description":"Immntx 2 sting insects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ granisetron extended release_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9486","description":"Injection_ granisetron extended release_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80061","description":"Lipid panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50546","description":"Laparoscopic nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX46","description":"HIPPS-RVX46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temporary tear duct plug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4262","description":"Temporary tear duct plug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA22A","description":"HIPPS-PA22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC212","description":"HIPPS-PC212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB10D","description":"HIPPS-HB10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc prac mgmt pt opt alterna","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9059","description":"Onc prac mgmt pt opt alterna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC23A","description":"HIPPS-LC23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7554","description":"Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor_ ear level_ replacement_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8624","description":"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor_ ear level_ replacement_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73085","description":"Contrast x-ray of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg ped plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4031","description":"Cast sup lng leg ped plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam caster tire any size ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2219","description":"Foam caster tire any size ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Lymphoma Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1096","description":"Radiation Therapy For Lymphoma Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL3","description":"HIPPS-3AGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE160","description":"HIPPS-CE160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoproterenol comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7660","description":"Isoproterenol comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom grad glove heavy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8426","description":"Custom grad glove heavy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB12","description":"HIPPS-RLB12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD160","description":"HIPPS-LD160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE12A","description":"HIPPS-PE12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brst cncr stage > t1n0m0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8881","description":"Brst cncr stage > t1n0m0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19])_ any specimen source)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9803","description":"Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19])_ any specimen source)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o cont_ pelvis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8919","description":"Mra w/o cont_ pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dexrazoxane hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1190","description":"Dexrazoxane hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54100","description":"Biopsy of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Terbutaline sulfate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3105","description":"Terbutaline sulfate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tob user recd cess interv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9458","description":"Tob user recd cess interv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9161","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9161","description":"HCPCS-J9161","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Renal biopsy perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50200","description":"Renal biopsy perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metaproterenol comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7670","description":"Metaproterenol comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59135","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18H","description":"HIPPS-PE18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK3","description":"HIPPS-4BGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth biopsy of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16451","description":"Anesth biopsy of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8E","description":"HIPPS-RLA8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLS","description":"HIPPS-4BHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alpha-1-antitrypsin pheno","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82104","description":"Alpha-1-antitrypsin pheno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01916","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01916","description":"CPT-01916","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20900","description":"Removal of bone for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8X","description":"HIPPS-RUL8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"General Inpatient Care - A flat per diem rates before area wage adjustment for inpatient acute care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0605","description":"General Inpatient Care - A flat per diem rates before area wage adjustment for inpatient acute care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28545","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin; other source_ quantitative_ each specimen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82042","description":"Albumin; other source_ quantitative_ each specimen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis w/discectomy thoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22222","description":"Incis w/discectomy thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1416","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1416","description":"HCPCS-M1416","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; each separate/additional lesion (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11101","description":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; each separate/additional lesion (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"F5 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81241","description":"F5 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen dsg wound filler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6024","description":"Collagen dsg wound filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig rna no antvir tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8460","description":"Pt inelig rna no antvir tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27882","description":"Amputation of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMX","description":"HIPPS-4CGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release inner ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69960","description":"Release inner ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tetracyclin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0120","description":"Tetracyclin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB12A","description":"HIPPS-CB12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply short leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29425","description":"Apply short leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta)_ quantification_ including reverse transcription_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87523","description":"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta)_ quantification_ including reverse transcription_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking waistlngth 40-50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6541","description":"Gc stocking waistlngth 40-50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE120","description":"HIPPS-PE120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0019","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp subclav-vertebrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35645","description":"Art byp subclav-vertebrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pituitary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61546","description":"Removal of pituitary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subtemporal decompression","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61340","description":"Subtemporal decompression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fndngs mammo 2pt w/in 3 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5060F","description":"Fndngs mammo 2pt w/in 3 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ArdeoGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4333","description":"ArdeoGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed adjust armrest pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0020","description":"Fixed adjust armrest pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50630","description":"Removal of ureter stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow myoelectronic ct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6935","description":"Below elbow myoelectronic ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of haptoglobin quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83010","description":"Assay of haptoglobin quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0220","description":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part removal of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28110","description":"Part removal of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull & remove clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61154","description":"Pierce skull & remove clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling group","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99411","description":"Preventive counseling group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I131 tositumomab_ rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9545","description":"I131 tositumomab_ rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0561U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0561U","description":"CPT-0561U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cervical collar molded to pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0170","description":"Cervical collar molded to pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18D","description":"HIPPS-HB18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ue < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8668","description":"Fun stat score ue < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whlchr att- conv 1 arm drive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0958","description":"Whlchr att- conv 1 arm drive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ below knee_ 40 mmhg or greater_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6554","description":"Gradient compression stocking_ below knee_ 40 mmhg or greater_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Porc/ceram inlay >= 3 surfac","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6601","description":"Porc/ceram inlay >= 3 surfac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gluc monitor rental","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1031","description":"Gluc monitor rental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42405","description":"Biopsy of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of palm tendon each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26170","description":"Removal of palm tendon each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)_ including sphenoidotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31257","description":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)_ including sphenoidotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB14C","description":"HIPPS-CB14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mirror coating","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2761","description":"Mirror coating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mattress innerspring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0271","description":"Mattress innerspring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA44","description":"HIPPS-RLA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bupren/nal 6.1 to 10mg bupre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0574","description":"Bupren/nal 6.1 to 10mg bupre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy popliteal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27326","description":"Neurectomy popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bitewings - three films","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0273","description":"Bitewings - three films","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay 17- ketosteroids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83586","description":"Assay 17- ketosteroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg pain was not measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 to 20 weeks) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9949","description":"Leg pain was not measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 to 20 weeks) postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q9998","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9998","description":"HCPCS-Q9998","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL5","description":"HIPPS-4BFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon t4_ n0 w/o prog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9085","description":"Onc dx colon t4_ n0 w/o prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Propulsion whl excludes tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2224","description":"Propulsion whl excludes tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trans bench w/wo comm open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0247","description":"Trans bench w/wo comm open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPS","description":"HIPPS-3AGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lrh hormone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83727","description":"Assay of lrh hormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of topiramate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80201","description":"Assay of topiramate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RARE DS XOM DNA ALYS EA COMP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0215U","description":"RARE DS XOM DNA ALYS EA COMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD106","description":"HIPPS-CD106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr e/n/e/l 10 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14060","description":"Tis trnfr e/n/e/l 10 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML54","description":"HIPPS-RML54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0402","description":"HCPCS-B0402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK1","description":"HIPPS-5AGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N-et; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2002","description":"N-et; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion Of Left Atrial Appendage_ Open_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_ Ligation_ Plication_ Clip)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33267","description":"Exclusion Of Left Atrial Appendage_ Open_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_ Ligation_ Plication_ Clip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray stress view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77071","description":"X-ray stress view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67973","description":"Reconstruction of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25628","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGMW","description":"HIPPS-3AGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73115","description":"Contrast x-ray of wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduce bowel obstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44050","description":"Reduce bowel obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anidulafungin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0348","description":"Anidulafungin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90616","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90616","description":"CPT-90616","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age Or Older And Had At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of A","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2126","description":"Patients 66 Years Of Age Or Older And Had At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA14","description":"HIPPS-RMA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ondansetron 4 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0119","description":"Ondansetron 4 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0623T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wig any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9282","description":"Wig any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic defect closure within the entire gastrointestinal tract_ including upper endoscopy (including diagnostic_ if performed) or colonoscopy (including diagnostic_ if per","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9901","description":"Endoscopic defect closure within the entire gastrointestinal tract_ including upper endoscopy (including diagnostic_ if performed) or colonoscopy (including diagnostic_ if per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC104","description":"HIPPS-CC104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare heart-aorta conduit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33404","description":"Prepare heart-aorta conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0997T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0997T","description":"CPT-0997T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Primatrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4110","description":"Primatrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA2B","description":"HIPPS-RMA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI ct scan ord rvwd rqstd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3324F","description":"MRI ct scan ord rvwd rqstd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00702","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00702","description":"CPT-00702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8F","description":"HIPPS-RHX8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9247","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9247","description":"CDT-D9247","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct pelvis w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72192","description":"Ct pelvis w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser Interstitial Thermal Therapy (Litt) Of Lesion_ Intracranial_ Including Burr Hole(S)_ With Magnetic Resonance Imaging Guidance_ When Performed; Multiple Trajectories For","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61737","description":"Laser Interstitial Thermal Therapy (Litt) Of Lesion_ Intracranial_ Including Burr Hole(S)_ With Magnetic Resonance Imaging Guidance_ When Performed; Multiple Trajectories For","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1401","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1401","description":"CDT-D1401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epifix_ inj_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4145","description":"Epifix_ inj_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE23A","description":"HIPPS-LE23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52283","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod or severe osa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8846","description":"Mod or severe osa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; venovenous collaterals originating at or above the he","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93587","description":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; venovenous collaterals originating at or above the he","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Counsel prov driving risks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6110F","description":"Counsel prov driving risks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rb82 rubidium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9555","description":"Rb82 rubidium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise epiphyseal bar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20150","description":"Excise epiphyseal bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Probe_ perc lumb disc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2614","description":"Probe_ perc lumb disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vasectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92151","description":"Anesth vasectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd us exam duodenum/jejunum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43259","description":"Egd us exam duodenum/jejunum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syst bp >/= 140 mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3077F","description":"Syst bp >/= 140 mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50553","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual Preparation And Insertion Of Drug-Delivery Device(S)_ Intramedullary (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20702","description":"Manual Preparation And Insertion Of Drug-Delivery Device(S)_ Intramedullary (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ imipenem 4mg_ cilastatin 4 mg and relebactam 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0742","description":"Injection_ imipenem 4mg_ cilastatin 4 mg and relebactam 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES115","description":"HIPPS-ES115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0548U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0548U","description":"CPT-0548U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE25C","description":"HIPPS-LE25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cord blood harvesting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2140","description":"Cord blood harvesting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8C","description":"HIPPS-RHB8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of arm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24310","description":"Revision of arm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryo-Cord_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4237","description":"Cryo-Cord_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC14B","description":"HIPPS-PC14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye/attach implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65105","description":"Remove eye/attach implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87451","description":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47125","description":"Partial removal of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo urethral suspension","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51990","description":"Laparo urethral suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD105","description":"HIPPS-PD105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ofatumumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9302","description":"Ofatumumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray upper gi delay w/o kub","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74240","description":"X-ray upper gi delay w/o kub","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ paliperidone palmitate extended release (invega hafyera_ or invega trinza)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2427","description":"Injection_ paliperidone palmitate extended release (invega hafyera_ or invega trinza)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96935","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seat ht <17 or >=21 ltwt wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0056","description":"Seat ht <17 or >=21 ltwt wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B virus (HBV) status assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9912","description":"Hepatitis B virus (HBV) status assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27606","description":"Incision of achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK6","description":"HIPPS-3BGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hast w/oxygen titrate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94453","description":"Hast w/oxygen titrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct lumbar spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72133","description":"Ct lumbar spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open tx post pelvic fxcture","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0415","description":"Open tx post pelvic fxcture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit routine device maint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5035","description":"Hit routine device maint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD10A","description":"HIPPS-HD10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36014","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Init ak ischal plstr direct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5505","description":"Init ak ischal plstr direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60252","description":"Removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8C","description":"HIPPS-RHX8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNU","description":"HIPPS-1BHNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37276","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37276","description":"CPT-37276","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3d render w/intrp postproces","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76376","description":"3d render w/intrp postproces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Discharge(s) for AMI between July 1 of the year prior measurement year to June 30 of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9798","description":"Discharge(s) for AMI between July 1 of the year prior measurement year to June 30 of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD13D","description":"HIPPS-HD13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral reflux study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78740","description":"Ureteral reflux study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66991","description":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX4B","description":"HIPPS-RMX4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX32","description":"HIPPS-RVX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft sclp/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15220","description":"Skin full graft sclp/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM5","description":"HIPPS-3AGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation by ocularist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9150","description":"Evaluation by ocularist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1837","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1837","description":"HCPCS-J1837","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conversion ext bil drg cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47535","description":"Conversion ext bil drg cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo pos solid ank plastic mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1960","description":"Afo pos solid ank plastic mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27000","description":"Incision of hip tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote 30 day ecg rev/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93228","description":"Remote 30 day ecg rev/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Via matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4309","description":"Via matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electron microscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88348","description":"Electron microscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES32A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES32A","description":"HIPPS-ES32A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0011A","description":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autogenous Av Fistula Received","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8530","description":"Autogenous Av Fistula Received","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95147","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carbon graphite lamination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2755","description":"Carbon graphite lamination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason for not receiving at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g._ i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9776","description":"Documentation of medical reason for not receiving at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g._ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of scleral staphyloma; without graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66220","description":"Repair of scleral staphyloma; without graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins tun ip cath for dial opn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49421","description":"Ins tun ip cath for dial opn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ pelvis and hips_ infant or child_ minimum of two views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73540","description":"Radiologic examination_ pelvis and hips_ infant or child_ minimum of two views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77407","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB131","description":"HIPPS-CB131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol 10 gm lipids","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4185","description":"Parenteral sol 10 gm lipids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-Exploration Of Pelvic Wound With Removal Of Preperitoneal Pelvic Packing_ Including Repacking_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49014","description":"Re-Exploration Of Pelvic Wound With Removal Of Preperitoneal Pelvic Packing_ Including Repacking_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6028","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6028","description":"HCPCS-L6028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB2D","description":"HIPPS-RLB2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no elig for bp assess","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8784","description":"Pt no elig for bp assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special anesthesia service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99100","description":"Special anesthesia service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKW","description":"HIPPS-5CHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant spike protein nanoparticle_ saponin-based adjuvant_5mcg/0.5m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91304","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant spike protein nanoparticle_ saponin-based adjuvant_5mcg/0.5m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5156","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5156","description":"HCPCS-Q5156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Serum clotting time tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4771","description":"Serum clotting time tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35102","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj plantar digit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64455","description":"N block inj plantar digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathogen Test For Platelets","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9987","description":"Pathogen Test For Platelets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit enteral pump diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9342","description":"Hit enteral pump diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC4D","description":"HIPPS-RUC4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML51","description":"HIPPS-RML51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hand dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26675","description":"Treat hand dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK5","description":"HIPPS-1CGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound breast complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76641","description":"Ultrasound breast complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guided tissue regeneration","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3432","description":"Guided tissue regeneration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of finger tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26474","description":"Fusion of finger tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0504","description":"HCPCS-B0504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE21A","description":"HIPPS-HE21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFK6","description":"HIPPS-2AFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgimend_ neonatal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9360","description":"Surgimend_ neonatal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD151","description":"HIPPS-LD151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging_ breast_ without and/or with contrast material(s); unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77058","description":"Magnetic resonance imaging_ breast_ without and/or with contrast material(s); unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ DNA and RNA by next-generation sequencing_ utilizing formalin-fixed paraffin-embedded (FFPE) tissue_ 437 genes_ interpretive report for single nucleoti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0391U","description":"Oncology (solid tumor)_ DNA and RNA by next-generation sequencing_ utilizing formalin-fixed paraffin-embedded (FFPE) tissue_ 437 genes_ interpretive report for single nucleoti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73610","description":"X-ray exam of ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aphakia prosth service temp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92358","description":"Aphakia prosth service temp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scope plantar fasciotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29893","description":"Scope plantar fasciotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cover eye w/membrane","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65778","description":"Cover eye w/membrane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKW","description":"HIPPS-1AFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNT","description":"HIPPS-3BHNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0870","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0870","description":"HCPCS-J0870","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88016","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology Clinical Consultation; For A Highly Complex Clinical Problem_ With Comprehensive Review Of Patient_S History And Medical Records And High Level Of Medical Decision M","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80505","description":"Pathology Clinical Consultation; For A Highly Complex Clinical Problem_ With Comprehensive Review Of Patient_S History And Medical Records And High Level Of Medical Decision M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00176","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00176","description":"CPT-00176","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9734","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient with dementia_ moderate to high complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0528","description":"Management of established patient with dementia_ moderate to high complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ brexanolone_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1632","description":"Injection_ brexanolone_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipid panel doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3011F","description":"Lipid panel doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB22C","description":"HIPPS-CB22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0835","description":"Pwc gp2 std sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Angiotensin Converting Enzyme (Ace) Inhibitor Or Angiotensin Receptor Blocker (Arb) Or Angiotensin Receptor-Neprilysin Inhibitor (Arni) Therapy Was Not Prescribed_ Reason Not","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2096","description":"Angiotensin Converting Enzyme (Ace) Inhibitor Or Angiotensin Receptor Blocker (Arb) Or Angiotensin Receptor-Neprilysin Inhibitor (Arni) Therapy Was Not Prescribed_ Reason Not","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Admin pneumococcal vaccine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0009","description":"Admin pneumococcal vaccine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37283","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37283","description":"CPT-37283","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0538","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0538","description":"HCPCS-G0538","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol amino acid 3.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4168","description":"Parenteral sol amino acid 3.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1805","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1805","description":"CDT-D1805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22614","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/clin ascvd dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9674","description":"Pt w/clin ascvd dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not rcvng epo thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4095F","description":"Pt not rcvng epo thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect recur gyn mal w/lym","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58958","description":"Resect recur gyn mal w/lym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antipsychotics nos 4-6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80343","description":"Antipsychotics nos 4-6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1091T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1091T","description":"CPT-1091T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indium in-111 auto platelet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9571","description":"Indium in-111 auto platelet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX3A","description":"HIPPS-RLX3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor xiii anti-hem factor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7180","description":"Factor xiii anti-hem factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect apical lung tum/chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32504","description":"Resect apical lung tum/chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disease activity not assessed_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1006","description":"Disease activity not assessed_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had one or less emergency department visits in the last 30 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9851","description":"Patient had one or less emergency department visits in the last 30 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove skin nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64788","description":"Remove skin nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low risk prostate cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3271F","description":"Low risk prostate cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech threshold audiometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92555","description":"Speech threshold audiometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin copper sulfate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83026","description":"Hemoglobin copper sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk knee joints single axis p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5676","description":"Bk knee joints single axis p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rear whl compl pneum tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0070","description":"Rear whl compl pneum tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qty act mcc mg perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9670","description":"Qty act mcc mg perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB24D","description":"HIPPS-HB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnio-Maxx or Amnio Maxx Lite_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4239","description":"Amnio-Maxx or Amnio Maxx Lite_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision gum each quadrant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41820","description":"Excision gum each quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPW","description":"HIPPS-1BHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v auto fluid redo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88175","description":"Cytopath c/v auto fluid redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein byp fem-tibial peroneal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35585","description":"Vein byp fem-tibial peroneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ naloxone hydrochloride (zimhi)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2311","description":"Injection_ naloxone hydrochloride (zimhi)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst w/enterocele compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58294","description":"Vag hyst w/enterocele compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37275","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37275","description":"CPT-37275","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemophilus influenza antibdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86684","description":"Hemophilus influenza antibdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66720","description":"Destruction ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB34","description":"HIPPS-RUB34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28D","description":"HIPPS-LB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair iris & ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66682","description":"Repair iris & ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC25C","description":"HIPPS-LC25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjunctive continuous glucose monitor or receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2102","description":"Adjunctive continuous glucose monitor or receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHK1","description":"HIPPS-1CHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibody_ Treponema pallidum_ total and rapid plasma reagin (RPR)_ immunoassay_ qualitativ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0064U","description":"Antibody_ Treponema pallidum_ total and rapid plasma reagin (RPR)_ immunoassay_ qualitativ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for prescribing systemic antimicrobials","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9960","description":"Documentation of medical reason(s) for prescribing systemic antimicrobials","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endometr ablate thermal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58353","description":"Endometr ablate thermal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on facial bones or skull; radical surgery (includ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0127U","description":"Anesthesia for procedures on facial bones or skull; radical surgery (includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photochemotherapy with uv-b","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96910","description":"Photochemotherapy with uv-b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rho(d) immune globulin h_ sd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2792","description":"Rho(d) immune globulin h_ sd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69320","description":"Rebuild outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"H2o stat docd dehydrated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2031F","description":"H2o stat docd dehydrated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology Care Model (OCM) Monthly Enhanced Oncology Oncology Services (MEOS) payment for enhanced care management services for OCM beneficiaries.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9678","description":"Oncology Care Model (OCM) Monthly Enhanced Oncology Oncology Services (MEOS) payment for enhanced care management services for OCM beneficiaries.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHN1","description":"HIPPS-3BHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brca1 gene known fam variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81215","description":"Brca1 gene known fam variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ic inf pbw 2501-5000 g subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99480","description":"Ic inf pbw 2501-5000 g subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl imed lesn thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63286","description":"Bx/exc idrl imed lesn thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 vhd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0853","description":"Pwc gp 3 vhd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Speed of Care_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1016","description":"Clinical decision support mechanism Speed of Care_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1_ telomeric) and SMN2 (survival of motor neuron 2_ centromeric) (eg_ spinal muscular atrophy) full gene analysis_ including small sequence chan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0236U","description":"SMN1 (survival of motor neuron 1_ telomeric) and SMN2 (survival of motor neuron 2_ centromeric) (eg_ spinal muscular atrophy) full gene analysis_ including small sequence chan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM6","description":"HIPPS-4AHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"American amnion ac_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4306","description":"American amnion ac_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No card tamp e/in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9409","description":"No card tamp e/in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Employment Skills Development (1:2 to 1:3)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1729","description":"Employment - Employment Skills Development (1:2 to 1:3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary arterial angiography_ unilateral (List se","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93569","description":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary arterial angiography_ unilateral (List se","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLT","description":"HIPPS-4BFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01968","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01968","description":"CPT-01968","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK4","description":"HIPPS-4AFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA101","description":"HIPPS-BA101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC12A","description":"HIPPS-PC12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPW","description":"HIPPS-3AHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES335","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES335","description":"HIPPS-ES335","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Consult inc prep of slides","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0485","description":"Consult inc prep of slides","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytomeg dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87497","description":"Cytomeg dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB241","description":"HIPPS-LB241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0773T","description":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reticyte/hgb concentrate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85046","description":"Reticyte/hgb concentrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clear outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69200","description":"Clear outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services used by patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9709","description":"Hospice services used by patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt trnsfrd from anesth to cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0581F","description":"Pt trnsfrd from anesth to cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX32","description":"HIPPS-RHX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no statin therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8815","description":"Doc reas no statin therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolong clincl staff svc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99415","description":"Prolong clincl staff svc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No beta-lactam abx ther_ rng","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9560","description":"No beta-lactam abx ther_ rng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0301","description":"HCPCS-A0301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mon anesth care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9654","description":"Mon anesth care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8010","description":"HCPCS-C8010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 5.1-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12014","description":"Rpr f/e/e/n/l/m 5.1-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Degarelix injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9155","description":"Degarelix injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation (AVF)_ direct_ any site_ using magnetic-guided arterial and venous catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2171","description":"Percutaneous arteriovenous fistula creation (AVF)_ direct_ any site_ using magnetic-guided arterial and venous catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (genitourinary pathogens)_ antibiotic-resistance gene detection_ multiplex amplified probe technique_ urine_ reported as an antimicrobial stewardship risk s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0372U","description":"Infectious disease (genitourinary pathogens)_ antibiotic-resistance gene detection_ multiplex amplified probe technique_ urine_ reported as an antimicrobial stewardship risk s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tubular dressing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6457","description":"Tubular dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00873","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00873","description":"CPT-00873","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m pertechnetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9512","description":"Tc99m pertechnetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean birth class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9438","description":"Cesarean birth class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune (rheumatoid arthritis)_ next-generation sequencing (NGS)_ gene expression testing of 19 genes_ whole blood_ with analysis of anti-cyclic citrullinated peptides (CCP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0456U","description":"Autoimmune (rheumatoid arthritis)_ next-generation sequencing (NGS)_ gene expression testing of 19 genes_ whole blood_ with analysis of anti-cyclic citrullinated peptides (CCP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Theraskin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4121","description":"Theraskin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nasal stenosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30465","description":"Repair nasal stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6548","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6548","description":"HCPCS-A6548","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat scor nek/ts not don","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8674","description":"Fun stat scor nek/ts not don","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (central nervous system)_ analysis of 30000 DNA methylation loci by methylation array_ utilizing DNA extracted from tumor tissue_ diagnostic algorithm reported as pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0020M","description":"Oncology (central nervous system)_ analysis of 30000 DNA methylation loci by methylation array_ utilizing DNA extracted from tumor tissue_ diagnostic algorithm reported as pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES10A","description":"HIPPS-ES10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD236","description":"HIPPS-HD236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Hypotensive Patients Who Are At Immediate Risk Of Cardiogenic Shock_ Hospita","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2093","description":"Documentation Of Medical Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Hypotensive Patients Who Are At Immediate Risk Of Cardiogenic Shock_ Hospita","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4437","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4437","description":"HCPCS-Q4437","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mh svc plan dev by non-md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0032","description":"Mh svc plan dev by non-md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Atomic absorption","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82190","description":"Atomic absorption","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychophysiological therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90875","description":"Psychophysiological therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of oral tissue soft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7286","description":"Biopsy of oral tissue soft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18E","description":"HIPPS-LD18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M/phmtrc alys ishquant/semiq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88377","description":"M/phmtrc alys ishquant/semiq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cep72 (Centrosomal Protein_ 72-Kda)_ Nudt15 (Nudix Hydrolase 15) And Tpmt (Thiopurine S-Methyltransferase) (Eg_ Drug Metabolism) Gene Analysis_ Common Variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0286U","description":"Cep72 (Centrosomal Protein_ 72-Kda)_ Nudt15 (Nudix Hydrolase 15) And Tpmt (Thiopurine S-Methyltransferase) (Eg_ Drug Metabolism) Gene Analysis_ Common Variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgraft xt_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4269","description":"Surgraft xt_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMT","description":"HIPPS-2AGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE221","description":"HIPPS-PE221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressant not specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80338","description":"Antidepressant not specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vantas implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9225","description":"Vantas implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29700","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryoablate renal mass open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50250","description":"Cryoablate renal mass open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper limb orthosis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3999","description":"Upper limb orthosis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidrm autogrft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15110","description":"Epidrm autogrft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5145","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5145","description":"HCPCS-Q5145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5278","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-76019","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76019","description":"CPT-76019","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK4","description":"HIPPS-2BHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62325","description":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0670U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0670U","description":"CPT-0670U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie_ external genitalia_ perineum_ abdominal wall) due to soft tissue infection or trauma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15778","description":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie_ external genitalia_ perineum_ abdominal wall) due to soft tissue infection or trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family stabilization 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9482","description":"Family stabilization 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL40","description":"HIPPS-RHL40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD101","description":"HIPPS-PD101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA10","description":"HIPPS-RVA10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whfo w/o joints pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3807","description":"Whfo w/o joints pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC21A","description":"HIPPS-HC21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB113","description":"HIPPS-HB113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove uterus after cesarean","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59525","description":"Remove uterus after cesarean","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3386","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3386","description":"HCPCS-J3386","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX0A","description":"HIPPS-RUX0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB56","description":"HIPPS-RMB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Miroderm_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4175","description":"Miroderm_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ metronidazole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0030","description":"Injection_ metronidazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cam relese assem ftrst/lgrst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0051","description":"Cam relese assem ftrst/lgrst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including fluoroscopic guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10007","description":"Fine needle aspiration biopsy_ including fluoroscopic guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87336","description":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn 3 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9367","description":"Hit tpn 3 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Belimumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0490","description":"Belimumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ high density foam pad_ any size or shape_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6601","description":"Gradient compression bandaging supply_ high density foam pad_ any size or shape_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn over 3l diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9368","description":"Hit tpn over 3l diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenomic (Genome-Wide) Analysis For Constitutional Chromosomal Abnormalities; Interrogation Of Genomic Regions For Copy Number And Loss-Of-Heterozygosity Variants_ Low-Pass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81349","description":"Cytogenomic (Genome-Wide) Analysis For Constitutional Chromosomal Abnormalities; Interrogation Of Genomic Regions For Copy Number And Loss-Of-Heterozygosity Variants_ Low-Pass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periodic orthodontc tx visit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8670","description":"Periodic orthodontc tx visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special pump services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99191","description":"Special pump services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation lower jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21127","description":"Augmentation lower jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath stent cca w/o eps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37216","description":"Transcath stent cca w/o eps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80204","description":"Methotrexate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch drain 2 piece system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4426","description":"Ost pch drain 2 piece system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01932","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01932","description":"CPT-01932","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD210","description":"HIPPS-CD210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thumb dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26641","description":"Treat thumb dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg arterial three","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33535","description":"Cabg arterial three","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1456","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1456","description":"HCPCS-M1456","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen supplies stand/rack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1355","description":"Oxygen supplies stand/rack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy/lung bx addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31632","description":"Bronchoscopy/lung bx addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cauterization of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57510","description":"Cauterization of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza dna amp prob 1+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87501","description":"Influenza dna amp prob 1+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Provisional pontic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6253","description":"Provisional pontic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert body dcmprn lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63102","description":"Remove vert body dcmprn lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Stanson_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1010","description":"Clinical Decision Support Mechanism Stanson_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mometasone furoate sinus implant_ (sinuva)_ 10 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7402","description":"Mometasone furoate sinus implant_ (sinuva)_ 10 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32480","description":"Partial removal of lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr s/a/l 1.1-2.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13120","description":"Cmplx rpr s/a/l 1.1-2.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28A","description":"HIPPS-LE28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK5","description":"HIPPS-5CGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens fitting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92311","description":"Contact lens fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Somatrem injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2940","description":"Somatrem injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB141","description":"HIPPS-LB141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Underarm crutch pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4635","description":"Underarm crutch pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of haloperidol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80173","description":"Assay of haloperidol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB217","description":"HIPPS-BB217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE113","description":"HIPPS-PE113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone algrft morsel add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20930","description":"Sp bone algrft morsel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE255","description":"HIPPS-CE255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC15","description":"HIPPS-RHC15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal Vaccine Administered On Or After Patient_S 60Th Birthday And Before The End Of The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9991","description":"Pneumococcal Vaccine Administered On Or After Patient_S 60Th Birthday And Before The End Of The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise external ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69300","description":"Revise external ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1093T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1093T","description":"CPT-1093T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB245","description":"HIPPS-BB245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL1","description":"HIPPS-1CHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPX","description":"HIPPS-1AGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj excisn of joint membrane","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7854","description":"Tmj excisn of joint membrane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC10D","description":"HIPPS-CC10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anti-phospholipid antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86148","description":"Anti-phospholipid antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig bmi calculation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8422","description":"Pt inelig bmi calculation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient reason for not screening for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety (e.g._ patient declined or othe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1237","description":"Patient reason for not screening for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety (e.g._ patient declined or othe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant forearm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25312","description":"Transplant forearm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood collection tube/vacuum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4770","description":"Blood collection tube/vacuum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Musc test done w/n test comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95886","description":"Musc test done w/n test comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neutralizing antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)(Coronavirus disease[COVID-19]);screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86408","description":"Neutralizing antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)(Coronavirus disease[COVID-19]);screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Discography cerv/thor spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72285","description":"Discography cerv/thor spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body muscle testing manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95833","description":"Body muscle testing manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ pasireotide long acting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2502","description":"Inj_ pasireotide long acting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"So 8 abd restraint pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3650","description":"So 8 abd restraint pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indexing for osteotomy using dynamic robotic assisted or dynamic navigation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7939","description":"Indexing for osteotomy using dynamic robotic assisted or dynamic navigation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct capt mandible","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0381","description":"Cone beam ct capt mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L7406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7406","description":"HCPCS-L7406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an RHC or FQHC","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0071","description":"Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an RHC or FQHC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genetic counseling 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96040","description":"Genetic counseling 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM6","description":"HIPPS-3AFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee orth pos locking joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1831","description":"Knee orth pos locking joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ortho sidebar disconnect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2768","description":"Ortho sidebar disconnect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gr27 non-sealed leadacid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2372","description":"Gr27 non-sealed leadacid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device_ external sound processor_ excludes transducer/actuator_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8691","description":"Auditory osseointegrated device_ external sound processor_ excludes transducer/actuator_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of iliopsoas muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27111","description":"Transfer of iliopsoas muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth pelvis surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84451","description":"Anesth pelvis surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lat thorax spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22532","description":"Lat thorax spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tb ag response t-cell susp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86481","description":"Tb ag response t-cell susp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet image w/ct lmtd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78814","description":"Pet image w/ct lmtd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ moxetumomab pasudotox-tdfk_ 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9313","description":"Injection_ moxetumomab pasudotox-tdfk_ 0.01 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28645","description":"Repair toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB13B","description":"HIPPS-HB13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP1","description":"HIPPS-1BFP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy rigid balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43195","description":"Esophagoscopy rigid balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter for hysterography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58340","description":"Catheter for hysterography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33788","description":"Revision of pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Cns Tumors Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1085","description":"Radiation Therapy For Cns Tumors Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sho heel count plast reinfor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3430","description":"Sho heel count plast reinfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc hernia repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49659","description":"Laparo proc hernia repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24361","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA01","description":"HIPPS-RVA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ bamlanivimab_ includes infusion and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0239","description":"Intravenous infusion_ bamlanivimab_ includes infusion and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 std port seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0820","description":"Pwc gp 2 std port seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery transpose/endovas taa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33889","description":"Artery transpose/endovas taa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32220","description":"Release of lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab_ excludes biosimilar_ 10mg (Herceptin)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9355","description":"Injection_ trastuzumab_ excludes biosimilar_ 10mg (Herceptin)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frame typ socket shoulder di","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6689","description":"Frame typ socket shoulder di","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC145","description":"HIPPS-HC145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial allergy tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95070","description":"Bronchial allergy tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA126","description":"HIPPS-CA126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clearance of airways","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31725","description":"Clearance of airways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Uveal Melanoma)_ Mrna_ Gene Expression Profiling By Real-Time Rt-Pcr Of 15 Genes (12 Content And 3 Housekeeping)_ Utilizing Fine Needle Aspirate Or Formalin-Fixed Pa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81552","description":"Oncology (Uveal Melanoma)_ Mrna_ Gene Expression Profiling By Real-Time Rt-Pcr Of 15 Genes (12 Content And 3 Housekeeping)_ Utilizing Fine Needle Aspirate Or Formalin-Fixed Pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulse-echo ultrasound bone density measurement resulting in indicator of axial bone mineral density_ tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0508T","description":"Pulse-echo ultrasound bone density measurement resulting in indicator of axial bone mineral density_ tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA1A","description":"HIPPS-RLA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fistulization of sclera for glaucoma_ through ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0123T","description":"Fistulization of sclera for glaucoma_ through ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28F","description":"HIPPS-CD28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00630","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00630","description":"CPT-00630","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21453","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38505","description":"Needle biopsy lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert remov molded spe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3001","description":"Foot insert remov molded spe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Gemcitabine Hydrochloride (Infugem)_ 200 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9199","description":"Injection_ Gemcitabine Hydrochloride (Infugem)_ 200 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPT","description":"HIPPS-1BGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis_ endoskeletal_ knee disarticulation_ above knee_ hip disarticulation_ positional rotation unit_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5926","description":"Addition to lower extremity prosthesis_ endoskeletal_ knee disarticulation_ above knee_ hip disarticulation_ positional rotation unit_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8F","description":"HIPPS-RVA8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endodontic endosseous implan","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3460","description":"Endodontic endosseous implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement blood pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1620","description":"Replacement blood pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP21","description":"HIPPS-ATP21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of aluminum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82108","description":"Assay of aluminum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD12D","description":"HIPPS-PD12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy/biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44361","description":"Small bowel endoscopy/biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0513U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0513U","description":"CPT-0513U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE12B","description":"HIPPS-LE12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Csf leakage imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78650","description":"Csf leakage imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation without programming of implanted phrenic nerve stimulator system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93153","description":"Interrogation without programming of implanted phrenic nerve stimulator system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coma stimulation per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9056","description":"Coma stimulation per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy inner cannula","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4623","description":"Tracheostomy inner cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown full base metal cast","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6791","description":"Crown full base metal cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture aerobic identify","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87077","description":"Culture aerobic identify","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC215","description":"HIPPS-LC215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ureter & kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50740","description":"Fusion of ureter & kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of larynx & pharynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31390","description":"Removal of larynx & pharynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist disarticul switch ctrl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6920","description":"Wrist disarticul switch ctrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor viii vw ristoctn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85245","description":"Clot factor viii vw ristoctn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Granisetron hcl 1 mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0166","description":"Granisetron hcl 1 mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0733","description":"Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLW","description":"HIPPS-3CFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debridement & contouring","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6102","description":"Debridement & contouring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX26","description":"HIPPS-RMX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcervical ablation of uterine fibroid(s)_ including intraoperative ultrasound guidance and monitoring_ radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58580","description":"Transcervical ablation of uterine fibroid(s)_ including intraoperative ultrasound guidance and monitoring_ radiofrequency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA11","description":"HIPPS-RLA11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remov vertbr dcmprn thrclmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63087","description":"Remov vertbr dcmprn thrclmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spinal Puncture_ Therapeutic_ For Drainage Of Cerebrospinal Fluid (By Needle Or Catheter); With Fluoroscopic Or Ct Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62329","description":"Spinal Puncture_ Therapeutic_ For Drainage Of Cerebrospinal Fluid (By Needle Or Catheter); With Fluoroscopic Or Ct Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam by pathologist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88302","description":"Tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of lower leg tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27685","description":"Revision of lower leg tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat sesamoid bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28530","description":"Treat sesamoid bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp ext fixate strut change","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20697","description":"Comp ext fixate strut change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc Uveal MLNMA MRNA gen xprs prfl 15 gene alg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0081U","description":"Onc Uveal MLNMA MRNA gen xprs prfl 15 gene alg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block spenopalatine gangl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64505","description":"N block spenopalatine gangl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kerecis omega3 marigen shield_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2019","description":"Kerecis omega3 marigen shield_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1489","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1489","description":"HCPCS-M1489","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optokinetic nystagmus test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92534","description":"Optokinetic nystagmus test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40520","description":"Partial excision of lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp ilio-celiac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35632","description":"Art byp ilio-celiac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add ue prost b/e acrylic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7403","description":"Add ue prost b/e acrylic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD235","description":"HIPPS-CD235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28735","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of prolactin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84146","description":"Assay of prolactin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD214","description":"HIPPS-CD214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic sentence test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92576","description":"Synthetic sentence test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tyrosinemia type I monitoring by patient-collected blood card sample_ quantitative measurement of tyrosine_ phenylalanine_ methionine_ succinylacetone_ nitisinone_ liquid chro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0383U","description":"Tyrosinemia type I monitoring by patient-collected blood card sample_ quantitative measurement of tyrosine_ phenylalanine_ methionine_ succinylacetone_ nitisinone_ liquid chro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no hx act drain 90 d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8562","description":"Pt no hx act drain 90 d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder flexion-abduction j","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6645","description":"Shoulder flexion-abduction j","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic control thoracic ba","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2660","description":"Thoracic control thoracic ba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no min inv dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8876","description":"Doc reas no min inv dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy intraperitoneal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57283","description":"Colpopexy intraperitoneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject spine cerv/thoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62310","description":"Inject spine cerv/thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ factor VIII_ (antihemophilic factor_ recombinant)_ (Nuwiq)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7209","description":"Injection_ factor VIII_ (antihemophilic factor_ recombinant)_ (Nuwiq)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL1","description":"HIPPS-4BFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL25","description":"HIPPS-RHL25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disease progn ra good docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3476F","description":"Disease progn ra good docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng arm splnt ped p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4019","description":"Cast sup lng arm splnt ped p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN1","description":"HIPPS-3CFN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB120","description":"HIPPS-BB120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFP4","description":"HIPPS-3CFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elisa hiv-1/hiv-2 screen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0433","description":"Elisa hiv-1/hiv-2 screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01760","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01760","description":"CPT-01760","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Io rad tx delivery by x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77424","description":"Io rad tx delivery by x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ paclitaxel protein-bound particles (american regent) not therapeutically equivalent to j9264_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9259","description":"Injection_ paclitaxel protein-bound particles (american regent) not therapeutically equivalent to j9264_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat each add spine fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22328","description":"Treat each add spine fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive ear canal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69150","description":"Extensive ear canal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25405","description":"Repair/graft radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NeoPatch_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4176","description":"NeoPatch_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1127","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0515T","description":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cocaine hydrochloride nasal solution (numbrino)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9143","description":"Cocaine hydrochloride nasal solution (numbrino)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-mgmt educ/train 5-8 pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98962","description":"Self-mgmt educ/train 5-8 pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant with bypass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32852","description":"Lung transplant with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB3C","description":"HIPPS-RMB3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ ocriplasmin_ 0.125 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7316","description":"Inj_ ocriplasmin_ 0.125 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4362","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4362","description":"HCPCS-Q4362","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11471","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open chest heart massage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32160","description":"Open chest heart massage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA15","description":"HIPPS-RUA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX23","description":"HIPPS-RLX23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No conformal radn thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4182F","description":"No conformal radn thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no pneumococcal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8865","description":"Doc med reas no pneumococcal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1485","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1485","description":"HCPCS-M1485","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18E","description":"HIPPS-LB18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shwr cov elec/combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0501","description":"Shwr cov elec/combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC120","description":"HIPPS-PC120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-52597","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52597","description":"CPT-52597","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA246","description":"HIPPS-CA246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flortaucipir F 18 injection_ diagnostic_ 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9601","description":"Flortaucipir F 18 injection_ diagnostic_ 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Creation of subcutaneous pocket with insertion of 180 day implantable interstitial glucose sensor_ including system activation and patient training","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0308","description":"Creation of subcutaneous pocket with insertion of 180 day implantable interstitial glucose sensor_ including system activation and patient training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic induction of intra-brain hypothermia_ including placement of a mechanical temperature-controlled cooling device to the neck over carotids and head_ including monit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0776T","description":"Therapeutic induction of intra-brain hypothermia_ including placement of a mechanical temperature-controlled cooling device to the neck over carotids and head_ including monit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1406","description":"HCPCS-M1406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult daycare services 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5100","description":"Adult daycare services 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of thigh/knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27497","description":"Decompression of thigh/knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a baseline pam score and/or a second score within 6 to 12 month of baseline pam score","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1344","description":"Patients who did not have a baseline pam score and/or a second score within 6 to 12 month of baseline pam score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Helicoll_ per square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4164","description":"Helicoll_ per square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Porcine implant_ permacol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9364","description":"Porcine implant_ permacol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25645","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physician Or Other Qualified Health Care Professional Services For Outpatient Pulmonary Rehabilitation; With Continuous Oximetry Monitoring (Per Session)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94626","description":"Physician Or Other Qualified Health Care Professional Services For Outpatient Pulmonary Rehabilitation; With Continuous Oximetry Monitoring (Per Session)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGKU","description":"HIPPS-3CGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8D","description":"HIPPS-RUX8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part hand little/ring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6010","description":"Part hand little/ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech audiometry complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92556","description":"Speech audiometry complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion or subcutaneous injection_ casirivimaband imdevimab_ includes infusion or injection_ and post administration monitoring in the home or residence","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0241","description":"Intravenous infusion or subcutaneous injection_ casirivimaband imdevimab_ includes infusion or injection_ and post administration monitoring in the home or residence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB23C","description":"HIPPS-PB23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial and fungal)_ organism identification_ blood culture_ using rRNA FISH_ 6 or more organism targets_ reported as positive or negative with phenotypi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0086U","description":"Infectious disease (bacterial and fungal)_ organism identification_ blood culture_ using rRNA FISH_ 6 or more organism targets_ reported as positive or negative with phenotypi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33020","description":"Incision of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt_ pn_ hist grade not doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8724","description":"Pt_ pn_ hist grade not doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26742","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PalinGen or ProMatrX_ 0.36 mg per 0.25 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4174","description":"PalinGen or ProMatrX_ 0.36 mg per 0.25 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abdomen surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22999","description":"Abdomen surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye socket implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67560","description":"Revise eye socket implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC5C","description":"HIPPS-RHC5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2172","description":"All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPW","description":"HIPPS-1AGPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy vag method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58145","description":"Myomectomy vag method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote 30 day ecg tech supp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93229","description":"Remote 30 day ecg tech supp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post fusion 13/> vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22804","description":"Post fusion 13/> vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18A","description":"HIPPS-CB18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen quantalcohols","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80320","description":"Drug screen quantalcohols","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of spermatic ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54900","description":"Fusion of spermatic ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1356","description":"Patients who died during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolong e&m/psyctx serv o/p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99355","description":"Prolong e&m/psyctx serv o/p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64658","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64658","description":"CPT-64658","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AI IBD MRNA XPRSN PRFL 17","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0203U","description":"AI IBD MRNA XPRSN PRFL 17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA23C","description":"HIPPS-BA23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB113","description":"HIPPS-CB113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8X","description":"HIPPS-RMA8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC114","description":"HIPPS-LC114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92137","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92137","description":"CPT-92137","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht inj anticoag diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9372","description":"Ht inj anticoag diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone intra implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7312","description":"Dexamethasone intra implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87280","description":"Respiratory syncytial ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Saliva test_ hormone level;","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3652","description":"Saliva test_ hormone level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluorine-18 fluorodeoxygluco","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8085","description":"Fluorine-18 fluorodeoxygluco","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD104","description":"HIPPS-LD104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5930","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5930","description":"CDT-D5930","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI w/cont_ breast_  bi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8906","description":"MRI w/cont_ breast_  bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3 comp foot exam completed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9226","description":"3 comp foot exam completed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD145","description":"HIPPS-LD145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0702","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0702","description":"CDT-D0702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ below knee_ 18-30 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6610","description":"Gradient compression stocking_ below knee_ 18-30 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imp/abut rem dent part max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6112","description":"Imp/abut rem dent part max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFMV","description":"HIPPS-2CFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert heart pm atrial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33206","description":"Insert heart pm atrial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia_ by signal acquisition using minimum 36 channel grid_ generation of magnetic-field time-serie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0542T","description":"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia_ by signal acquisition using minimum 36 channel grid_ generation of magnetic-field time-serie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; known familial sequence variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81337","description":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; known familial sequence variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xyntha inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7185","description":"Xyntha inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB4D","description":"HIPPS-RUB4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA53","description":"HIPPS-RHA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9691","description":"Patient had hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1134","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA33","description":"HIPPS-RLA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip canad sing axi cons fric","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5250","description":"Hip canad sing axi cons fric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35301","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for external insulin infusion pump_ syringe type cartridge_ sterile_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4225","description":"Supplies for external insulin infusion pump_ syringe type cartridge_ sterile_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-97009","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97009","description":"CPT-97009","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corneal transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65750","description":"Corneal transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diskectomy_ anterior_ with d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2350","description":"Diskectomy_ anterior_ with d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision lesion mouth roof","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42107","description":"Excision lesion mouth roof","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of foot bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28288","description":"Partial removal of foot bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0780T","description":"Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intrnl bleaching per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9974","description":"Intrnl bleaching per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bevacizumab-maly_ biosimilar_ (Alymsys)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9142","description":"Injection_ bevacizumab-maly_ biosimilar_ (Alymsys)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX07","description":"HIPPS-RUX07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFMX","description":"HIPPS-2BFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29710","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Screened For Tobacco Use And Received Tobacco Cessation Intervention On The Date Of The Encounter Or Within The Previous 12 Months (Counseling_ Pharmacotherapy_ Or Bot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0030","description":"Patient Screened For Tobacco Use And Received Tobacco Cessation Intervention On The Date Of The Encounter Or Within The Previous 12 Months (Counseling_ Pharmacotherapy_ Or Bot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7568","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7568","description":"HCPCS-C7568","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54220","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC212","description":"HIPPS-LC212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB2C","description":"HIPPS-RHB2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote therapeutic monitoring (eg_ therapy adherence_ therapy response); device(s) supply with scheduled (eg_ daily) recording(s) and/or programmed alert(s) transmission to mo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98978","description":"Remote therapeutic monitoring (eg_ therapy adherence_ therapy response); device(s) supply with scheduled (eg_ daily) recording(s) and/or programmed alert(s) transmission to mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28298","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34101","description":"Removal of artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of imperforated anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46742","description":"Repair of imperforated anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES23D","description":"HIPPS-ES23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guide nerv destr needle emg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95874","description":"Guide nerv destr needle emg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP23","description":"HIPPS-ATP23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0629U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0629U","description":"CPT-0629U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE12D","description":"HIPPS-CE12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic pulpotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3220","description":"Therapeutic pulpotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50551","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glofitamab-gxbm_ 2.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9286","description":"Injection_ glofitamab-gxbm_ 2.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA60","description":"HIPPS-RMA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without open decompression or fusion_ including image guidance when performed_ lumbar; second","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22870","description":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without open decompression or fusion_ including image guidance when performed_ lumbar; second","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL5","description":"HIPPS-1BFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress forearm 1 space","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25020","description":"Decompress forearm 1 space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ talimogene laherparepvec_ per 1 million plaque forming units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9325","description":"Injection_ talimogene laherparepvec_ per 1 million plaque forming units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMW","description":"HIPPS-3CHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29010","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iron stain peripheral blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85536","description":"Iron stain peripheral blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcochlear approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61596","description":"Transcochlear approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins mark thor for rt perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32553","description":"Ins mark thor for rt perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amphotericin b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0285","description":"Amphotericin b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Torsion mechanism knee/ankle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2861","description":"Torsion mechanism knee/ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical nutrition group","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97804","description":"Medical nutrition group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC10C","description":"HIPPS-LC10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE146","description":"HIPPS-HE146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens pmma bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2502","description":"Contact lens pmma bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hd hosp bed_ 350-600 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0301","description":"Hd hosp bed_ 350-600 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35355","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48551","description":"Prep donor pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB145","description":"HIPPS-BB145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deoxyribonuclease antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86215","description":"Deoxyribonuclease antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of salivary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42650","description":"Dilation of salivary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis assessed (OA) Includes assessment of all the following compo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0109U","description":"Osteoarthritis assessed (OA) Includes assessment of all the following compo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pilonidal cyst simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11770","description":"Remove pilonidal cyst simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pentostatin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9268","description":"Pentostatin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Somatosensory testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95925","description":"Somatosensory testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35221","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mechanical traction therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97012","description":"Mechanical traction therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology tx decision-mgmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9051","description":"Oncology tx decision-mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73630","description":"X-ray exam of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrizalent (ccIIV4)_ derived from cell cultures_ subunit_ antibiotic free_ 0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90756","description":"Influenza virus vaccine_ quadrizalent (ccIIV4)_ derived from cell cultures_ subunit_ antibiotic free_ 0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of creatinine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82565","description":"Assay of creatinine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto w/ureter stricture tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52341","description":"Cysto w/ureter stricture tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-49189","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49189","description":"CPT-49189","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES212","description":"HIPPS-ES212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of System Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Other System Reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2095","description":"Documentation Of System Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Other System Reasons)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg splnt ped f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4044","description":"Cast sup lng leg splnt ped f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch forearm each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0111","description":"Crutch forearm each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer not used w oxygen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7017","description":"Nebulizer not used w oxygen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat slipped epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27177","description":"Treat slipped epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endocrinology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4004","description":"Endocrinology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1461","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1461","description":"HCPCS-M1461","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18E","description":"HIPPS-CC18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18C","description":"HIPPS-PD18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dual layer impax membrane_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4262","description":"Dual layer impax membrane_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient-specific_ assistive_ rules-based algorithm for ranking pharmaco-oncologic treatment options based on the patient_s tumor-specific cancer marker information obtained fr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0794T","description":"Patient-specific_ assistive_ rules-based algorithm for ranking pharmaco-oncologic treatment options based on the patient_s tumor-specific cancer marker information obtained fr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostoma filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4481","description":"Tracheostoma filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise sublingual gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42450","description":"Excise sublingual gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES20D","description":"HIPPS-ES20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"B-amyloid (Abeta42) and phospho tau (181P) (pTau181)_ electrochemiluminescent immunoassay (ECLIA)_ cerebral spinal fluid_ ratio reported as positive or negative for amyloid pa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0445U","description":"B-amyloid (Abeta42) and phospho tau (181P) (pTau181)_ electrochemiluminescent immunoassay (ECLIA)_ cerebral spinal fluid_ ratio reported as positive or negative for amyloid pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing care not medically possible because the patient was  discharged early due to specific medical events_ documented in the medical record_ such as the patient became hosp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1147","description":"Ongoing care not medically possible because the patient was  discharged early due to specific medical events_ documented in the medical record_ such as the patient became hosp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a completed suicide safety plan initiated_ reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index cli","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1353","description":"Patients who did not have a completed suicide safety plan initiated_ reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index cli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo spiral prefabricated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1951","description":"Afo spiral prefabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive bandage_ first-aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6413","description":"Adhesive bandage_ first-aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE20B","description":"HIPPS-CE20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paraffin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4265","description":"Paraffin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score knee not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8650","description":"Fun stat score knee not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA23","description":"HIPPS-AAA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN1","description":"HIPPS-1CGN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-evalest ptproblem focus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0170","description":"Re-evalest ptproblem focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC254","description":"HIPPS-HC254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skn sub grft f/n/hf/g ch add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15278","description":"Skn sub grft f/n/hf/g ch add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr angiograph neck w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70549","description":"Mr angiograph neck w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18D","description":"HIPPS-ES18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX12","description":"HIPPS-RMX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC141","description":"HIPPS-HC141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electric breast pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0603","description":"Electric breast pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pca3 testing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3721","description":"Pca3 testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vit for membrane dissect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67043","description":"Vit for membrane dissect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual field examination(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92081","description":"Visual field examination(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty_ anal_ for incontinence_ adult; implantation artificial sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46762","description":"Sphincteroplasty_ anal_ for incontinence_ adult; implantation artificial sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat slipped epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27175","description":"Treat slipped epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In111 oxyquinoline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9547","description":"In111 oxyquinoline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude and duration_ battery status_ electrode selectability and polarity_ impedanc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95978","description":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude and duration_ battery status_ electrode selectability and polarity_ impedanc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD226","description":"HIPPS-PD226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdominal wall surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82051","description":"Anesth abdominal wall surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of fibula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27641","description":"Partial removal of fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54105","description":"Biopsy of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj dupuytren cord w/enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20527","description":"Inj dupuytren cord w/enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g._ intestinal infection_ pertussis_ bacterial infection_ lyme disease_ otitis media_ acute sinu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9712","description":"Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g._ intestinal infection_ pertussis_ bacterial infection_ lyme disease_ otitis media_ acute sinu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA14","description":"HIPPS-RVA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGLS","description":"HIPPS-1AGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC07","description":"HIPPS-RMC07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0101","description":"HCPCS-B0101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFK3","description":"HIPPS-2AFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26548","description":"Reconstruct finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ phenylephrine hydrochloride (biorphen)_ 20 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2372","description":"Injection_ phenylephrine hydrochloride (biorphen)_ 20 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Charger and base station for intraurethral activation device_ replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1012","description":"Charger and base station for intraurethral activation device_ replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1903","description":"HCPCS-B1903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for blood smear_ peripheral_ interpretation by physician with written report (List separately in addition to code for primary procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0854T","description":"Digitization of glass microscope slides for blood smear_ peripheral_ interpretation by physician with written report (List separately in addition to code for primary procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of upper eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15823","description":"Revision of upper eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK6","description":"HIPPS-1AHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rasburicase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2783","description":"Rasburicase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve annulus reconstruction_ with implantation of adjustable annulus reconstruction device_ percutaneous approach including transseptal puncture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0544T","description":"Transcatheter mitral valve annulus reconstruction_ with implantation of adjustable annulus reconstruction device_ percutaneous approach including transseptal puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of software_ data collection_ transmission_ and storage_ each 30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0741T","description":"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of software_ data collection_ transmission_ and storage_ each 30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein access cutdown > 1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36425","description":"Vein access cutdown > 1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp subclav-axillary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35616","description":"Art byp subclav-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelashes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67835","description":"Revise eyelashes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fragmenting of kidney stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50590","description":"Fragmenting of kidney stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Construct thumb replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26550","description":"Construct thumb replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHNU","description":"HIPPS-1AHNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45120","description":"Removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc stom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43659","description":"Laparoscope proc stom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening proctoscopy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0601","description":"Screening proctoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto/uretero stricture tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52344","description":"Cysto/uretero stricture tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood split unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9011","description":"Blood split unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urea nitrogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84520","description":"Assay of urea nitrogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Prostate Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1101","description":"Radiation Therapy For Prostate Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1404","description":"HCPCS-C1404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; adenovirus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87809","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; adenovirus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28290","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES10D","description":"HIPPS-ES10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB22A","description":"HIPPS-HB22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crisis intervention per hour","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9484","description":"Crisis intervention per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supply allowance for adjunctive continuous glucose monitor (CGM)_ includes all supplies and accessories_ 1 month supply = 1 unit of service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4238","description":"Supply allowance for adjunctive continuous glucose monitor (CGM)_ includes all supplies and accessories_ 1 month supply = 1 unit of service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFKW","description":"HIPPS-4BFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardioversion electric ext","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92960","description":"Cardioversion electric ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing 1 antigen lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81374","description":"Hla i typing 1 antigen lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB11A","description":"HIPPS-CB11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE110","description":"HIPPS-LE110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ready gradient glove","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8427","description":"Ready gradient glove","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls insj ctr cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33956","description":"Ecmo/ecls insj ctr cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of procainamide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80190","description":"Assay of procainamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Finger splint_ static","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4049","description":"Finger splint_ static","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Derma-Gide_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4203","description":"Derma-Gide_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Withdrawal of arterial blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36600","description":"Withdrawal of arterial blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0914T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0914T","description":"CPT-0914T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD154","description":"HIPPS-LD154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28E","description":"HIPPS-CC28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opto-acoustic imaging_ breast_ unilateral_ including axilla when performed_ real-time with image documentation_ augmentative analysis and report (List separately in addition t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0857T","description":"Opto-acoustic imaging_ breast_ unilateral_ including axilla when performed_ real-time with image documentation_ augmentative analysis and report (List separately in addition t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body jacket mold to patient","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1300","description":"Body jacket mold to patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged Office Or Other Outpatient Evaluation And Management Service(S) Beyond The Minimum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time_ R","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99417","description":"Prolonged Office Or Other Outpatient Evaluation And Management Service(S) Beyond The Minimum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time_ R","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nutrition class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9452","description":"Nutrition class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD22A","description":"HIPPS-LD22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC24A","description":"HIPPS-CC24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ureter stent percut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50384","description":"Remove ureter stent percut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1381","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1381","description":"HCPCS-M1381","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System With Substernal Electrode_ With Iterative Adjustment Of The Implantable Device To Te","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0575T","description":"Programming Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System With Substernal Electrode_ With Iterative Adjustment Of The Implantable Device To Te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BTK (Bruton_s tyrosine kinase) (eg_ chronic lymphocytic leukemia) gene analysis_ common variants (eg_ C481S_ C481R_ C481F)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81233","description":"BTK (Bruton_s tyrosine kinase) (eg_ chronic lymphocytic leukemia) gene analysis_ common variants (eg_ C481S_ C481R_ C481F)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ emicizumab-kxwh_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7170","description":"Injection_ emicizumab-kxwh_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colistimethate sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0770","description":"Colistimethate sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of nail bed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11760","description":"Repair of nail bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Breast)_ Semiquantitative Analysis Of 32 Phosphoproteins And Protein Analytes_ Includes Laser Capture Microdissection_ With Algorithmic Analysis And Interpretative R","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0249U","description":"Oncology (Breast)_ Semiquantitative Analysis Of 32 Phosphoproteins And Protein Analytes_ Includes Laser Capture Microdissection_ With Algorithmic Analysis And Interpretative R","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple_ including serial trended analysis and limited reprogramming of device parameter - AV or VV delays only_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0224T","description":"Multiple_ including serial trended analysis and limited reprogramming of device parameter - AV or VV delays only_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24362","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gauze > 48 in no w/sal w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6224","description":"Gauze > 48 in no w/sal w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGM3","description":"HIPPS-2BGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programmable_ transient_ orally ingested capsule_ for use with external programmer_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9269","description":"Programmable_ transient_ orally ingested capsule_ for use with external programmer_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7529","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC22D","description":"HIPPS-PC22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFLX","description":"HIPPS-1BFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No ret for surg w in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9307","description":"No ret for surg w in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA50","description":"HIPPS-AAA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long qt syn gene dup/dlt var","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81282","description":"Long qt syn gene dup/dlt var","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML50","description":"HIPPS-RML50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls rmvl ctr cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33986","description":"Ecmo/ecls rmvl ctr cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD141","description":"HIPPS-CD141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absorp drg >16<=48 suc pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0745","description":"Absorp drg >16<=48 suc pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guide nerv destr elec stim","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95873","description":"Guide nerv destr elec stim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0217T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rubella virus vaccine_ live_ for subcutaneous or jet injection use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90706","description":"Rubella virus vaccine_ live_ for subcutaneous or jet injection use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18D","description":"HIPPS-LE18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trans care mgmt 7 day disch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99496","description":"Trans care mgmt 7 day disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE21C","description":"HIPPS-LE21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values_ with analysis_ review_ and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0528T","description":"Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values_ with analysis_ review_ and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval implantable dfb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93284","description":"Prgrmg eval implantable dfb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC0C","description":"HIPPS-RUC0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB11A","description":"HIPPS-BB11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cran surg hemotoma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21151","description":"Anesth cran surg hemotoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit >30.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12047","description":"Intmd rpr n-hf/genit >30.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28D","description":"HIPPS-PA28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMX","description":"HIPPS-3CHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reopening of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49002","description":"Reopening of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial strain imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0399T","description":"Myocardial strain imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX41","description":"HIPPS-RLX41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1715","description":"Brachytherapy needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clean rem part denture mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9935","description":"Clean rem part denture mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolytic plasmin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85400","description":"Fibrinolytic plasmin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Camp overnite waiver/session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2036","description":"Camp overnite waiver/session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy gastrostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43653","description":"Laparoscopy gastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood clot retraction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85170","description":"Blood clot retraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient admitted to a SPU or and ASC for a procedure which could not be certified as medically necessary for that place of service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0596","description":"Patient admitted to a SPU or and ASC for a procedure which could not be certified as medically necessary for that place of service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00522","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00522","description":"CPT-00522","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24366","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18I","description":"HIPPS-CA18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Participant-Directed Goods and Services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1901","description":"Participant-Directed Goods and Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES15A","description":"HIPPS-ES15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Integra meshed bil wound mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9363","description":"Integra meshed bil wound mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak/knee disartic pelvic band","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5697","description":"Ak/knee disartic pelvic band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC52","description":"HIPPS-RMC52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PuraPly AM_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4196","description":"PuraPly AM_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15946","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44376","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth pharyngeal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17451","description":"Anesth pharyngeal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL35","description":"HIPPS-RHL35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of indwelling bladder and peritoneal catheters_ including tunneling of catheter(s) and connection with previously implanted peritoneal ascites pump_ including imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0872T","description":"Replacement of indwelling bladder and peritoneal catheters_ including tunneling of catheter(s) and connection with previously implanted peritoneal ascites pump_ including imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/ax/gen/trk7.6-12.5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12004","description":"Rpr s/n/ax/gen/trk7.6-12.5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB17","description":"HIPPS-RLB17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGL2","description":"HIPPS-3BGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue culture skin/biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88233","description":"Tissue culture skin/biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Take-home supply of injectable naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2216","description":"Take-home supply of injectable naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58285","description":"Extensive hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc rect tum transanal part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45171","description":"Exc rect tum transanal part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (congenital neutropenia)_ genomic sequence analysis of 23 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Congenital Neutropenia Panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0271U","description":"Hematology (congenital neutropenia)_ genomic sequence analysis of 23 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Congenital Neutropenia Panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AmchoPlast_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4316","description":"AmchoPlast_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99459","description":"Pelvic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt dischg >2d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9254","description":"Doc pt dischg >2d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intensive outpatient services; weekly bundle_ minimum of 9 services over a 7 contiguous day period_ which can include individual and group therapy with physicians or psycholog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0137","description":"Intensive outpatient services; weekly bundle_ minimum of 9 services over a 7 contiguous day period_ which can include individual and group therapy with physicians or psycholog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w iv ab not given on time","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8917","description":"Pt w iv ab not given on time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leuprolide acetate implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9219","description":"Leuprolide acetate implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA06","description":"HIPPS-AAA06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dronabinol 2.5mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0167","description":"Dronabinol 2.5mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound closure by adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0168","description":"Wound closure by adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual field assmnt rev/rprt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0378T","description":"Visual field assmnt rev/rprt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"2high risk no ord","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9368","description":"2high risk no ord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGL6","description":"HIPPS-1CGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1024","description":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nivolumab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9299","description":"Injection_ nivolumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nhl trans to lg bcell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9136","description":"Onc dx nhl trans to lg bcell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg monitoring/giving drugs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95954","description":"Eeg monitoring/giving drugs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB26","description":"HIPPS-RHB26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of foot infection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28002","description":"Treatment of foot infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 std sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0877","description":"Pwc gp4 std sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Already Receiving Physical/Occupational/Speech/Recreational Therapy During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0040","description":"Patient Already Receiving Physical/Occupational/Speech/Recreational Therapy During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGMT","description":"HIPPS-1CGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control nose/throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42972","description":"Control nose/throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental case management - patient education to improve oral health literacy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9994","description":"Dental case management - patient education to improve oral health literacy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ RNA_ gene expression by whole transcriptome sequencing_ formalin-","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0128U","description":"Oncology_ RNA_ gene expression by whole transcriptome sequencing_ formalin-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ factor VIII_ (antihemophilic factor_ recombinant)_ PEGylated_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7207","description":"Injection_ factor VIII_ (antihemophilic factor_ recombinant)_ PEGylated_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct extra finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26587","description":"Reconstruct extra finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26373","description":"Repair finger/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo femoral fx cast soft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2132","description":"Kafo femoral fx cast soft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of urethra abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53040","description":"Drainage of urethra abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1298","description":"Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mecp2 gene known variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81303","description":"Mecp2 gene known variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLW","description":"HIPPS-2CGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGL5","description":"HIPPS-4BGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB24B","description":"HIPPS-HB24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ablate liver cryosurg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47371","description":"Laparo ablate liver cryosurg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rerepair fem hernia reduce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49555","description":"Rerepair fem hernia reduce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE23B","description":"HIPPS-LE23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove inner ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69905","description":"Remove inner ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatic elastase fecal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82656","description":"Pancreatic elastase fecal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reusable rectal thermometer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4932","description":"Reusable rectal thermometer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8F","description":"HIPPS-RUX8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth ear surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12051","description":"Anesth ear surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tte w/doppler complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93306","description":"Tte w/doppler complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change of windpipe airway","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31502","description":"Change of windpipe airway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec collection for sev acute resp synd coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ from an ind in a SNF or by a lab on behalf of an HH agcy any spec srce","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2024","description":"Spec collection for sev acute resp synd coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ from an ind in a SNF or by a lab on behalf of an HH agcy any spec srce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLV","description":"HIPPS-3CFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tenoglide tendon prot_ cm2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9356","description":"Tenoglide tendon prot_ cm2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8006","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8006","description":"HCPCS-C8006","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computer-Aided Mapping Of Cervix Uteri During Colposcopy_ Including Optical Dynamic Spectral Imaging And Algorithmic Quantification Of The Acetowhitening Effect (List Separate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57465","description":"Computer-Aided Mapping Of Cervix Uteri During Colposcopy_ Including Optical Dynamic Spectral Imaging And Algorithmic Quantification Of The Acetowhitening Effect (List Separate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct orbit/ear/fossa w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70481","description":"Ct orbit/ear/fossa w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with computed tomography (CT) ima","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0808T","description":"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with computed tomography (CT) ima","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjv hrmnl thxpy rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4164F","description":"Adjv hrmnl thxpy rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL3A","description":"HIPPS-RHL3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGK6","description":"HIPPS-1AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation cheek bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21270","description":"Augmentation cheek bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE246","description":"HIPPS-PE246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj ceftazidime per 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0713","description":"Inj ceftazidime per 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0524","description":"Management of established patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES326","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES326","description":"HIPPS-ES326","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5946","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5946","description":"CDT-D5946","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; known familial variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81248","description":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; known familial variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin ext jnts fld swg e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5726","description":"Knee-shin ext jnts fld swg e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod compres band w>=3in<5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6451","description":"Mod compres band w>=3in<5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xm archive tissue molec anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88363","description":"Xm archive tissue molec anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1107T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1107T","description":"CPT-1107T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93317","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Histoplasmosis skin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86510","description":"Histoplasmosis skin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFM6","description":"HIPPS-3BFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4422","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4422","description":"HCPCS-Q4422","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phoenix wound matrix_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2015","description":"Phoenix wound matrix_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1299","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1299","description":"HCPCS-J1299","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemotx admn prtl cavity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96446","description":"Chemotx admn prtl cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lsh uterus above 250 g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58543","description":"Lsh uterus above 250 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA30","description":"HIPPS-RUA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact layer <= 16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6206","description":"Contact layer <= 16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear canal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69140","description":"Remove ear canal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert endovasc prosth taa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33883","description":"Insert endovasc prosth taa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens_ >= 1.66 p/>=1.80 g","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2783","description":"Lens_ >= 1.66 p/>=1.80 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95725","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spirom doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3023F","description":"Spirom doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temozolomide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9328","description":"Temozolomide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intro windpipe wire/tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31730","description":"Intro windpipe wire/tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft head/neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15732","description":"Muscle-skin graft head/neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA213","description":"HIPPS-PA213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB145","description":"HIPPS-HB145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bezlotoxumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0565","description":"Injection_ bezlotoxumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ levothyroxine sodium (fresenius kabi) not therapeutically equivalent to j0650_ 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0651","description":"Injection_ levothyroxine sodium (fresenius kabi) not therapeutically equivalent to j0650_ 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES11B","description":"HIPPS-ES11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Consultation with a medical health care professional","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9311","description":"Consultation with a medical health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath smear other source","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88161","description":"Cytopath smear other source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraocular fomivirsen na","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1452","description":"Intraocular fomivirsen na","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8D","description":"HIPPS-RUC8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0042A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB236","description":"HIPPS-PB236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whfo w/joint(s) custom fab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3806","description":"Whfo w/joint(s) custom fab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00942","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00942","description":"CPT-00942","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18G","description":"HIPPS-PA18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block other peripheral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64450","description":"N block other peripheral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj aspiration joint fluid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7870","description":"Tmj aspiration joint fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial hospitalization serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0201","description":"Partial hospitalization serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specialty care transport","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0434","description":"Specialty care transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ esmolol hydrochloride_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1805","description":"Injection_ esmolol hydrochloride_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES101","description":"HIPPS-ES101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46751","description":"Repair of anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous injection of calcium-based biodegradable osteoconductive material_ proximal femur_ including imaging guidance_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0814T","description":"Percutaneous injection of calcium-based biodegradable osteoconductive material_ proximal femur_ including imaging guidance_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1477","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1477","description":"HCPCS-M1477","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed tomography scan taken for the purpose of biomechanical computed tomography analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0558T","description":"Computed tomography scan taken for the purpose of biomechanical computed tomography analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shortening of hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26479","description":"Shortening of hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8B","description":"HIPPS-RMX8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef <40%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8694","description":"Lvef <40%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of rbc pg6d enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84085","description":"Assay of rbc pg6d enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP1","description":"HIPPS-3BGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderna Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC mRNA 50mcg/0.25mL IM DOSE BOOSTER)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1711","description":"Moderna Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC mRNA 50mcg/0.25mL IM DOSE BOOSTER)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tbo-filgrastim_ 5 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1446","description":"Injection_ tbo-filgrastim_ 5 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24535","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skilled services of a registered nurse (RN) for the observation and assessment of the patient_s condition_ each 15 minutes (the change in the patient_s condition requires skil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0493","description":"Skilled services of a registered nurse (RN) for the observation and assessment of the patient_s condition_ each 15 minutes (the change in the patient_s condition requires skil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc shoulder tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23076","description":"Exc shoulder tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug hotline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0030","description":"Alcohol and/or drug hotline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thor rib belt custom fabrica","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0220","description":"Thor rib belt custom fabrica","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA145","description":"HIPPS-CA145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemophilus influenza b vaccine (hib)_ hboc conjugate (4 dose schedule)_for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90645","description":"Hemophilus influenza b vaccine (hib)_ hboc conjugate (4 dose schedule)_for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1404","description":"HCPCS-B1404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48155","description":"Removal of pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shrt leg ped fbrgls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4040","description":"Cast sup shrt leg ped fbrgls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL6","description":"HIPPS-4CFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis of cochlear implant_ patient younger than 7 years of age; subsequent reprogramming","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92602","description":"Diagnostic analysis of cochlear implant_ patient younger than 7 years of age; subsequent reprogramming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8G","description":"HIPPS-RMC8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical home_ initial plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0280","description":"Medical home_ initial plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sacituzumab govitecan-hziy_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9066","description":"Injection_ sacituzumab govitecan-hziy_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0986T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0986T","description":"CPT-0986T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53265","description":"Treatment of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45112","description":"Removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak 4 bar link w/fric swing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5611","description":"Ak 4 bar link w/fric swing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29875","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove collar bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23180","description":"Remove collar bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conn tiss_ non-human","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1763","description":"Conn tiss_ non-human","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-eval post-op visit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0171","description":"Re-eval post-op visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (non-small cell lung cancer)_ next-generation sequencing with identification of single nucleotide variants_ copy number variants_ insertions and deletions_ and struct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0388U","description":"Oncology (non-small cell lung cancer)_ next-generation sequencing with identification of single nucleotide variants_ copy number variants_ insertions and deletions_ and struct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam for fungi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87220","description":"Tissue exam for fungi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anogenital exam child w imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99170","description":"Anogenital exam child w imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct colonography screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74263","description":"Ct colonography screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 3.0 And Leg Pain Measured By The Visual Analog Scale (Vas) W","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2141","description":"Leg Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 3.0 And Leg Pain Measured By The Visual Analog Scale (Vas) W","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetaminophen injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0131","description":"Acetaminophen injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for chemonucleolysis_ including discography_ intervertebral disc_ single or multiple levels_ lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62292","description":"Injection procedure for chemonucleolysis_ including discography_ intervertebral disc_ single or multiple levels_ lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem grps & fiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46261","description":"Remove in/ex hem grps & fiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile saline or water","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4218","description":"Sterile saline or water","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc of non tobacco user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9275","description":"Doc of non tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary cath anchor device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4333","description":"Urinary cath anchor device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC31","description":"HIPPS-RVC31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive_ liquid or equal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4364","description":"Adhesive_ liquid or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc neck tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21556","description":"Exc neck tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Program intake assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1023","description":"Program intake assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0537U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0537U","description":"CPT-0537U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech audiometry threshold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0210T","description":"Speech audiometry threshold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee sus/seal sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5685","description":"Below knee sus/seal sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exchange drainage catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49423","description":"Exchange drainage catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home vent invasive interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0465","description":"Home vent invasive interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant spinal canal cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62350","description":"Implant spinal canal cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr e/n/e/l10.1-30sqcm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14061","description":"Tis trnfr e/n/e/l10.1-30sqcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66030","description":"Injection treatment of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64859","description":"Nerve surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plastic mold recipro hip & c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2627","description":"Plastic mold recipro hip & c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ carfilzomib_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9047","description":"Injection_ carfilzomib_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg >4.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11406","description":"Exc tr-ext b9+marg >4.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc foot/toe tum sc 1.5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28039","description":"Exc foot/toe tum sc 1.5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis - periapical radiographic image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0374","description":"intraoral tomosynthesis - periapical radiographic image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96931","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFK1","description":"HIPPS-1AFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rimantadine hcl 100mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9020","description":"Rimantadine hcl 100mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Segmental pneumatic chest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0657","description":"Segmental pneumatic chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99242","description":"Office consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM4","description":"HIPPS-2BHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inner skull vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61702","description":"Inner skull vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment aid(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77332","description":"Radiation treatment aid(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8005","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8005","description":"HCPCS-C8005","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heat lamp without stand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0200","description":"Heat lamp without stand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aflibercept hd_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0177","description":"Injection_ aflibercept hd_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srs spinal lesion addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63621","description":"Srs spinal lesion addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC02","description":"HIPPS-RHC02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supply allowance for therapeutic continuous glucose monitor (CGM)_ includes all supples and accessories_ 1 unit = 1 mo. supply","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0553","description":"Supply allowance for therapeutic continuous glucose monitor (CGM)_ includes all supples and accessories_ 1 unit = 1 mo. supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61540","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive pills for bc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4993","description":"Contraceptive pills for bc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fem urinary collect dev cup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4327","description":"Fem urinary collect dev cup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anticoagulant management for a patient taking warfarin_ must include review and interpretation of a new home_ office_ or lab international normalized ratio (INR) test result_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93793","description":"Anticoagulant management for a patient taking warfarin_ must include review and interpretation of a new home_ office_ or lab international normalized ratio (INR) test result_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC MTC MRNA XPRSN ALYS 108","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0208U","description":"ONC MTC MRNA XPRSN ALYS 108","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of tobramycin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80200","description":"Assay of tobramycin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35637","description":"Art byp aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hizentra injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1559","description":"Hizentra injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neg pres wound ther drsg set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6550","description":"Neg pres wound ther drsg set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fit spectacles multifocal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92342","description":"Fit spectacles multifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dev interrog remote 1/2/mlt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93295","description":"Dev interrog remote 1/2/mlt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Integrated lancing and blood sample testing cartridges for home blood glucose monitor_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4271","description":"Integrated lancing and blood sample testing cartridges for home blood glucose monitor_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9713","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM1","description":"HIPPS-2CGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx chron care w/o pt vsit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99487","description":"Cmplx chron care w/o pt vsit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport meals escort","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0210","description":"Noner transport meals escort","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apheresis plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36514","description":"Apheresis plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital outpt clinic visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0463","description":"Hospital outpt clinic visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop image confirm excise","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8872","description":"Intraop image confirm excise","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial custom socket insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5683","description":"Initial custom socket insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL2B","description":"HIPPS-RUL2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1094T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1094T","description":"CPT-1094T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62323","description":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s)_ with insertion of pacing electrode_ cardiac venous system_ for left ventricul","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7538","description":"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s)_ with insertion of pacing electrode_ cardiac venous system_ for left ventricul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31267","description":"Endoscopy maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18D","description":"HIPPS-HD18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Patient Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Patient Declined_ Other Patient Reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2094","description":"Documentation Of Patient Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Patient Declined_ Other Patient Reasons)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML4C","description":"HIPPS-RML4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of hand joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26843","description":"Fusion of hand joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht leg splnt plstr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4045","description":"Cast sup sht leg splnt plstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ PEGylated-aucl_ (Jivi)_ 1U","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7208","description":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ PEGylated-aucl_ (Jivi)_ 1U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrodes_ pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4556","description":"Electrodes_ pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of fluoride","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82735","description":"Assay of fluoride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28210","description":"Repair/graft of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK5","description":"HIPPS-5BHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronch thermoplsty 2/> lobes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31661","description":"Bronch thermoplsty 2/> lobes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism intermountain clinical decision support mechanism_ as defined by the medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1022","description":"Clinical decision support mechanism intermountain clinical decision support mechanism_ as defined by the medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct upper extremity w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73201","description":"Ct upper extremity w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-medical Transportation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W6110","description":"Non-medical Transportation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone scn b/4 txmnt/aftr dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3269F","description":"Bone scn b/4 txmnt/aftr dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHLS","description":"HIPPS-1CHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub grft t/arm/lg child","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15273","description":"Skin sub grft t/arm/lg child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00944","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00944","description":"CPT-00944","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv combination assay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0475","description":"Hiv combination assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj testostero enanthate 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3121","description":"Inj testostero enanthate 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lower extremity orthosis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2999","description":"Lower extremity orthosis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA1C","description":"HIPPS-RUA1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep bk ptb plaster molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5510","description":"Prep bk ptb plaster molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor serv ivf case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4025","description":"Donor serv ivf case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE145","description":"HIPPS-HE145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of complications","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9930","description":"Treatment of complications","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ melphalan (apotex)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9249","description":"Injection_ melphalan (apotex)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD22A","description":"HIPPS-HD22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trans shoe solid stirrup new","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3630","description":"Trans shoe solid stirrup new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who screened positive for at least 1 of the 5 hrsns","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1320","description":"Patients who screened positive for at least 1 of the 5 hrsns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1488","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1488","description":"HCPCS-M1488","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42215","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M.pneumon dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87581","description":"M.pneumon dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLW","description":"HIPPS-3BHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Als iv drug therapy supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0394","description":"Als iv drug therapy supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMU","description":"HIPPS-4AHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFP6","description":"HIPPS-3AFP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shrt leg ped plster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4039","description":"Cast sup shrt leg ped plster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB240","description":"HIPPS-BB240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periodontal medicament carrier with peripheral seal - laboratory processed - mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5996","description":"Periodontal medicament carrier with peripheral seal - laboratory processed - mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA240","description":"HIPPS-BA240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paraffin bath therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97018","description":"Paraffin bath therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK5","description":"HIPPS-5AHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit cont antiemetic diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9351","description":"Hit cont antiemetic diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35565","description":"Art byp grft iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1382","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1382","description":"HCPCS-M1382","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFL5","description":"HIPPS-1AFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placement Of Intra-Socket Biological Dressing To Aid In Hemostasis Or Clot Stabiliization_ Per Site","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7922","description":"Placement Of Intra-Socket Biological Dressing To Aid In Hemostasis Or Clot Stabiliization_ Per Site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFM4","description":"HIPPS-3BFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v select","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88154","description":"Cytopath c/v select","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES211","description":"HIPPS-ES211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reposition gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43761","description":"Reposition gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy/removal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38520","description":"Biopsy/removal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40810","description":"Excision of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravertebral body fracture augmentation with implant (e.g._ metal_ polymer)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1062","description":"Intravertebral body fracture augmentation with implant (e.g._ metal_ polymer)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant temple bone w/stimul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69714","description":"Implant temple bone w/stimul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL11","description":"HIPPS-RVL11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46615","description":"Anoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct maxillofacial w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70487","description":"Ct maxillofacial w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ linezolid (hospira) not therapeutically equivalent to j2020_ 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2021","description":"Injection_ linezolid (hospira) not therapeutically equivalent to j2020_ 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"At least two orders for high-risk medications from the same drug class_ (table 4)_ not ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1210","description":"At least two orders for high-risk medications from the same drug class_ (table 4)_ not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy/needle bx addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31633","description":"Bronchoscopy/needle bx addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1 thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63046","description":"Remove spine lamina 1 thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD21A","description":"HIPPS-CD21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic compression controller without calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0681","description":"Non-pneumatic compression controller without calibrated gradient pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary artery disease [CAD])_ analysis of 3 proteins (high sensitivity [hs] troponin_ adiponectin_ and kidney injury molecule-1 [KIM-1])_ plasma_ algorithm repor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0308U","description":"Cardiology (coronary artery disease [CAD])_ analysis of 3 proteins (high sensitivity [hs] troponin_ adiponectin_ and kidney injury molecule-1 [KIM-1])_ plasma_ algorithm repor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMW","description":"HIPPS-1AGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt cran bone flap to abdo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61316","description":"Implt cran bone flap to abdo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB21","description":"HIPPS-RLB21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular disease (acute coronary syndrome [ACS])_ IL-16_ FAS_ FASLigand_ HGF_ CTACK_ EOTAXIN_ and MCP-3 by immunoassay combined with age_ sex_ family history_ and person","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0415U","description":"Cardiovascular disease (acute coronary syndrome [ACS])_ IL-16_ FAS_ FASLigand_ HGF_ CTACK_ EOTAXIN_ and MCP-3 by immunoassay combined with age_ sex_ family history_ and person","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artificial insemination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58322","description":"Artificial insemination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33647","description":"Repair heart septum defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gallium Ga-68 gozetotide_ diagnostic_ (Locametz)_1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9800","description":"Gallium Ga-68 gozetotide_ diagnostic_ (Locametz)_1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abdom aneurysm endovas rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75953","description":"Abdom aneurysm endovas rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28400","description":"Treatment of heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD11B","description":"HIPPS-LD11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL4","description":"HIPPS-4CHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28080","description":"Removal of foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endothelial function assessment_ using peripheral vascular response to reactive hyperemia_ non-invasive (eg_ brachial artery ultrasound_ peripheral artery tonometry)_ unilater","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0337T","description":"Endothelial function assessment_ using peripheral vascular response to reactive hyperemia_ non-invasive (eg_ brachial artery ultrasound_ peripheral artery tonometry)_ unilater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ova and parasites smears","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87177","description":"Ova and parasites smears","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palifermin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2425","description":"Palifermin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolong clincl staff svc add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99416","description":"Prolong clincl staff svc add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64605","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ elotuzumab_ 1mg (Empliciti)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9477","description":"Injection_ elotuzumab_ 1mg (Empliciti)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar derotation pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1240","description":"Lumbar derotation pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI jnt of lwr extre w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73721","description":"MRI jnt of lwr extre w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orbit surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67599","description":"Orbit surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB231","description":"HIPPS-HB231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28H","description":"HIPPS-PC28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLX","description":"HIPPS-2BHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA52","description":"HIPPS-AAA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip socket fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27222","description":"Treat hip socket fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD23A","description":"HIPPS-LD23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair double ventricle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33612","description":"Repair double ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compression form shoe insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5510","description":"Compression form shoe insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levalbuterol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7614","description":"Levalbuterol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22634","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Systemic corticosteroids rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4135F","description":"Systemic corticosteroids rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES312","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES312","description":"HIPPS-ES312","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99223","description":"Initial hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of toe joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28054","description":"Biopsy of toe joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polarization_ any lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2762","description":"Polarization_ any lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18G","description":"HIPPS-CE18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quality care in mental health and substance use disorders mips value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1369","description":"Quality care in mental health and substance use disorders mips value pathway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interscapular-thor switch ct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6970","description":"Interscapular-thor switch ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair wide w/ foot rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1093","description":"Wheelchair wide w/ foot rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES350","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES350","description":"HIPPS-ES350","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ft arch suprt premold longit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3040","description":"Ft arch suprt premold longit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ urine_ 31 drug panel_ reported as quantitative results_ detected or not detected_ per date of service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0051U","description":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ urine_ 31 drug panel_ reported as quantitative results_ detected or not detected_ per date of service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lower jaw bone graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21215","description":"Lower jaw bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pne scrn done doc vac done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9279","description":"Pne scrn done doc vac done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Distal transcutaneous electrical nerve stimulator_ stimulates peripheral nerves of the upper arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1023","description":"Distal transcutaneous electrical nerve stimulator_ stimulates peripheral nerves of the upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No mrs score in 90d followup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9647","description":"No mrs score in 90d followup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 xhd mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0864","description":"Pwc gp3 xhd mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45541","description":"Correct rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL41","description":"HIPPS-RUL41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFP1","description":"HIPPS-3CFP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD14A","description":"HIPPS-HD14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ready gradient gauntlet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8428","description":"Ready gradient gauntlet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove exostosis maxilla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21032","description":"Remove exostosis maxilla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rerepair fem hernia blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49557","description":"Rerepair fem hernia blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27884","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC150","description":"HIPPS-HC150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36903","description":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intercep dental tx transitn","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8060","description":"Intercep dental tx transitn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lyme dis dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87476","description":"Lyme dis dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD21A","description":"HIPPS-PD21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behavior identification-supporting assessment_ administered by one technician under the direction of a physician or other qualified health care professional_ face-to-face with","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97152","description":"Behavior identification-supporting assessment_ administered by one technician under the direction of a physician or other qualified health care professional_ face-to-face with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nitrogen n-13 ammonia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9526","description":"Nitrogen n-13 ammonia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKT","description":"HIPPS-2BFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8B","description":"HIPPS-RHL8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"INTRAORIFICE BARRIER","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3911","description":"INTRAORIFICE BARRIER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab-dkst_ biosimilar_ (Ogivri)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5114","description":"Injection_ trastuzumab-dkst_ biosimilar_ (Ogivri)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMX","description":"HIPPS-1AFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA0A","description":"HIPPS-RHA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29855","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHM6","description":"HIPPS-4CHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic(s) training_ upper and/or lower extremity(ies)_ initial prosthetic(s) encounter_ each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97761","description":"Prosthetic(s) training_ upper and/or lower extremity(ies)_ initial prosthetic(s) encounter_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK5","description":"HIPPS-4AFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/family 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90837","description":"Psytx pt&/family 60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ copanlisib_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9057","description":"Injection_ copanlisib_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx orbit w/o manipulj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21400","description":"Closed tx orbit w/o manipulj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ intra echocardiography","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1759","description":"Cath_ intra echocardiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45520","description":"Treatment of rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj cutting into joint","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7860","description":"Tmj cutting into joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/ed teleconsult30","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0425","description":"Inpt/ed teleconsult30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive sternum surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21632","description":"Extensive sternum surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair penis and bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54390","description":"Repair penis and bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I131 max 100uci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9531","description":"I131 max 100uci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mepolizumab_ 1 mg (Nucala)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9473","description":"Injection_ mepolizumab_ 1 mg (Nucala)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithrombin recombinant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7196","description":"Antithrombin recombinant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cad meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8498","description":"Cad meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27535","description":"Treat knee fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of large bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44025","description":"Incision of large bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of total replacement heart system (artificial heart)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33928","description":"Removal and replacement of total replacement heart system (artificial heart)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyperthermia treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77620","description":"Hyperthermia treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-99445","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99445","description":"CPT-99445","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine culture/colony count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87086","description":"Urine culture/colony count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59841","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX55","description":"HIPPS-RMX55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq card revasc mi 1 vsl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92941","description":"Prq card revasc mi 1 vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15877","description":"Suction lipectomy trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27700","description":"Revision of ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1 (breast cancer 1) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants (ie_ exon 13 del 3.835kb_ exo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81214","description":"BRCA1 (breast cancer 1) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants (ie_ exon 13 del 3.835kb_ exo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza immunization administered or previously received","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1299","description":"Influenza immunization administered or previously received","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gjb2 gene known fam variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81253","description":"Gjb2 gene known fam variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amniocentesis therapeutic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59001","description":"Amniocentesis therapeutic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc prosth delayed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33886","description":"Endovasc prosth delayed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD25D","description":"HIPPS-HD25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release palm contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26123","description":"Release palm contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD140","description":"HIPPS-CD140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA0A","description":"HIPPS-AAA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK3","description":"HIPPS-1CFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dstrj neurofibromata xtnsv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0420T","description":"Dstrj neurofibromata xtnsv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add pwr joystick","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0983","description":"Add pwr joystick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22103","description":"Remove extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ clindamycin phosp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0077","description":"Injection_ clindamycin phosp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrivalent (RIV4)_ derived from recombinant DNA_ hemagglutinin (HA) protein only_ preservative and antibiotic free_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90682","description":"Influenza virus vaccine_ quadrivalent (RIV4)_ derived from recombinant DNA_ hemagglutinin (HA) protein only_ preservative and antibiotic free_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhc pt assistant ea 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0157","description":"Hhc pt assistant ea 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL6","description":"HIPPS-4AHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1168","description":"Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bld inj at surg/1mos post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9625","description":"Bld inj at surg/1mos post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cltx thigh fx w/mnpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27268","description":"Cltx thigh fx w/mnpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21610","description":"Partial removal of rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0805","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0805","description":"HCPCS-A0805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc no wrong event","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8913","description":"Pt doc no wrong event","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lengthen radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25391","description":"Lengthen radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech lang goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9175","description":"Speech lang goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB13C","description":"HIPPS-HB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thiopurine S-methyltransferase (TPMT)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84433","description":"Thiopurine S-methyltransferase (TPMT)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0082","description":"Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28160","description":"Partial removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00620","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00620","description":"CPT-00620","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath report non routine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0551F","description":"Cytopath report non routine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35011","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymph vessel x-ray arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75801","description":"Lymph vessel x-ray arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA50","description":"HIPPS-RHA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fecal microbiota prep instil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0455","description":"Fecal microbiota prep instil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30460","description":"Revision of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx gastric p r1-r2noprog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9101","description":"Onc dx gastric p r1-r2noprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB234","description":"HIPPS-BB234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthrp ant appr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0375T","description":"Total disc arthrp ant appr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0106","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0106","description":"CDT-D0106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/svc oxygen equipment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0740","description":"Repair/svc oxygen equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suicide risk assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3085F","description":"Suicide risk assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45500","description":"Repair of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA22","description":"HIPPS-RVA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGKV","description":"HIPPS-2CGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove anal fist complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46280","description":"Remove anal fist complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA216","description":"HIPPS-CA216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA11B","description":"HIPPS-BA11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; characterization of alleles (eg_ expanded size or me","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81204","description":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; characterization of alleles (eg_ expanded size or me","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay infectious agent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86317","description":"Immunoassay infectious agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24145","description":"Partial removal of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasia)_ optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow_ report of clinically s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0331U","description":"Oncology (hematolymphoid neoplasia)_ optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow_ report of clinically s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; craniotomy or craniectomy for evacu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0130U","description":"Anesthesia for intracranial procedures; craniotomy or craniectomy for evacu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE10A","description":"HIPPS-CE10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sperm cord lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55520","description":"Removal of sperm cord lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: abnormal neurologic exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2189","description":"Patients with clinical indications for imaging of the head: abnormal neurologic exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colostomy with biopsies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44322","description":"Colostomy with biopsies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl bifo 7.25-12/4.2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2213","description":"Lens sphcyl bifo 7.25-12/4.2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64792","description":"Removal of nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc drug-el cor stent bran","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9601","description":"Perc drug-el cor stent bran","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pancreas removal/transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48160","description":"Pancreas removal/transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammogram screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77057","description":"Mammogram screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28C","description":"HIPPS-LD28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of new patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0519","description":"Management of new patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ glove_ padded_ for nighttime use_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6520","description":"Gradient compression garment_ glove_ padded_ for nighttime use_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gardner vag dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87511","description":"Gardner vag dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trapezius sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1070","description":"Trapezius sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Work hardening add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97546","description":"Work hardening add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00860","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00860","description":"CPT-00860","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair umbilical lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49611","description":"Repair umbilical lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB32","description":"HIPPS-RLB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the pe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1338","description":"Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA24B","description":"HIPPS-PA24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation supply sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4397","description":"Irrigation supply sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence garment anytype","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4520","description":"Incontinence garment anytype","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture othr specimn aerobic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87070","description":"Culture othr specimn aerobic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot longitudinal arch suppo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3010","description":"Foot longitudinal arch suppo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analyze pacemaker system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93724","description":"Analyze pacemaker system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemical cauterization of granulation tissue (ie_ proud flesh)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17250","description":"Chemical cauterization of granulation tissue (ie_ proud flesh)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nutritional counseling_ diet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9470","description":"Nutritional counseling_ diet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digit nerve surgery add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64778","description":"Digit nerve surgery add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0678","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0678","description":"HCPCS-G0678","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath w/drainage 3-way","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4316","description":"Cath w/drainage 3-way","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4338","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4338","description":"HCPCS-Q4338","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mitochondrial Antibody (Eg_ M2)_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86381","description":"Mitochondrial Antibody (Eg_ M2)_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko w/adj jt rot cntrl molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1844","description":"Ko w/adj jt rot cntrl molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA24","description":"HIPPS-AAA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKU","description":"HIPPS-2BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beremagene geperpavec-svdt for topical administration_ containing nominal 5 x 10^9 pfu/ml vector genomes_ per 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3401","description":"Beremagene geperpavec-svdt for topical administration_ containing nominal 5 x 10^9 pfu/ml vector genomes_ per 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepa vacc ped/adol 3 dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90634","description":"Hepa vacc ped/adol 3 dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Restorative foundation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2949","description":"Restorative foundation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen supplies regulator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1353","description":"Oxygen supplies regulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28G","description":"HIPPS-BA28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN6","description":"HIPPS-3CHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKT","description":"HIPPS-1CFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mitomycin pyelocalyceal instillation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9281","description":"Mitomycin pyelocalyceal instillation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01958","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01958","description":"CPT-01958","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 2 std up to 300lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0806","description":"Pov group 2 std up to 300lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8E","description":"HIPPS-RHX8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB224","description":"HIPPS-HB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply forearm splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29125","description":"Apply forearm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of anal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46922","description":"Excision of anal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC0A","description":"HIPPS-RUC0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self care mngment training","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97535","description":"Self care mngment training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lwr xtr vasc stdy bilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93924","description":"Lwr xtr vasc stdy bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES32B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES32B","description":"HIPPS-ES32B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon t1-4 no dx prog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9086","description":"Onc dx colon t1-4 no dx prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn 2 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9366","description":"Hit tpn 2 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve palsy muscle graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15841","description":"Nerve palsy muscle graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC12A","description":"HIPPS-LC12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision_ unilateral (List separately in addition to cod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34715","description":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision_ unilateral (List separately in addition to cod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA244","description":"HIPPS-PA244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert silicone gel eac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3003","description":"Foot insert silicone gel eac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mesna injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9209","description":"Mesna injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vinblastine sulfate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9360","description":"Vinblastine sulfate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28H","description":"HIPPS-PB28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1803","description":"HCPCS-E1803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd digitized pre-rec <=8min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2500","description":"Sgd digitized pre-rec <=8min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL24","description":"HIPPS-RHL24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove skin tags add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11201","description":"Remove skin tags add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMT","description":"HIPPS-2BHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1401","description":"HCPCS-C1401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin B-12 absorption study (eg_ Schilling test); without intrinsic factor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78270","description":"Vitamin B-12 absorption study (eg_ Schilling test); without intrinsic factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy w/markers","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31626","description":"Bronchoscopy w/markers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow socket ins use w/o lck","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6695","description":"Elbow socket ins use w/o lck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18G","description":"HIPPS-LD18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for brain wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61571","description":"Incise skull for brain wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ankle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27842","description":"Treat ankle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB32","description":"HIPPS-RUB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosaprepitant (focinvez)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1434","description":"Injection_ fosaprepitant (focinvez)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D6049","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D6049","description":"CDT-D6049","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA26","description":"HIPPS-RHA26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC216","description":"HIPPS-HC216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKW","description":"HIPPS-5BGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB23B","description":"HIPPS-CB23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test presump opt inst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0478","description":"Drug test presump opt inst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd srv 2-3 vsts p mo 2-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90955","description":"Esrd srv 2-3 vsts p mo 2-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid imaging w/blood flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78013","description":"Thyroid imaging w/blood flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC204","description":"HIPPS-CC204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ovary/tube(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58720","description":"Removal of ovary/tube(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sbrt management","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77435","description":"Sbrt management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cephalin floculation test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P2028","description":"Cephalin floculation test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0546U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0546U","description":"CPT-0546U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21615","description":"Removal of rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE22A","description":"HIPPS-CE22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pressure support ventilator with volume control mode_ may include pressure control mode_ used with non-invasive interface (e.g. mask)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0464","description":"Pressure support ventilator with volume control mode_ may include pressure control mode_ used with non-invasive interface (e.g. mask)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upr/lxtr art stdy 3+ lvls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93923","description":"Upr/lxtr art stdy 3+ lvls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth kidney transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86851","description":"Anesth kidney transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control nose/throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42971","description":"Control nose/throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ranibizumab_ via sustained release intravitreal implant (Susvimo)_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9093","description":"Injection_ ranibizumab_ via sustained release intravitreal implant (Susvimo)_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch clsd w/o bar w filtr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4418","description":"Ost pch clsd w/o bar w filtr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc cur meds by prov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8427","description":"Doc cur meds by prov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glycopyrrolate comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7643","description":"Glycopyrrolate comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reset dislocated jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21480","description":"Reset dislocated jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse gallbladder & bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47720","description":"Fuse gallbladder & bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69660","description":"Revise middle ear bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37281","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37281","description":"CPT-37281","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient has been treated with an oral systemic or biologic medication for psoriasis vulgaris","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9764","description":"Patient has been treated with an oral systemic or biologic medication for psoriasis vulgaris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC23B","description":"HIPPS-HC23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of eyelid by suture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67875","description":"Closure of eyelid by suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow mold outsid lock hinge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6200","description":"Elbow mold outsid lock hinge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transport portable ekg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"R0076","description":"Transport portable ekg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv 1 extrem 1-4 ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64643","description":"Chemodenerv 1 extrem 1-4 ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00215","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00215","description":"CPT-00215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay carboxyhb quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82375","description":"Assay carboxyhb quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e._ patient has an abnormal neurological exa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9536","description":"Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e._ patient has an abnormal neurological exa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1108","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB101","description":"HIPPS-PB101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1435","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1435","description":"HCPCS-M1435","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC213","description":"HIPPS-LC213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age And Had At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2123","description":"Patients 66-80 Years Of Age And Had At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35475","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert w/o lock mech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5679","description":"Socket insert w/o lock mech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0201","description":"HCPCS-E0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA14B","description":"HIPPS-BA14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL44","description":"HIPPS-RVL44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand-held pefr meter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4614","description":"Hand-held pefr meter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9329","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9329","description":"HCPCS-J9329","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9812","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9812","description":"HCPCS-C9812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD136","description":"HIPPS-HD136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES117","description":"HIPPS-ES117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam entire spi 6/> vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72084","description":"X-ray exam entire spi 6/> vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscop ultrasound exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43231","description":"Esophagoscop ultrasound exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL2D","description":"HIPPS-RHL2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00216","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00216","description":"CPT-00216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA22","description":"HIPPS-RUA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther/proph/diag inj sc/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96372","description":"Ther/proph/diag inj sc/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1003T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1003T","description":"CPT-1003T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allograft_ includes templating_ cutting_ placement and internal fixation_ when performed; hemicortical intercalary_ partial (ie_ hemicylindrical) (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20933","description":"Allograft_ includes templating_ cutting_ placement and internal fixation_ when performed; hemicortical intercalary_ partial (ie_ hemicylindrical) (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGM2","description":"HIPPS-1BGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Repair Of Iliac Artery At The Time Of Aorto-Iliac Artery Endograft Placement By Deployment Of An Iliac Branched Endograft Including Pre-Procedure Sizing And Devic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34717","description":"Endovascular Repair Of Iliac Artery At The Time Of Aorto-Iliac Artery Endograft Placement By Deployment Of An Iliac Branched Endograft Including Pre-Procedure Sizing And Devic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quadrilateral brim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2188","description":"Quadrilateral brim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ liposomal_ 1 mg daunorubicin and 2.27 mg cytarabine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9024","description":"Injection_ liposomal_ 1 mg daunorubicin and 2.27 mg cytarabine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9173","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9173","description":"HCPCS-C9173","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complex body section x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76101","description":"Complex body section x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/orogastric w/tube plmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43752","description":"Nasal/orogastric w/tube plmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ncntc r-t fluor wnd img ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0599T","description":"Ncntc r-t fluor wnd img ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina >2 lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63017","description":"Remove spine lamina >2 lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1803","description":"HCPCS-B1803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1013T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1013T","description":"CPT-1013T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC25A","description":"HIPPS-PC25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coordinating Stroke Care To Promote Prevention And Cultivate Positive Outcomes Mips Value Pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0054","description":"Coordinating Stroke Care To Promote Prevention And Cultivate Positive Outcomes Mips Value Pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPX","description":"HIPPS-3BFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB130","description":"HIPPS-HB130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0604","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0604","description":"HCPCS-C0604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo anti-neopl sq/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96401","description":"Chemo anti-neopl sq/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason for not receiving combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperative","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9957","description":"Documentation of medical reason for not receiving combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic shoe with wedge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5504","description":"Diabetic shoe with wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii (porcine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7191","description":"Factor viii (porcine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Helminth antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86682","description":"Helminth antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ intradiscal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1754","description":"Catheter_ intradiscal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28320","description":"Repair of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Janssen (Johnson & Johnson) COVID-19 vaccine administration","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1707","description":"Janssen (Johnson & Johnson) COVID-19 vaccine administration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychoanalysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90845","description":"Psychoanalysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4420","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4420","description":"HCPCS-Q4420","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable 02 contents_ gas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0443","description":"Portable 02 contents_ gas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onsite nursing facility conference_ that is separate and distinct from an Evaluation and Management visit_ including qualified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9686","description":"Onsite nursing facility conference_ that is separate and distinct from an Evaluation and Management visit_ including qualified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1376","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1376","description":"HCPCS-M1376","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heparin infusion pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1520","description":"Heparin infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft hand/foot >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64896","description":"Nerve graft hand/foot >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cells unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9021","description":"Red blood cells unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam l-s spine bending","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72114","description":"X-ray exam l-s spine bending","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged iv inf_ req pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8957","description":"Prolonged iv inf_ req pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most Recent Hemoglobin A1C (Hba1C) Level 7.0 To 9.0%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2089","description":"Most Recent Hemoglobin A1C (Hba1C) Level 7.0 To 9.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3376","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3376","description":"HCPCS-J3376","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL6","description":"HIPPS-3CHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g._ patient with adverse effect_ alle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9781","description":"Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g._ patient with adverse effect_ alle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post 2 srfc resinbased cmpst","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2392","description":"Post 2 srfc resinbased cmpst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech sound lang comprehen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92523","description":"Speech sound lang comprehen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us < 14 wks addl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76802","description":"Ob us < 14 wks addl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (acute myelogenous leukemia)_ DNA_ whole genome next-generation sequencing to detect gene rearrangement(s)_ blood or bone marrow_ report of specific gene rearrangem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0056U","description":"Hematology (acute myelogenous leukemia)_ DNA_ whole genome next-generation sequencing to detect gene rearrangement(s)_ blood or bone marrow_ report of specific gene rearrangem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Io rad tx deliver by elctrns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77425","description":"Io rad tx deliver by elctrns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC126","description":"HIPPS-LC126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFMT","description":"HIPPS-3AFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ethosuximide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80168","description":"Assay of ethosuximide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57700","description":"Revision of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42836","description":"Removal of adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Activate matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4301","description":"Activate matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ disp_ monaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5262","description":"Hearing aid_ disp_ monaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ benralizumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9466","description":"Injection_ benralizumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology report diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma (to include in situ disease) was not sent from the pathologist/dermatopathologist to the","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9786","description":"Pathology report diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma (to include in situ disease) was not sent from the pathologist/dermatopathologist to the","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interstitial radioelement application; simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77776","description":"Interstitial radioelement application; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm_ genomic sequence analysis panel_ cell-free nucleic acid (eg_ plasma)_ interrogation for sequence variants; DNA analysis_ copy number variants_ and micros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81463","description":"Solid organ neoplasm_ genomic sequence analysis panel_ cell-free nucleic acid (eg_ plasma)_ interrogation for sequence variants; DNA analysis_ copy number variants_ and micros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor X_ (human)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7175","description":"Injection_ Factor X_ (human)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25565","description":"Treat fracture radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ trans atherectomy_ dir","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1714","description":"Cath_ trans atherectomy_ dir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of manganese","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83785","description":"Assay of manganese","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0563U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0563U","description":"CPT-0563U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemical peel face dermal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15789","description":"Chemical peel face dermal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee disarticulat leather so","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5640","description":"Knee disarticulat leather so","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Construct vagina with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57292","description":"Construct vagina with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasonic generator w svneb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0574","description":"Ultrasonic generator w svneb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES236","description":"HIPPS-ES236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of kidney lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50390","description":"Drainage of kidney lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Teniposide_ 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2017","description":"Teniposide_ 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behav hlth day treat_ per hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2012","description":"Behav hlth day treat_ per hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tail bone ulcer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15922","description":"Removal of tail bone ulcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB13B","description":"HIPPS-LB13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC20D","description":"HIPPS-HC20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval npgs apnea 1 ses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0435T","description":"Prgrmg eval npgs apnea 1 ses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE24A","description":"HIPPS-LE24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8D","description":"HIPPS-RHB8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appliance cleaner","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5131","description":"Appliance cleaner","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinically node negative (T1N0N0 or T2N0N0) invasive breast cancer before or after neoadjuvant systemic therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9911","description":"Clinically node negative (T1N0N0 or T2N0N0) invasive breast cancer before or after neoadjuvant systemic therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Daunorubicin citrate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9151","description":"Daunorubicin citrate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD10B","description":"HIPPS-PD10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso r post pnl sj-t9 pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0630","description":"Lso r post pnl sj-t9 pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinoscpy w/medstnl bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39401","description":"Mediastinoscpy w/medstnl bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS CODE","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAA0","description":"SNF PDPM HIPPS CODE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair communication device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5336","description":"Repair communication device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA217","description":"HIPPS-CA217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX35","description":"HIPPS-RVX35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostoma hmes filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7504","description":"Tracheostoma hmes filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary hvy plstc pch w/o fp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4382","description":"Urinary hvy plstc pch w/o fp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous vertebral augmentations_ first thoracic and any additional thoracic or lumbar vertebral bodies_ including cavity creations (fracture reductions and bone biopsies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7507","description":"Percutaneous vertebral augmentations_ first thoracic and any additional thoracic or lumbar vertebral bodies_ including cavity creations (fracture reductions and bone biopsies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile gauze > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6404","description":"Sterile gauze > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00813","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813","description":"CPT-00813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm_ false aneurysm_ dissection_ endoleak_ or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34710","description":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm_ false aneurysm_ dissection_ endoleak_ or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pelvis lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38770","description":"Remove pelvis lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18C","description":"HIPPS-PB18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE211","description":"HIPPS-CE211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC130","description":"HIPPS-PC130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54420","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0150","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0150","description":"HCPCS-E0150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of arm & girdle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23900","description":"Amputation of arm & girdle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-2 probe&revrse trnscripj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87538","description":"Hiv-2 probe&revrse trnscripj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cst bse mtl inlay >= 3 surfa","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6605","description":"Cst bse mtl inlay >= 3 surfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0405","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0405","description":"HCPCS-C0405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL52","description":"HIPPS-RHL52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open drainage liver lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47010","description":"Open drainage liver lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0647U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0647U","description":"CPT-0647U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preventive Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4029","description":"Preventive Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL5","description":"HIPPS-2CFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Power module combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0479","description":"Power module combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0556","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0556","description":"HCPCS-G0556","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB12D","description":"HIPPS-CB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd us fine needle bx/aspir","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43242","description":"Egd us fine needle bx/aspir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0504","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0504","description":"CDT-D0504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ganciclovir sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1570","description":"Ganciclovir sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/a/gen/trk20.1-30.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12006","description":"Rpr s/n/a/gen/trk20.1-30.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral solution hepatic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B5100","description":"Parenteral solution hepatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental inlay resin 3/mre sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2652","description":"Dental inlay resin 3/mre sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chorionic gonadotropin assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84703","description":"Chorionic gonadotropin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA22C","description":"HIPPS-CA22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8H","description":"HIPPS-RHC8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special radiation dosimetry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77331","description":"Special radiation dosimetry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA151","description":"HIPPS-BA151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4570","description":"Splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Did Not Receive Both The 13-Valent Pneumococcal Conjugate Vaccine And The 23-Valent Pneumococcal Polysaccharide Vaccine At Least 12 Months Apart_ With The First Occurr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2159","description":"Patient Did Not Receive Both The 13-Valent Pneumococcal Conjugate Vaccine And The 23-Valent Pneumococcal Polysaccharide Vaccine At Least 12 Months Apart_ With The First Occurr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (cardiovascular disease)_ analysis of 4 proteins (NT-proBNP_ osteopontin_ tissue inhibitor of metalloproteinase-1 [TIMP-1]_ and kidney injury molecule-1 [KIM-1])_ p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0309U","description":"Cardiology (cardiovascular disease)_ analysis of 4 proteins (NT-proBNP_ osteopontin_ tissue inhibitor of metalloproteinase-1 [TIMP-1]_ and kidney injury molecule-1 [KIM-1])_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mometasone furoate sinus implant_ 10 mcg (Sinuva)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9122","description":"Mometasone furoate sinus implant_ 10 mcg (Sinuva)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj fem cont inf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64448","description":"N block inj fem cont inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE11B","description":"HIPPS-HE11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP2","description":"HIPPS-1AHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht leg splnt ped p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4047","description":"Cast sup sht leg splnt ped p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB25A","description":"HIPPS-PB25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.25d/12-2d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2107","description":"Spherocylinder 4.25d/12-2d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB120","description":"HIPPS-PB120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ gene-drug interactions_ variant analysis of 16 genes_ including deletion/duplication an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0392U","description":"Drug metabolism (depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ gene-drug interactions_ variant analysis of 16 genes_ including deletion/duplication an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proton trmt intermediate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77523","description":"Proton trmt intermediate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC216","description":"HIPPS-PC216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound cleanser any type/size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6260","description":"Wound cleanser any type/size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Testosterone pellet 75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0189","description":"Testosterone pellet 75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE13D","description":"HIPPS-PE13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC17","description":"HIPPS-RUC17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx ovarian recurrence","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9116","description":"Onc dx ovarian recurrence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28H","description":"HIPPS-HC28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB3A","description":"HIPPS-RUB3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNU","description":"HIPPS-1CGNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cortisol free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82530","description":"Cortisol free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2101","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2101","description":"CDT-D2101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cygnus_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4170","description":"Cygnus_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB24D","description":"HIPPS-CB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ)_ targeted genomic sequence analysis_ formalin-fixed paraffin-embedded (FFPE) tumor tissue_ DNA analysis_ 84 or more genes_ interrogation for sequence va","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0334U","description":"Oncology (solid organ)_ targeted genomic sequence analysis_ formalin-fixed paraffin-embedded (FFPE) tumor tissue_ DNA analysis_ 84 or more genes_ interrogation for sequence va","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLS","description":"HIPPS-2AGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy dilate/fx repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31630","description":"Bronchoscopy dilate/fx repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of torus palatinus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7472","description":"Removal of torus palatinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incisional biopsy of skin (eg_ wedge) (including simple closure_ when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11107","description":"Incisional biopsy of skin (eg_ wedge) (including simple closure_ when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN6","description":"HIPPS-1CGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sodium thiosulfate_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0208","description":"Injection_ sodium thiosulfate_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neg press wound tx >50 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97606","description":"Neg press wound tx >50 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluate pt use of inhaler","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94664","description":"Evaluate pt use of inhaler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB51","description":"HIPPS-RUB51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67840","description":"Remove eyelid lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Prostate)_ Mrna_ Microarray Gene Expression Profiling Of 22 Content Genes_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_ Algorithm Reported As Metastasis Risk S","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81542","description":"Oncology (Prostate)_ Mrna_ Microarray Gene Expression Profiling Of 22 Content Genes_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_ Algorithm Reported As Metastasis Risk S","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28A","description":"HIPPS-LC28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26480","description":"Transplant hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD15A","description":"HIPPS-PD15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpnt stay radiolabeled item","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9898","description":"Inpnt stay radiolabeled item","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antepartum care only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59425","description":"Antepartum care only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67911","description":"Revise eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise major vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33820","description":"Revise major vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acute pvd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1337","description":"Acute pvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30450","description":"Revision of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1375","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1375","description":"HCPCS-M1375","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0528U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0528U","description":"CPT-0528U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lang comp current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9159","description":"Lang comp current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75860","description":"Vein x-ray neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No trnsfr from anesth to cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0582F","description":"No trnsfr from anesth to cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj filgrastim excl biosimil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1442","description":"Inj filgrastim excl biosimil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Detach non-adjus hght armrst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0015","description":"Detach non-adjus hght armrst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine HCl (Bendeka)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9034","description":"Injection_ bendamustine HCl (Bendeka)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK6","description":"HIPPS-2BGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac rehab/monitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93798","description":"Cardiac rehab/monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not elig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9632","description":"Pt not elig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral hiv-1/hiv-2 screen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0435","description":"Oral hiv-1/hiv-2 screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryptococcus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86641","description":"Cryptococcus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62322","description":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35452","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rep part denture cast frame","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5620","description":"Rep part denture cast frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28E","description":"HIPPS-CD28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0684U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0684U","description":"CPT-0684U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC26","description":"HIPPS-RVC26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27880","description":"Amputation of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair liver wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47361","description":"Repair liver wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney & ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50236","description":"Removal of kidney & ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anal stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46705","description":"Repair of anal stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD20D","description":"HIPPS-PD20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96573","description":"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent psychiatric collaborative care management_ first 60 minutes in a subsequent month of behavioral health care manager activities_ in consultation with a psychiatric c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99493","description":"Subsequent psychiatric collaborative care management_ first 60 minutes in a subsequent month of behavioral health care manager activities_ in consultation with a psychiatric c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69643","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20206","description":"Needle biopsy muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antiepileptics nos 7/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80341","description":"Antiepileptics nos 7/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ casirivimab and imdevimab_ 600 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0240","description":"Injection_ casirivimab and imdevimab_ 600 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen quan lamotrigine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80175","description":"Drug screen quan lamotrigine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla class i&ii antibody qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86828","description":"Hla class i&ii antibody qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB254","description":"HIPPS-BB254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients in hospice on their initiation of dialysis date or during the month of evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1263","description":"Patients in hospice on their initiation of dialysis date or during the month of evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal_ Osseointegrated Implant_ Skull; With Percutaneous Attachment To External Speech Processor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69726","description":"Removal_ Osseointegrated Implant_ Skull; With Percutaneous Attachment To External Speech Processor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair lead pace-defib dual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33220","description":"Repair lead pace-defib dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (pemfexy)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9304","description":"Injection_ pemetrexed (pemfexy)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine&cord 2 trx crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63196","description":"Incise spine&cord 2 trx crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2151","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2151","description":"HCPCS-J2151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2002","description":"HCPCS-B2002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Serum lvls ca/ipth/lpd ord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3278F","description":"Serum lvls ca/ipth/lpd ord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prostate laser enucleation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52649","description":"Prostate laser enucleation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reusable pull-on any size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4536","description":"Reusable pull-on any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elevating whlchair leg rests","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0195","description":"Elevating whlchair leg rests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Split blood or products","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86985","description":"Split blood or products","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachy linear_ non-str_p-103","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2636","description":"Brachy linear_ non-str_p-103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup hip spica ped plstr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4027","description":"Cast sup hip spica ped plstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long-acting inhaled bronchodilator not prescribed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9699","description":"Long-acting inhaled bronchodilator not prescribed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hx injec drug use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9450","description":"Hx injec drug use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove windpipe lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31785","description":"Remove windpipe lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening fentanyl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80354","description":"Drug screening fentanyl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermatology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4000","description":"Dermatology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cellesta cord_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4214","description":"Cellesta cord_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0743","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0743","description":"HCPCS-E0743","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/replace knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27486","description":"Revise/replace knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj naloxone hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2310","description":"Inj naloxone hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hd low limb pros vacuum pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5782","description":"Hd low limb pros vacuum pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"DI GNOTYP SLC4A1 EXON 19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0183U","description":"DI GNOTYP SLC4A1 EXON 19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing complete hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81379","description":"Hla i typing complete hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55708","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55708","description":"CPT-55708","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Detect agent nos dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87799","description":"Detect agent nos dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Four total Medicare Diabetes Prevention Program (MDPP) core sessions were attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP servi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9874","description":"Four total Medicare Diabetes Prevention Program (MDPP) core sessions were attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP servi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interferon alfa-n3 inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9215","description":"Interferon alfa-n3 inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18G","description":"HIPPS-HE18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous ppi or h2ra rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4185F","description":"Continuous ppi or h2ra rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla ii typing 1 locus lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81376","description":"Hla ii typing 1 locus lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of thyroid (t3 or t4)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84479","description":"Assay of thyroid (t3 or t4)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy & duct catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52010","description":"Cystoscopy & duct catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1305","description":"Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ankle control ortho pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4350","description":"Ankle control ortho pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplt allo lymphocytes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38242","description":"Transplt allo lymphocytes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transverse Aortic Arch Graft_ With Cardiopulmonary Bypass_ With Profound Hypothermia_ Total Circulatory Arrest And Isolated Cerebral Perfusion With Reimplantation Of Arch Vess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33871","description":"Transverse Aortic Arch Graft_ With Cardiopulmonary Bypass_ With Profound Hypothermia_ Total Circulatory Arrest And Isolated Cerebral Perfusion With Reimplantation Of Arch Vess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA54","description":"HIPPS-RLA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fabric wrapping of aneurysm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0301","description":"Fabric wrapping of aneurysm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debridement_ bone including epidermis_ dermis_ subcutaneous tissue_ muscle and/or fascia_ if performed_ first 20 sq cm or less with manual preparation and insertion of deep (e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7500","description":"Debridement_ bone including epidermis_ dermis_ subcutaneous tissue_ muscle and/or fascia_ if performed_ first 20 sq cm or less with manual preparation and insertion of deep (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE13C","description":"HIPPS-LE13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise & treat bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51030","description":"Incise & treat bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLW","description":"HIPPS-3CGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing 1 allele hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81381","description":"Hla i typing 1 allele hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ DNA (523 genes) and RNA (55 genes) by next-generation sequencing_ interrogation for sequence variants_ gene cop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0379U","description":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ DNA (523 genes) and RNA (55 genes) by next-generation sequencing_ interrogation for sequence variants_ gene cop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Air elevator for heel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0370","description":"Air elevator for heel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramuscular inj of  (SARS[1]CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNALNP_ spike protein_ pres free_ 10 mcg/0.2 mL dosage; booster dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0074A","description":"Imm admin by intramuscular inj of  (SARS[1]CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNALNP_ spike protein_ pres free_ 10 mcg/0.2 mL dosage; booster dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part removal of ankle/heel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28120","description":"Part removal of ankle/heel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome study additional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88289","description":"Chromosome study additional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28306","description":"Incision of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhcp-svs of aide_ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0156","description":"Hhcp-svs of aide_ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited autopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88036","description":"Limited autopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Locm 200-299mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9966","description":"Locm 200-299mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2197","description":"Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspirin or another antiplatelet therapy not used_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1057","description":"Aspirin or another antiplatelet therapy not used_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA35","description":"HIPPS-RUA35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0553U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0553U","description":"CPT-0553U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transvaginal us obstetric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76817","description":"Transvaginal us obstetric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hand or foot nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64834","description":"Repair of hand or foot nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy submucous njx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45381","description":"Colonoscopy submucous njx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKT","description":"HIPPS-1AFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sperm duct(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55250","description":"Removal of sperm duct(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had cancer_ fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1041","description":"Patient had cancer_ fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul perm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0283T","description":"Periph field stimul perm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB210","description":"HIPPS-HB210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow disarticulation switch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6940","description":"Elbow disarticulation switch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive surgery of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42842","description":"Extensive surgery of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE260","description":"HIPPS-LE260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ acetaminophen (b braun) not therapeutically equivalent to j0131_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0136","description":"Injection_ acetaminophen (b braun) not therapeutically equivalent to j0131_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pros info op rpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9304","description":"Pros info op rpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54385","description":"Repair penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of spinal shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63744","description":"Revision of spinal shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD106","description":"HIPPS-HD106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of nephrovisceral fistula (eg_ renocolic)_ including visceral repair; thoracic approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50526","description":"Closure of nephrovisceral fistula (eg_ renocolic)_ including visceral repair; thoracic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test cran nerve bilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95868","description":"Muscle test cran nerve bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo ia push tecnique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96420","description":"Chemo ia push tecnique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnt pain noted pain prsnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1125F","description":"Amnt pain noted pain prsnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL33","description":"HIPPS-RVL33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ GELSYN-3_ for intra-articular injection_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7328","description":"Hyaluronan or derivative_ GELSYN-3_ for intra-articular injection_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc (ovarian) biocheml assays of five proteins (apolipoprotein A-1_ CA 125 II_ follicle stimulating hormone_ human epididymis protein 4_ transferrin)_ utilizing serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0003U","description":"Onc (ovarian) biocheml assays of five proteins (apolipoprotein A-1_ CA 125 II_ follicle stimulating hormone_ human epididymis protein 4_ transferrin)_ utilizing serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX2B","description":"HIPPS-RUX2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace socket hip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5702","description":"Replace socket hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidural lysis on single day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62264","description":"Epidural lysis on single day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35341","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser treatment of retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67040","description":"Laser treatment of retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rhythm ecg report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93042","description":"Rhythm ecg report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA3A","description":"HIPPS-RUA3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0806","description":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathologist(s)/dermatopathologist(s) is the same clinician who performed the biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9939","description":"Pathologist(s)/dermatopathologist(s) is the same clinician who performed the biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth hrt surg w/pmp age 1+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56251","description":"Anesth hrt surg w/pmp age 1+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genotype dna hiv reverse t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87901","description":"Genotype dna hiv reverse t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55709","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55709","description":"CPT-55709","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37295","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37295","description":"CPT-37295","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prefabricated resin crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2932","description":"Prefabricated resin crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt scrn dysphag/wt loss/nutr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3759F","description":"Pt scrn dysphag/wt loss/nutr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluid pressure muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20950","description":"Fluid pressure muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant ventricular device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33975","description":"Implant ventricular device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2102","description":"HCPCS-A2102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0013","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0013","description":"HCPCS-J0013","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admin on the same date of service for ages under 21 Medicaid only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0312","description":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admin on the same date of service for ages under 21 Medicaid only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx w/bone grft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21408","description":"Opn tx orbit fx w/bone grft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occlusal guard - hard appliance_ partial arch","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9946","description":"Occlusal guard - hard appliance_ partial arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-disposable underpads_ all sizes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4553","description":"Non-disposable underpads_ all sizes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE213","description":"HIPPS-CE213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHMU","description":"HIPPS-3BHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0559U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0559U","description":"CPT-0559U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17274","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Throat surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42999","description":"Throat surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB236","description":"HIPPS-LB236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81406","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00846","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00846","description":"CPT-00846","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5164","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5164","description":"HCPCS-Q5164","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation Supply; Sleeve_ Reusable_ Per Month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4436","description":"Irrigation Supply; Sleeve_ Reusable_ Per Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise two eye muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67316","description":"Revise two eye muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of humeral externally controlled intramedullary device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0595T","description":"Removal of humeral externally controlled intramedullary device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Powered pressure reducing underlay/pad_ alternating_ with pump_ inc heavy duty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0183","description":"Powered pressure reducing underlay/pad_ alternating_ with pump_ inc heavy duty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP4","description":"HIPPS-1CHP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed var ht w/o rail w/o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0292","description":"Hosp bed var ht w/o rail w/o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test def 15-21 classes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0482","description":"Drug test def 15-21 classes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dose optimization auc - 5fu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3722","description":"Dose optimization auc - 5fu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86701","description":"Hiv-1antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft kneecap tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27381","description":"Repair/graft kneecap tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2409","description":"Fetal surg noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB24B","description":"HIPPS-LB24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse esophagus & intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43340","description":"Fuse esophagus & intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anti rheum drugthxpyrxd/gvn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4187F","description":"Anti rheum drugthxpyrxd/gvn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl icar ischm mntrng dvce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0307T","description":"Rmvl icar ischm mntrng dvce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18D","description":"HIPPS-PD18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50715","description":"Release of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for artery repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76936","description":"Echo guide for artery repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Site no lung or lung cx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9424","description":"Site no lung or lung cx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23480","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio abdom w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74175","description":"Ct angio abdom w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Benesch boot pair junior","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3214","description":"Benesch boot pair junior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iiv3 vaccine 6-35 months im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90657","description":"Iiv3 vaccine 6-35 months im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasopharyngoscopy_ Surgical_ With Dilation Of Eustachian Tube (Ie_ Balloon Dilation); Unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69705","description":"Nasopharyngoscopy_ Surgical_ With Dilation Of Eustachian Tube (Ie_ Balloon Dilation); Unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC5A","description":"HIPPS-RMC5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic deluxe shoe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5508","description":"Diabetic deluxe shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Missed appointment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9986","description":"Missed appointment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behavior identification assessment_ administered by a physician or other qualified health care professional_ each 15 minutes of the physician_s or other qualified health care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97151","description":"Behavior identification assessment_ administered by a physician or other qualified health care professional_ each 15 minutes of the physician_s or other qualified health care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immune globulin_ powder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1566","description":"Immune globulin_ powder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB12","description":"HIPPS-RMB12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES301","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES301","description":"HIPPS-ES301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not having a follow up exam (e.g._ inadequate time for follow up)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1330","description":"Documentation of patient reason(s) for not having a follow up exam (e.g._ inadequate time for follow up)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHNW","description":"HIPPS-1AHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A8005","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8005","description":"HCPCS-A8005","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colistimethate inh sol mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0142","description":"Colistimethate inh sol mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD25C","description":"HIPPS-CD25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trans shoe solid stirrup exi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3620","description":"Trans shoe solid stirrup exi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8I","description":"HIPPS-RHB8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01320","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01320","description":"CPT-01320","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-evaluation of athletic training established plan of care requiring these components: An assessment of patient_s current functional status when there is a documented change;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97172","description":"Re-evaluation of athletic training established plan of care requiring these components: An assessment of patient_s current functional status when there is a documented change;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-emer transport wait time","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2007","description":"Non-emer transport wait time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rerepair ing hernia reduce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49520","description":"Rerepair ing hernia reduce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX4C","description":"HIPPS-RHX4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59350","description":"Repair of uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skn splt a-grft f/n/hf/g add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15121","description":"Skn splt a-grft f/n/hf/g add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethra injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53510","description":"Repair of urethra injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt trans to hosp post d/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8914","description":"Pt trans to hosp post d/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88007","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx px nfrosgrm &/urtrgrm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50431","description":"Njx px nfrosgrm &/urtrgrm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP19","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP19","description":"HIPPS-ATP19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smoking cessation class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9453","description":"Smoking cessation class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of nasal adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30560","description":"Release of nasal adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB136","description":"HIPPS-CB136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18F","description":"HIPPS-HE18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00756","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00756","description":"CPT-00756","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGLU","description":"HIPPS-3BGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical pathology reports that contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by dna-based testing status_ or both","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1193","description":"Surgical pathology reports that contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by dna-based testing status_ or both","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhc ot assistant ea 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0158","description":"Hhc ot assistant ea 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laminotomy addl cervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63043","description":"Laminotomy addl cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay tumor ca 19-9","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86301","description":"Immunoassay tumor ca 19-9","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mometasone furoate sinus implant_ 10 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7401","description":"Mometasone furoate sinus implant_ 10 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect hip tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27075","description":"Resect hip tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB3B","description":"HIPPS-RUB3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM6","description":"HIPPS-4BHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL54","description":"HIPPS-RHL54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1099T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1099T","description":"CPT-1099T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Com wrap-around sv_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2021","description":"Com wrap-around sv_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Statin presc disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9441","description":"Statin presc disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot drop splint pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4398","description":"Foot drop splint pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Megestrol 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0179","description":"Megestrol 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Cranberry Peak_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1008","description":"Clinical Decision Support Mechanism Cranberry Peak_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33422","description":"Revision of mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8C","description":"HIPPS-RUC8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC4B","description":"HIPPS-RMC4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of anal abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46050","description":"Incision of anal abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ qualitative; paper_ 2-dimensional_ analyte not elsewhere specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82488","description":"Chromatography_ qualitative; paper_ 2-dimensional_ analyte not elsewhere specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays transcath therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75894","description":"X-rays transcath therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair salivary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42500","description":"Repair salivary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 1.1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11642","description":"Exc f/e/e/n/l mal+mrg 1.1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evacuation Of Meibomian Glands_ Using Heat Delivered Through Wearable_ Open-Eye Eyelid Treatment Devices And Manual Gland Expression_ Bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0563T","description":"Evacuation Of Meibomian Glands_ Using Heat Delivered Through Wearable_ Open-Eye Eyelid Treatment Devices And Manual Gland Expression_ Bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beclomethasone comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7622","description":"Beclomethasone comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1071T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1071T","description":"CPT-1071T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC13A","description":"HIPPS-CC13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hightop w/ supp/pronator chi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3206","description":"Hightop w/ supp/pronator chi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Segmental pneumatic trunk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0656","description":"Segmental pneumatic trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA250","description":"HIPPS-PA250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0109","description":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0967T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0967T","description":"CPT-0967T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNW","description":"HIPPS-3BFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB24A","description":"HIPPS-BB24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude and duration_ configuration of wave form_ battery status_ elect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95973","description":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude and duration_ configuration of wave form_ battery status_ elect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation at shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23920","description":"Amputation at shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ranibizumab_ via intravitreal implant (Susvimo)_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2779","description":"Injection_ ranibizumab_ via intravitreal implant (Susvimo)_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio hrt w/3d image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75574","description":"Ct angio hrt w/3d image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cad cxr remote","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0175T","description":"Cad cxr remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandage roll_ inelastic short stretch_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6599","description":"Gradient compression bandage roll_ inelastic short stretch_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4383","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4383","description":"HCPCS-Q4383","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coronary art/grft angio s&i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93455","description":"Coronary art/grft angio s&i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93314","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo tib fx cast plaster mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2106","description":"Afo tib fx cast plaster mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Energy storing foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5976","description":"Energy storing foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-Invasive Calculation And Analysis Of Central Arterial Pressure Waveforms With Interpretation And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0311T","description":"Non-Invasive Calculation And Analysis Of Central Arterial Pressure Waveforms With Interpretation And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 2 shl symphys-stern cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0460","description":"Tlso 2 shl symphys-stern cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Serv asmnt/care plan waiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2024","description":"Serv asmnt/care plan waiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA136","description":"HIPPS-CA136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of surface (transcutaneous) neurostimulator (eg_ TENS unit)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64550","description":"Application of surface (transcutaneous) neurostimulator (eg_ TENS unit)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB21A","description":"HIPPS-LB21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC02","description":"HIPPS-RUC02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC2D","description":"HIPPS-RUC2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00921","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00921","description":"CPT-00921","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHN4","description":"HIPPS-3AHN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0670T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd serv 4 vsts p mo 2-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90954","description":"Esrd serv 4 vsts p mo 2-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacteria and fungi)_ gram-negative bacterial identification and drug resistance element detection_ DNA (21 gram-negative bacterial targets_ 6 resistance ge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0142U","description":"Infectious disease (bacteria and fungi)_ gram-negative bacterial identification and drug resistance element detection_ DNA (21 gram-negative bacterial targets_ 6 resistance ge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no ann srn hcv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9384","description":"Doc med reas no ann srn hcv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefiderocol_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0699","description":"Injection_ cefiderocol_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA20","description":"HIPPS-RHA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16073","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16073","description":"CPT-16073","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0155","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0155","description":"HCPCS-Q0155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osa mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8759","description":"Osa mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMT","description":"HIPPS-3AHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytomegalovirus dfa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87271","description":"Cytomegalovirus dfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art pancreas system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1034","description":"Art pancreas system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling indiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99403","description":"Preventive counseling indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA1C","description":"HIPPS-RMA1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"repair resin partial denture base_ mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5611","description":"repair resin partial denture base_ mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC26","description":"HIPPS-RHC26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transab esoph hiat hern rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43332","description":"Transab esoph hiat hern rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk joint covers pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5678","description":"Bk joint covers pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bile duct endoscopy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47550","description":"Bile duct endoscopy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect thigh/knee tum 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27364","description":"Resect thigh/knee tum 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise foot tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28086","description":"Excise foot tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA1A","description":"HIPPS-RHA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMS","description":"HIPPS-1CFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of diaphragm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39545","description":"Revision of diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ankle ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27698","description":"Repair of ankle ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand tendon reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26502","description":"Hand tendon reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unclassified drugs or biolog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9399","description":"Unclassified drugs or biolog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB02","description":"HIPPS-RVB02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8F","description":"HIPPS-RMA8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP3","description":"HIPPS-1BFP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plasma fresh frozen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86927","description":"Plasma fresh frozen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFKS","description":"HIPPS-5CFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy trisom risk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81507","description":"Fetal aneuploidy trisom risk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Av fusion/forearm vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36820","description":"Av fusion/forearm vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL55","description":"HIPPS-RUL55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPS","description":"HIPPS-1CGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 high noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6780","description":"Crown 3/4 high noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1443","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1443","description":"HCPCS-M1443","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod sed diff phys/qhp 5/>yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99149","description":"Mod sed diff phys/qhp 5/>yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stk cabg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8573","description":"Stk cabg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Anal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1073","description":"Radiation Therapy For Anal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of iron","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83540","description":"Assay of iron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE10D","description":"HIPPS-LE10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL3","description":"HIPPS-1BFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36200","description":"Place catheter in aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained Without Diagnostic Ultrasound Examination Of The Same Anatom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0689T","description":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained Without Diagnostic Ultrasound Examination Of The Same Anatom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44346","description":"Revision of colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18F","description":"HIPPS-BA18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ multi-omics (microbial DNA by shotgun next-generation sequencing and carcinoembryonic antigen and osteopontin by immunoassay)_ plasma_ algorithm reported as m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0395U","description":"Oncology (lung)_ multi-omics (microbial DNA by shotgun next-generation sequencing and carcinoembryonic antigen and osteopontin by immunoassay)_ plasma_ algorithm reported as m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood gases any combination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82803","description":"Blood gases any combination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA24D","description":"HIPPS-BA24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise wrist/forearm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25290","description":"Incise wrist/forearm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKU","description":"HIPPS-5AFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker_ battery powered_ wheeled_ folding_ adjustable or fixed height","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0152","description":"Walker_ battery powered_ wheeled_ folding_ adjustable or fixed height","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65270","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viia (antihemophilic factor_ recombinant)-jncw (sevenfact)_ 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7212","description":"Factor viia (antihemophilic factor_ recombinant)-jncw (sevenfact)_ 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose and 0.45% saline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5010","description":"5% dextrose and 0.45% saline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penile contracture device_ manual_ greater than 3 lbs traction force","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4988","description":"Penile contracture device_ manual_ greater than 3 lbs traction force","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair retinal detach cplx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67113","description":"Repair retinal detach cplx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla class ii semiquant panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86835","description":"Hla class ii semiquant panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefoperazone sod","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0021","description":"Injection_ cefoperazone sod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert cath pleura w/o image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32556","description":"Insert cath pleura w/o image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0401","description":"HCPCS-C0401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6060","description":"Abutment supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23545","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whfo_ rigid w/o joints","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3808","description":"Whfo_ rigid w/o joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tear film img uni/bi w/i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0330T","description":"Tear film img uni/bi w/i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8E","description":"HIPPS-RML8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL03","description":"HIPPS-RHL03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Care coord at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9477","description":"Care coord at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrics/Gynecology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4018","description":"Obstetrics/Gynecology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB205","description":"HIPPS-LB205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No record of HBV results documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9915","description":"No record of HBV results documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2048","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2048","description":"HCPCS-A2048","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genotype dna/rna hep c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87902","description":"Genotype dna/rna hep c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Construct bowel bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50825","description":"Construct bowel bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair amputee detach ar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1172","description":"Wheelchair amputee detach ar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKV","description":"HIPPS-4BHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28X","description":"HIPPS-HB28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 1.1-2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11602","description":"Exc tr-ext mal+marg 1.1-2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us bone density measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76977","description":"Us bone density measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1133","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Devise bowel pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44316","description":"Devise bowel pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ Response To Radiation_ Cell-Free Dna_ Quantitative Branched Chain Dna Amplification_ Plasma_ Reported As A Radiation Toxicity Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0285U","description":"Oncology_ Response To Radiation_ Cell-Free Dna_ Quantitative Branched Chain Dna Amplification_ Plasma_ Reported As A Radiation Toxicity Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable liquid oxygen sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0433","description":"Portable liquid oxygen sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1480","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1480","description":"HCPCS-M1480","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teprotumumab-trbw_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3241","description":"Injection_ teprotumumab-trbw_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28F","description":"HIPPS-PB28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX5C","description":"HIPPS-RLX5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methyldopate hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0210","description":"Methyldopate hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hfo w/joint(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3921","description":"Hfo w/joint(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 1 genotyping (HPA-1)_ ITGB3 (integrin_ beta 3 [platelet glycoprotein IIIa]_ antigen CD61 [GPIIIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ pos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81105","description":"Human Platelet Antigen 1 genotyping (HPA-1)_ ITGB3 (integrin_ beta 3 [platelet glycoprotein IIIa]_ antigen CD61 [GPIIIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ pos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/o us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20600","description":"Drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cephalothin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1890","description":"Cephalothin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peri-px device eval & prgr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93287","description":"Peri-px device eval & prgr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Csf shunt evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78645","description":"Csf shunt evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc spermatic cord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55559","description":"Laparo proc spermatic cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy planning","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77261","description":"Radiation therapy planning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ neck/head_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6567","description":"Gradient compression garment_ neck/head_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKT","description":"HIPPS-5BGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric partial denture fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6985","description":"Pediatric partial denture fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0980T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0980T","description":"CPT-0980T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scan proc spinal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61783","description":"Scan proc spinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risankizumab-rzaa_ intravenous_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2327","description":"Injection_ risankizumab-rzaa_ intravenous_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmp22 gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81325","description":"Pmp22 gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acp discuss/dscn mkr docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1123F","description":"Acp discuss/dscn mkr docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21085","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped gastro ed given caregvr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4058F","description":"Ped gastro ed given caregvr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28I","description":"HIPPS-PD28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pd mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8762","description":"Pd mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No rev_ comm_ track biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8885","description":"No rev_ comm_ track biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1271","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1271","description":"HCPCS-J1271","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add ue prost a/e acrylic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7404","description":"Add ue prost a/e acrylic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES31A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES31A","description":"HIPPS-ES31A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES360","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES360","description":"HIPPS-ES360","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLW","description":"HIPPS-1BHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc stage docd b/4 thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3300F","description":"Ajcc stage docd b/4 thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair paravag defect vag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57285","description":"Repair paravag defect vag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Applied Pathways_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1000","description":"Clinical Decision Support Mechanism Applied Pathways_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHPS","description":"HIPPS-1AHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk flex inner socket ext fra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5645","description":"Bk flex inner socket ext fra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45308","description":"Proctosigmoidoscopy removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delivery comp imrt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6016","description":"Delivery comp imrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42200","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aldosterone suppression eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80408","description":"Aldosterone suppression eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AFF2 (AF4/FMR2 family_ member 2 [FMR2]) (eg_ fragile X mental retardation 2 [FRAXE]) gene analysis; characterization of alleles (eg_ expanded size and methylation status)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81172","description":"AFF2 (AF4/FMR2 family_ member 2 [FMR2]) (eg_ fragile X mental retardation 2 [FRAXE]) gene analysis; characterization of alleles (eg_ expanded size and methylation status)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transnasal; diagnostic_ including collection of specimen(s) by brushing or washing_ when performed (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0652T","description":"Esophagogastroduodenoscopy_ flexible_ transnasal; diagnostic_ including collection of specimen(s) by brushing or washing_ when performed (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop app non-wgt bear dsg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5460","description":"Postop app non-wgt bear dsg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC154","description":"HIPPS-PC154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retinal prosth int/ext comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1841","description":"Retinal prosth int/ext comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rolapitant_ oral_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8670","description":"Rolapitant_ oral_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Swallow current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8996","description":"Swallow current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray aorta leg arteries","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75630","description":"X-ray aorta leg arteries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc forearm tum deep < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25076","description":"Exc forearm tum deep < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney & ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50234","description":"Removal of kidney & ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjust wrist ext/flex device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1805","description":"Adjust wrist ext/flex device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML15","description":"HIPPS-RML15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tendon shortening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26477","description":"Tendon shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj vagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64408","description":"N block inj vagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0549","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0549","description":"HCPCS-G0549","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical; with destruction by radiofrequency ablation_ posterior nasal nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31242","description":"Nasal/sinus endoscopy_ surgical; with destruction by radiofrequency ablation_ posterior nasal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect face/scalp tum < 2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21015","description":"Resect face/scalp tum < 2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB10","description":"HIPPS-RMB10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Combination sit to stand sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0637","description":"Combination sit to stand sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open tx nose fx uncomplicatd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21325","description":"Open tx nose fx uncomplicatd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Omegaven_ 10 Grams Lipids","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4187","description":"Omegaven_ 10 Grams Lipids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Basic life disability exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99450","description":"Basic life disability exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC44","description":"HIPPS-RVC44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64466","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64466","description":"CPT-64466","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flulaval vacc_ 3 yrs & >_ im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2036","description":"Flulaval vacc_ 3 yrs & >_ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pertuzumab_ trastuzumab_ and hyaluronidase-zzxf_ per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9316","description":"Injection_ pertuzumab_ trastuzumab_ and hyaluronidase-zzxf_ per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic servi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0772T","description":"Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic servi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In Hospice Or Using Hospice Services During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2153","description":"In Hospice Or Using Hospice Services During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad dos limts b/4 3d rad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0520F","description":"Rad dos limts b/4 3d rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove & treat brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61544","description":"Remove & treat brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision lesion mouth roof","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42104","description":"Excision lesion mouth roof","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of insulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83527","description":"Assay of insulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endocrine nuclear procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78099","description":"Endocrine nuclear procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; HIV-1 antigen(s)_ with HIV-1 and HIV-2 antibodies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87806","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; HIV-1 antigen(s)_ with HIV-1 and HIV-2 antibodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99343","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFK6","description":"HIPPS-4BFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8E","description":"HIPPS-RVB8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ calaspargase pegol-mknl_ 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9118","description":"Injection_ calaspargase pegol-mknl_ 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0590U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0590U","description":"CPT-0590U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pcv13 vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90670","description":"Pcv13 vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Less Than Or Equal To 3.0 Or Back Pain Measured By The Visual Analog Sca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2136","description":"Back Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Less Than Or Equal To 3.0 Or Back Pain Measured By The Visual Analog Sca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy with biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31510","description":"Laryngoscopy with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES305","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES305","description":"HIPPS-ES305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixation of ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27860","description":"Fixation of ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4351","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4351","description":"HCPCS-Q4351","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compres burn garment jacket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6509","description":"Compres burn garment jacket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMS","description":"HIPPS-1BHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ace/arb thxpy for mos/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4210F","description":"Ace/arb thxpy for mos/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nervous system nuclear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78699","description":"Nervous system nuclear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin rapid 5 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5550","description":"Insulin rapid 5 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9768","description":"Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27477","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35201","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthodontic treatment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8690","description":"Orthodontic treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj nalbuphine hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2300","description":"Inj nalbuphine hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB0B","description":"HIPPS-RUB0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/endoscope us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45391","description":"Colonoscopy w/endoscope us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PuraPly or PuraPly AM_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4172","description":"PuraPly or PuraPly AM_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0201","description":"HCPCS-C0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18A","description":"HIPPS-PA18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0557U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0557U","description":"CPT-0557U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of homocystine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83090","description":"Assay of homocystine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser Interstitial Thermal Therapy (Litt) Of Lesion_ Intracranial_ Including Burr Hole(S)_ With Magnetic Resonance Imaging Guidance_ When Performed; Single Trajectory For 1 Si","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61736","description":"Laser Interstitial Thermal Therapy (Litt) Of Lesion_ Intracranial_ Including Burr Hole(S)_ With Magnetic Resonance Imaging Guidance_ When Performed; Single Trajectory For 1 Si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aicd_ dual chamber","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1721","description":"Aicd_ dual chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lang comp goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9160","description":"Lang comp goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay lipoprotein pla2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83698","description":"Assay lipoprotein pla2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B screening in non-pregnant_ high risk individual includes hepatitis B surface antigen (HBSAG) followed by a neutralizing confirmatory test for initially reactive re","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0499","description":"Hepatitis B screening in non-pregnant_ high risk individual includes hepatitis B surface antigen (HBSAG) followed by a neutralizing confirmatory test for initially reactive re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55801","description":"Removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision graft thorax","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35905","description":"Excision graft thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder & nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51575","description":"Removal of bladder & nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg tendon each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27665","description":"Repair of leg tendon each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGPW","description":"HIPPS-3BGPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB206","description":"HIPPS-LB206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHNX","description":"HIPPS-1AHNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc cardiac modulj sys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0408T","description":"Insj/rplc cardiac modulj sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/ coronary artery stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4561F","description":"Pt w/ coronary artery stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2290","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2290","description":"HCPCS-J2290","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE14B","description":"HIPPS-PE14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":">=50% of total number of a patient_s outpatient RA encounters assessed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1007","description":">=50% of total number of a patient_s outpatient RA encounters assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA10D","description":"HIPPS-PA10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of sex hormone globul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84270","description":"Assay of sex hormone globul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost skn barr extnd >4 sq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4410","description":"Ost skn barr extnd >4 sq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52301","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA246","description":"HIPPS-BA246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA25A","description":"HIPPS-CA25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programmer for transient_ orally ingested capsule","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9268","description":"Programmer for transient_ orally ingested capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC10","description":"HIPPS-RVC10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC220","description":"HIPPS-HC220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo cholecystectomy/explr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47564","description":"Laparo cholecystectomy/explr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKX","description":"HIPPS-5CGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99345","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appl desensitizing resin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9911","description":"Appl desensitizing resin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc fx & test/txmnt for op","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5015F","description":"Doc fx & test/txmnt for op","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt re-evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97002","description":"Pt re-evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fxnl status assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1170F","description":"Fxnl status assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0502","description":"HCPCS-C0502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC131","description":"HIPPS-PC131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cuffs adj lock w/ active con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3740","description":"Cuffs adj lock w/ active con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFP3","description":"HIPPS-3AFP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41822","description":"Excision of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enteral stomach tube levine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4083","description":"Enteral stomach tube levine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Agglutinins febrile antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86000","description":"Agglutinins febrile antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medroxyprogesterone acetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1050","description":"Medroxyprogesterone acetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam k transpl w/doppler","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76776","description":"Us exam k transpl w/doppler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter w/bag 3-way","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4313","description":"Catheter w/bag 3-way","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0603","description":"HCPCS-C0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lorazepam injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2060","description":"Lorazepam injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove knee cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27347","description":"Remove knee cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bortezomib injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9041","description":"Bortezomib injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev soft tiss add imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10036","description":"Perq dev soft tiss add imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supply_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T5999","description":"Supply_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aldesleukin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9015","description":"Aldesleukin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0570","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0570","description":"HCPCS-G0570","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spacer bag/reservoir","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4627","description":"Spacer bag/reservoir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine hydrochloride (apotex)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9058","description":"Injection_ bendamustine hydrochloride (apotex)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of hip bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27147","description":"Revision of hip bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abatacept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0129","description":"Abatacept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1070T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1070T","description":"CPT-1070T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 hd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0851","description":"Pwc gp 3 hd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76705","description":"Echo exam of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult size pull-on med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4526","description":"Adult size pull-on med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopathology procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88199","description":"Cytopathology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI for tissue ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77022","description":"MRI for tissue ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC120","description":"HIPPS-LC120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient progr_ neurostim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1787","description":"Patient progr_ neurostim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64795","description":"Biopsy of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00406","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00406","description":"CPT-00406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of wrist capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25085","description":"Incision of wrist capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace lithium battery 1.5v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4602","description":"Replace lithium battery 1.5v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection ferric pyrophosphate citrate solution 0.1 mg iron","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9976","description":"Injection ferric pyrophosphate citrate solution 0.1 mg iron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Somatosensory testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95927","description":"Somatosensory testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vasopneumatic device therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97016","description":"Vasopneumatic device therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anl sp inf pmp w/mdreprg&fil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62370","description":"Anl sp inf pmp w/mdreprg&fil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86451","description":"Anesth removal of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients on peritoneal dialysis for any portion of the reporting month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0052","description":"Patients on peritoneal dialysis for any portion of the reporting month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vacc 3 dose immunsup im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90740","description":"Hepb vacc 3 dose immunsup im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87182","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87182","description":"CPT-87182","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suture bile duct injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47900","description":"Suture bile duct injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87636","description":"IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breath hydrogen/methane test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91065","description":"Breath hydrogen/methane test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex arm/elbow tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24076","description":"Ex arm/elbow tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58150","description":"Total hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9028","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9028","description":"HCPCS-J9028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tinnitus assessment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92625","description":"Tinnitus assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Truss single w/ standard pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8300","description":"Truss single w/ standard pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection of sclerosant; multiple incompetent veins (other than telangiectasia)_ same leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36471","description":"Injection of sclerosant; multiple incompetent veins (other than telangiectasia)_ same leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; Without Contrast Material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0633T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; Without Contrast Material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd balloon dil esoph30 mm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43233","description":"Egd balloon dil esoph30 mm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of thiocyanate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84430","description":"Assay of thiocyanate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA03","description":"HIPPS-AAA03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psych diag eval w/med srvcs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90792","description":"Psych diag eval w/med srvcs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht muscle image planar sing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78453","description":"Ht muscle image planar sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of heel spur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28119","description":"Removal of heel spur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1-Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66989","description":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1-Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat shoulder blade fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23575","description":"Treat shoulder blade fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33030","description":"Partial removal of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable 02 contents_ liquid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0444","description":"Portable 02 contents_ liquid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert drug implant device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11981","description":"Insert drug implant device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occlude fallopian tube(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58615","description":"Occlude fallopian tube(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ full length/chap style_ 40 mmhg or greater_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6561","description":"Gradient compression stocking_ full length/chap style_ 40 mmhg or greater_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFK2","description":"HIPPS-2AFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted molecular pathology","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81479","description":"Unlisted molecular pathology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD235","description":"HIPPS-HD235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX41","description":"HIPPS-RVX41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of toe joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28024","description":"Exploration of toe joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX5B","description":"HIPPS-RUX5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening pregabalin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80366","description":"Drug screening pregabalin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Refill/maint portable pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96521","description":"Refill/maint portable pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled air analysis o2/co2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94681","description":"Exhaled air analysis o2/co2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indiv pdc not > 0.8","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9513","description":"Indiv pdc not > 0.8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90481","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90481","description":"CPT-90481","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5144","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5144","description":"HCPCS-Q5144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD244","description":"HIPPS-LD244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD24D","description":"HIPPS-CD24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA16","description":"HIPPS-RLA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ntrk1 (Neurotrophic Receptor Tyrosine Kinase 1) (Eg_ Solid Tumors) Translocation Analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81191","description":"Ntrk1 (Neurotrophic Receptor Tyrosine Kinase 1) (Eg_ Solid Tumors) Translocation Analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Restrata_ Per Square Centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2007","description":"Restrata_ Per Square Centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen quant zonisamide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80203","description":"Drug screen quant zonisamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise finger joint each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26140","description":"Revise finger joint each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHLU","description":"HIPPS-2AHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Review patient spirometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94016","description":"Review patient spirometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC220","description":"HIPPS-CC220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC245","description":"HIPPS-CC245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M/phmtrc alys ishquant/semiq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88373","description":"M/phmtrc alys ishquant/semiq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55812","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA20A","description":"HIPPS-BA20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA1B","description":"HIPPS-RLA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99281","description":"Emergency dept visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (pemrydi rtu)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9324","description":"Injection_ pemetrexed (pemrydi rtu)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90612","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90612","description":"CPT-90612","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare constitutional and other heritable disorders_ whole genome and mitochondrial DNA sequence analysis_ blood_ frozen & formalin-fixed paraffin-embedded (FFPE) tissue_ saliva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0265U","description":"Rare constitutional and other heritable disorders_ whole genome and mitochondrial DNA sequence analysis_ blood_ frozen & formalin-fixed paraffin-embedded (FFPE) tissue_ saliva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impreg gauze no h20/sal/yard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6266","description":"Impreg gauze no h20/sal/yard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC135","description":"HIPPS-HC135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0639U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0639U","description":"CPT-0639U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9611","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9611","description":"HCPCS-A9611","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67141","description":"Treatment of retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of tacrolimus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80197","description":"Assay of tacrolimus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0968T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0968T","description":"CPT-0968T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nushield 1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4160","description":"Nushield 1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palliative Care Services Used By Patient Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9992","description":"Palliative Care Services Used By Patient Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGL6","description":"HIPPS-3BGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE111","description":"HIPPS-HE111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor x stuart-power","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85260","description":"Clot factor x stuart-power","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0366U","description":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1331","description":"Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11305","description":"Shave skin lesion 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palb2 (Partner And Localizer Of Brca2) (Eg_ Breast And Pancreatic Cancer) Gene Analysis; Known Familial Variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81308","description":"Palb2 (Partner And Localizer Of Brca2) (Eg_ Breast And Pancreatic Cancer) Gene Analysis; Known Familial Variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx sclc/nsclc limited","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9068","description":"Onc dx sclc/nsclc limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of needle or intracatheter_ upper or lower extremity artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36140","description":"Introduction of needle or intracatheter_ upper or lower extremity artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC5B","description":"HIPPS-RVC5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nsclc stg2 no progres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9064","description":"Onc dx nsclc stg2 no progres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC156","description":"HIPPS-HC156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"U/s trtmt_ not leiomyomata","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9734","description":"U/s trtmt_ not leiomyomata","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lev 3 hosp type b ed visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0382","description":"Lev 3 hosp type b ed visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc expectant management pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9053","description":"Onc expectant management pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin-oxygen affinity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82820","description":"Hemoglobin-oxygen affinity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier powder per oz","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4371","description":"Skin barrier powder per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation for wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9156","description":"Evaluation for wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pentamidine comp unit dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7676","description":"Pentamidine comp unit dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN6","description":"HIPPS-3AFN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise penis/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54336","description":"Revise penis/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0520","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0520","description":"HCPCS-Q0520","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate bone tumor(s) perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20983","description":"Ablate bone tumor(s) perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE15A","description":"HIPPS-HE15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair lead pace-defib one","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33218","description":"Repair lead pace-defib one","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deferoxamine mesylate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0895","description":"Deferoxamine mesylate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trac stand free stand pelvic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0900","description":"Trac stand free stand pelvic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motion fluoroscopy/swallow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92611","description":"Motion fluoroscopy/swallow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place device impacted tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7283","description":"Place device impacted tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecg monit/reprt up to 48 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93226","description":"Ecg monit/reprt up to 48 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise lumbar artif disc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22862","description":"Revise lumbar artif disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1023T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1023T","description":"CPT-1023T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial exam involved joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2004F","description":"Initial exam involved joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0018","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral - complete series of radiographic images - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0709","description":"Intraoral - complete series of radiographic images - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: head trauma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2187","description":"Patients with clinical indications for imaging of the head: head trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spkt/v greater than or equal to 1. 2 (single-pool clearance of urea [kt] / volume [v])","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8713","description":"Spkt/v greater than or equal to 1. 2 (single-pool clearance of urea [kt] / volume [v])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFM5","description":"HIPPS-2AFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk molded supracondylar susp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5670","description":"Bk molded supracondylar susp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c component-accessory nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0108","description":"W/c component-accessory nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64473","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64473","description":"CPT-64473","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17262","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens gas permeable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2531","description":"Contact lens gas permeable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA3C","description":"HIPPS-AAA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ piperacillin sodi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0081","description":"Injection_ piperacillin sodi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tongue lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41114","description":"Excision of tongue lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina tissue compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57111","description":"Remove vagina tissue compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28665","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levamisole 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0177","description":"Levamisole 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1027T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1027T","description":"CPT-1027T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specimen handling office-lab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99000","description":"Specimen handling office-lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18B","description":"HIPPS-HC18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0591U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0591U","description":"CPT-0591U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venous thrombosis imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78457","description":"Venous thrombosis imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35472","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoproterenol non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7658","description":"Isoproterenol non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31610","description":"Incision of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assert comm tx pgm per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0040","description":"Assert comm tx pgm per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (cerebral folate deficiency)_ serum_ detection of anti-human folate receptor IgG-binding antibody and blocking autoantibodies by enzyme-linked immunoassay (ELISA)_ q","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0399U","description":"Neurology (cerebral folate deficiency)_ serum_ detection of anti-human folate receptor IgG-binding antibody and blocking autoantibodies by enzyme-linked immunoassay (ELISA)_ q","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy internal hemorrhoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46930","description":"Destroy internal hemorrhoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA121","description":"HIPPS-CA121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8I","description":"HIPPS-RHC8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4435","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4435","description":"HCPCS-Q4435","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound-based radiofrequency echographic multi-spectrometry (REMS)_ bone-density study and fracture-risk assessment_ 1 or more sites_ hips_ pelvis_ or spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0815T","description":"Ultrasound-based radiofrequency echographic multi-spectrometry (REMS)_ bone-density study and fracture-risk assessment_ 1 or more sites_ hips_ pelvis_ or spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg artery-vein five","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33522","description":"Cabg artery-vein five","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aicd_ other than sing/dual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1882","description":"Aicd_ other than sing/dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay thyroid stim hormone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84443","description":"Assay thyroid stim hormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Misc/exper non-prescript dru","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9150","description":"Misc/exper non-prescript dru","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0595U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0595U","description":"CPT-0595U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA51","description":"HIPPS-RLA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Sandwich","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1761","description":"Home Delivered Meals-Sandwich","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23615","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialys sol fld vol > 5999cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4726","description":"Dialys sol fld vol > 5999cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachy_non-str_ytterbium-169","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2637","description":"Brachy_non-str_ytterbium-169","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periton dialysis plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0507F","description":"Periton dialysis plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hx bld transf b/f 1992","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9449","description":"Hx bld transf b/f 1992","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exchange biliary drg cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47536","description":"Exchange biliary drg cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLU","description":"HIPPS-1BHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 cast noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6782","description":"Crown 3/4 cast noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99307","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bl draw < 3 yrs fem/jugular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36400","description":"Bl draw < 3 yrs fem/jugular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NUDT15 (nudix hydrolase 15) and TPMT (thiopurine SCmethyltransferase) (eg drug metabolism) gene analysis common variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0169U","description":"NUDT15 (nudix hydrolase 15) and TPMT (thiopurine SCmethyltransferase) (eg drug metabolism) gene analysis common variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGPT","description":"HIPPS-3BGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLV","description":"HIPPS-4CFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGMT","description":"HIPPS-3BGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0588U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0588U","description":"CPT-0588U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ arm_ padded_ for nighttime use_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6523","description":"Gradient compression garment_ arm_ padded_ for nighttime use_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure for delivery of endovascular prosthesis_ by groin incision_ unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34812","description":"Open femoral artery exposure for delivery of endovascular prosthesis_ by groin incision_ unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of brow nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64732","description":"Incision of brow nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB25","description":"HIPPS-RMB25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knuckle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26715","description":"Treat knuckle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx sclc/nsclc ext at dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9069","description":"Onc dx sclc/nsclc ext at dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86052","description":"Anesth surgery of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7609","description":"Albuterol comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54324","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA53","description":"HIPPS-RLA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC206","description":"HIPPS-HC206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11446","description":"Exc face-mm b9+marg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fc receptor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86243","description":"Fc receptor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Macular pigment optical density measurement by heterochromatic flicker photometry_ unilateral or bilateral_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0506T","description":"Macular pigment optical density measurement by heterochromatic flicker photometry_ unilateral or bilateral_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision Or Replacement Of Hypoglossal Nerve Neurostimulator Array And Distal Respiratory Sensor Electrode Or Electrode Array_ Including Connection To Existing Pulse Generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64583","description":"Revision Or Replacement Of Hypoglossal Nerve Neurostimulator Array And Distal Respiratory Sensor Electrode Or Electrode Array_ Including Connection To Existing Pulse Generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66625","description":"Removal of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vacc 4 dose immunsup im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90747","description":"Hepb vacc 4 dose immunsup im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Staggered spondaic word test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92572","description":"Staggered spondaic word test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vancomycin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80202","description":"Assay of vancomycin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abl1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81170","description":"Abl1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0802","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0802","description":"CDT-D0802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin sig dep sym by dep tool","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3354F","description":"Clin sig dep sym by dep tool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cannabinoids synthetic 4-6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80351","description":"Cannabinoids synthetic 4-6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethral lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57230","description":"Repair of urethral lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01772","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01772","description":"CPT-01772","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK2","description":"HIPPS-1CGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scratch resistant coating","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2760","description":"Scratch resistant coating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of toe tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28011","description":"Incision of toe tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB151","description":"HIPPS-LB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2002","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2002","description":"CDT-D2002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen concentrator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1390","description":"Oxygen concentrator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28570","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC104","description":"HIPPS-PC104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imaging coil_ mr_ insertable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1770","description":"Imaging coil_ mr_ insertable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair septal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33813","description":"Repair septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES204","description":"HIPPS-ES204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe lift elev heel/sole cor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3320","description":"Shoe lift elev heel/sole cor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0477U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0477U","description":"CPT-0477U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Refitting of obturator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5933","description":"Refitting of obturator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment Supported Retainer - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6195","description":"Abutment Supported Retainer - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA25D","description":"HIPPS-PA25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24147","description":"Partial removal of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q2058","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2058","description":"HCPCS-Q2058","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprssion thxpy prescribed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4267F","description":"Comprssion thxpy prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hbv assess&results intrp 1yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3517F","description":"Hbv assess&results intrp 1yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid exam one ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92590","description":"Hearing aid exam one ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: occipital headache in children","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2195","description":"Patients with clinical indications for imaging of the head: occipital headache in children","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anal sp inf pmp w/reprg&fill","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62369","description":"Anal sp inf pmp w/reprg&fill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0403","description":"HCPCS-A0403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vitolarsen_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1427","description":"Injection_ vitolarsen_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of glucosidase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82963","description":"Assay of glucosidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKW","description":"HIPPS-4CHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med list docd in rcrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1159F","description":"Med list docd in rcrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGL1","description":"HIPPS-3BGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES13B","description":"HIPPS-ES13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injectable poly-l-lactic acid_ restorative implant_ 1 ml_ face (deep dermis_ subcutaneous layers)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0196","description":"Injectable poly-l-lactic acid_ restorative implant_ 1 ml_ face (deep dermis_ subcutaneous layers)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quant results activity &symp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3115F","description":"Quant results activity &symp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat dental ridge fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21440","description":"Treat dental ridge fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65600","description":"Revision of cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m mebrofenin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9537","description":"Tc99m mebrofenin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Improving care for lower extremity joint repair mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0058","description":"Improving care for lower extremity joint repair mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML2A","description":"HIPPS-RML2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLU","description":"HIPPS-2CHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous blood process","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86890","description":"Autologous blood process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ with definitive confirmation of positive results","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0111U","description":"Drug test(s)_ presumptive_ with definitive confirmation of positive results","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of aqueous drainage device_ without extraocular reservoir_ internal approach_ into the subconjunctival space; each additional device (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0450T","description":"Insertion of aqueous drainage device_ without extraocular reservoir_ internal approach_ into the subconjunctival space; each additional device (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thawing cryopresrved sperm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89353","description":"Thawing cryopresrved sperm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not elig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9626","description":"Pt not elig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc xdrl spine lesn lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63277","description":"Bx/exc xdrl spine lesn lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8A","description":"HIPPS-RVB8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lpn home care per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1031","description":"Lpn home care per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ablate renal mass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50542","description":"Laparo ablate renal mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27445","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44141","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC22","description":"HIPPS-RUC22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cessj therapy cath removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37214","description":"Cessj therapy cath removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC221","description":"HIPPS-LC221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE13C","description":"HIPPS-CE13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryoprecipitate each unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9012","description":"Cryoprecipitate each unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18B","description":"HIPPS-LD18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN4","description":"HIPPS-1CGN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laminotomy single lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63042","description":"Laminotomy single lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0925T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0925T","description":"CPT-0925T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tendon lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27630","description":"Removal of tendon lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary cardiomyopathy (eg_ hypertrophic cardiomyopathy_ dilated cardiomyopathy_ arrhythmogenic right ventricular cardiomyopathy)_ genomic sequence analysis panel_ must inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81439","description":"Hereditary cardiomyopathy (eg_ hypertrophic cardiomyopathy_ dilated cardiomyopathy_ arrhythmogenic right ventricular cardiomyopathy)_ genomic sequence analysis panel_ must inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1050T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1050T","description":"CPT-1050T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Personalized target development for accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation derived from a structural and resting-state fu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0889T","description":"Personalized target development for accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation derived from a structural and resting-state fu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Includes Recording_ Scanning Analysis With Report_ Revie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93245","description":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Includes Recording_ Scanning Analysis With Report_ Revie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace pretibial shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4130","description":"Replace pretibial shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65800","description":"Drainage of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of foot bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28122","description":"Partial removal of foot bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36215","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of folic acid rbc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82747","description":"Assay of folic acid rbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28294","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose in lactated ringer_s_ 1000 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5011","description":"5% dextrose in lactated ringer_s_ 1000 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA16","description":"HIPPS-AAA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chem/antisept solution_ 8oz","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4674","description":"Chem/antisept solution_ 8oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Agalsidase beta injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0180","description":"Agalsidase beta injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mcp joint arthroscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29901","description":"Mcp joint arthroscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA41","description":"HIPPS-AAA41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mrs disc pain alg alys data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0611T","description":"Mrs disc pain alg alys data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex h rate for sz ovr 30 day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0385T","description":"Ex h rate for sz ovr 30 day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath smear other source","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88160","description":"Cytopath smear other source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pros sheath/sock w gel cushn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8417","description":"Pros sheath/sock w gel cushn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imp/abut fixed dent part man","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6117","description":"Imp/abut fixed dent part man","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-2 dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87537","description":"Hiv-2 dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28H","description":"HIPPS-CD28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ irinotecan liposome_ 1 mg (Onivyde)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9474","description":"Injection_ irinotecan liposome_ 1 mg (Onivyde)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54205","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radical resect abd tumor<5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22904","description":"Radical resect abd tumor<5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay carboxyhb qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82376","description":"Assay carboxyhb qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Observational behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by one tec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0360T","description":"Observational behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by one tec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Fetal Monitoring Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0621","description":"Hospital Special Treatment Room Support Component (Hstrsc) Fetal Monitoring Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD225","description":"HIPPS-CD225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD104","description":"HIPPS-CD104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rout foot care per visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0390","description":"Rout foot care per visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX06","description":"HIPPS-RMX06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB22B","description":"HIPPS-PB22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enteral feed sup kit grav by","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4036","description":"Enteral feed sup kit grav by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cbt 1st hour","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94644","description":"Cbt 1st hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair fistula w/colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45825","description":"Repair fistula w/colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral supp not othrws c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9999","description":"Parenteral supp not othrws c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC51","description":"HIPPS-RVC51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay galactose transferase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82775","description":"Assay galactose transferase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27831","description":"Treat lower leg dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recd f/u w/in 30d disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9402","description":"Recd f/u w/in 30d disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Day habil waiver per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2021","description":"Day habil waiver per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Cyclophosphamide_ (Auromedics)_ 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9087","description":"Injection_ Cyclophosphamide_ (Auromedics)_ 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ guselkumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9029","description":"Injection_ guselkumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opiates 1 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80361","description":"Opiates 1 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Creatine isoforms","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82554","description":"Creatine isoforms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFM4","description":"HIPPS-1BFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled carbon dioxide test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94770","description":"Exhaled carbon dioxide test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile gauze <= 16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6402","description":"Sterile gauze <= 16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA33","description":"HIPPS-RHA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00922","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00922","description":"CPT-00922","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8I","description":"HIPPS-RUC8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan 2 main dr by 1 month","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5050F","description":"Plan 2 main dr by 1 month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1437","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1437","description":"HCPCS-M1437","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd control bleeding any","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43255","description":"Egd control bleeding any","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB10C","description":"HIPPS-CB10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD13A","description":"HIPPS-LD13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX20","description":"HIPPS-RUX20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0566","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0566","description":"HCPCS-G0566","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical splint","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5988","description":"Surgical splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Of Drug-Eluting Implant_ Including Punctal Dilation When Performed_ Into Lacrimal Canaliculus_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68841","description":"Insertion Of Drug-Eluting Implant_ Including Punctal Dilation When Performed_ Into Lacrimal Canaliculus_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gi tract capsule endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91110","description":"Gi tract capsule endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Who Use Palliative Care Services Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9995","description":"Patients Who Use Palliative Care Services Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial valve remov addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31649","description":"Bronchial valve remov addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ag detection polyval if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87300","description":"Ag detection polyval if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection into brain canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61026","description":"Injection into brain canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD130","description":"HIPPS-PD130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Had A Prior Influenza Virus Vaccine Adverse Reaction Any Time Before Or During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2164","description":"Patient Had A Prior Influenza Virus Vaccine Adverse Reaction Any Time Before Or During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFMX","description":"HIPPS-3AFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; With Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0634T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; With Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Sulfur Hexafouride Lipid Microsphere Per Ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9457","description":"Injection Sulfur Hexafouride Lipid Microsphere Per Ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cabg w/pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56752","description":"Anesth cabg w/pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC12D","description":"HIPPS-PC12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (diabetic chronic kidney disease [CKD])_ multiplex electrochemiluminescent immunoassay (ECLIA) of soluble tumor necrosis factor receptor 1 (sTNFR1)_ soluble tumor n","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0407U","description":"Nephrology (diabetic chronic kidney disease [CKD])_ multiplex electrochemiluminescent immunoassay (ECLIA) of soluble tumor necrosis factor receptor 1 (sTNFR1)_ soluble tumor n","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lodging per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9976","description":"Lodging per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g._ prior anaphylaxis due to the pneumococcal vaccine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1178","description":"Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g._ prior anaphylaxis due to the pneumococcal vaccine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52214","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-Cement Or Re-Bond Unilateral Space Maintainer - Per Quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1553","description":"Re-Cement Or Re-Bond Unilateral Space Maintainer - Per Quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ romidepsin_ lyophilized_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9319","description":"Injection_ romidepsin_ lyophilized_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc medrsn no histo type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9282","description":"Doc medrsn no histo type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained with concurrent CT examination of any structure contained in the c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0722T","description":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained with concurrent CT examination of any structure contained in the c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair head rest extensi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0966","description":"Wheelchair head rest extensi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD15C","description":"HIPPS-PD15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA240","description":"HIPPS-PA240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise parotid gland/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42410","description":"Excise parotid gland/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare donor lung double","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32856","description":"Prepare donor lung double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient has a reactive hcv antibody test_ and has a follow up hcv viral test that does not detect hcv viremia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1234","description":"Patient has a reactive hcv antibody test_ and has a follow up hcv viral test that does not detect hcv viremia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doppler flow testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93990","description":"Doppler flow testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64657","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64657","description":"CPT-64657","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace prox & dist upright","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4070","description":"Replace prox & dist upright","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX45","description":"HIPPS-RHX45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18H","description":"HIPPS-HB18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clonidine hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0735","description":"Clonidine hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Development of cognitive skills to improve attention_ memory_ problem solving (includes compensatory training)_ direct (one-on-one) patient contact_ each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0515","description":"Development of cognitive skills to improve attention_ memory_ problem solving (includes compensatory training)_ direct (one-on-one) patient contact_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX3D","description":"HIPPS-RVX3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL06","description":"HIPPS-RVL06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair urethrovaginal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57310","description":"Repair urethrovaginal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No asp therp used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8599","description":"No asp therp used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opps/php; train & educ serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0177","description":"Opps/php; train & educ serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX31","description":"HIPPS-RLX31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0926T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0926T","description":"CPT-0926T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt/rpl crtd sns dev gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0268T","description":"Implt/rpl crtd sns dev gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"JK GNOTYP SLC14A1 EXON 9","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0192U","description":"JK GNOTYP SLC14A1 EXON 9","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGP5","description":"HIPPS-3CGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg <=16 sq in w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6251","description":"Absorpt drg <=16 sq in w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knuckle joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26517","description":"Fusion of knuckle joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services for patient received any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9723","description":"Hospice services for patient received any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interprof phone/online 11-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99447","description":"Interprof phone/online 11-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl skn surf brachytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77768","description":"Hdr rdncl skn surf brachytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise flexor carpi radialis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25001","description":"Incise flexor carpi radialis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES250","description":"HIPPS-ES250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain bladder by needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51100","description":"Drain bladder by needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK4","description":"HIPPS-3CGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Membrane graft or membrane wrap_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4205","description":"Membrane graft or membrane wrap_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin (fiasp) for administration through dme (i.e._ insulin pump) per 50 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1811","description":"Insulin (fiasp) for administration through dme (i.e._ insulin pump) per 50 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0817T","description":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cyto/molecular report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88291","description":"Cyto/molecular report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upgrade of pacemaker system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33214","description":"Upgrade of pacemaker system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0561T","description":"Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA44","description":"HIPPS-AAA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add pwr leg elevation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1010","description":"Add pwr leg elevation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasopharyngoscopy_ Surgical_ With Dilation Of Eustachian Tube (Ie_ Balloon Dilation); Bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69706","description":"Nasopharyngoscopy_ Surgical_ With Dilation Of Eustachian Tube (Ie_ Balloon Dilation); Bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0501","description":"HCPCS-B0501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp5 ped sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0890","description":"Pwc gp5 ped sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18F","description":"HIPPS-LD18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Received At Least One Td Vaccine Or One Tdap Vaccine Between Nine Years Prior To The Start Of The Measurement Period And The End Of The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2154","description":"Patient Received At Least One Td Vaccine Or One Tdap Vaccine Between Nine Years Prior To The Start Of The Measurement Period And The End Of The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perfluoroalkyl substances (PFAS) (eg_ perfluorooctanoic acid_ perfluorooctane sulfonic acid)_ 16 PFAS compounds by liquid chromatography with tandem mass spectrometry (LC-MS/M","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0394U","description":"Perfluoroalkyl substances (PFAS) (eg_ perfluorooctanoic acid_ perfluorooctane sulfonic acid)_ 16 PFAS compounds by liquid chromatography with tandem mass spectrometry (LC-MS/M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB20D","description":"HIPPS-BB20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instrumenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97550","description":"Caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instrumenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stnd wt frame power whlchr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0010","description":"Stnd wt frame power whlchr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop cyst eval trac inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9606","description":"Intraop cyst eval trac inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood ketone test or strip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4252","description":"Blood ketone test or strip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had documentation of use of anticoagulant medications overlapping the measurement year","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9724","description":"Patients who had documentation of use of anticoagulant medications overlapping the measurement year","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Baseline mrs > 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1236","description":"Baseline mrs > 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD23B","description":"HIPPS-PD23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Omalizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2357","description":"Omalizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring (Eg_ Respiratory System Status_ Musculoskeletal System Status_ Therapy Adherence_ Therapy Response); Device(S) Supply With Scheduled (Eg_ Daily)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98976","description":"Remote Therapeutic Monitoring (Eg_ Respiratory System Status_ Musculoskeletal System Status_ Therapy Adherence_ Therapy Response); Device(S) Supply With Scheduled (Eg_ Daily)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"DNA analysis_ fecal_ for colorectal cancer screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3890","description":"DNA analysis_ fecal_ for colorectal cancer screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Principal illness navigation services_ additional 30 minutes per calendar month (list separately in addition to g0023)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0024","description":"Principal illness navigation services_ additional 30 minutes per calendar month (list separately in addition to g0023)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00562","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00562","description":"CPT-00562","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aerosol mask used w nebulize","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7015","description":"Aerosol mask used w nebulize","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pain management (opioid-use disorder) genotyping panel_ 16 common variants (ie_ ABCB1_ COMT_ DAT1_ DBH_ DOR_ DRD1_ DRD2_ DRD4_ GABA_ GAL_ HTR2A_ HTTLPR_ MTHFR_ MUOR_ OPRK1_ OP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0078U","description":"Pain management (opioid-use disorder) genotyping panel_ 16 common variants (ie_ ABCB1_ COMT_ DAT1_ DBH_ DOR_ DRD1_ DRD2_ DRD4_ GABA_ GAL_ HTR2A_ HTTLPR_ MTHFR_ MUOR_ OPRK1_ OP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mirvetuximab soravtansine-gynx_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9146","description":"Injection_ mirvetuximab soravtansine-gynx_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA211","description":"HIPPS-BA211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25574","description":"Treat fracture radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25265","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collect & prep saliva sample","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0417","description":"Collect & prep saliva sample","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial valve remov init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31648","description":"Bronchial valve remov init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tantalum ring application","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8030","description":"Tantalum ring application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place breast cath for rad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19297","description":"Place breast cath for rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access; Complete Bilateral Study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93985","description":"Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access; Complete Bilateral Study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0403","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0403","description":"CDT-D0403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telethx isodose plan simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77306","description":"Telethx isodose plan simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE21C","description":"HIPPS-HE21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; noninvasive arrhythmia localization and mapping of arrhythmia site (nidus)_ derived from anatomical image da","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0745T","description":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; noninvasive arrhythmia localization and mapping of arrhythmia site (nidus)_ derived from anatomical image da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic intern lock elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6350","description":"Thoracic intern lock elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18H","description":"HIPPS-CC18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX24","description":"HIPPS-RVX24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0999T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0999T","description":"CPT-0999T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt info into recall system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"7010F","description":"Pt info into recall system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic ring fx treat int fix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0414","description":"Pelvic ring fx treat int fix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Benzodiazepines","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6031","description":"Benzodiazepines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft een & lips","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15260","description":"Skin full graft een & lips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med record copy admin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9981","description":"Med record copy admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O2 flow reg pos inspir press","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1352","description":"O2 flow reg pos inspir press","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autograft Suspension_ Including Cell Processing And Application_ And All System Components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1832","description":"Autograft Suspension_ Including Cell Processing And Application_ And All System Components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment social skills group_ administered by physician or other qualified health care professional face-to-face with multiple patients","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0372T","description":"Adaptive behavior treatment social skills group_ administered by physician or other qualified health care professional face-to-face with multiple patients","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub graft t/a/l add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15272","description":"Skin sub graft t/a/l add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB216","description":"HIPPS-CB216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL14","description":"HIPPS-RVL14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD24B","description":"HIPPS-PD24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLT","description":"HIPPS-3BHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intracoronary infusion of supersaturated oxygen in conjunction w/percutaneous coronary revascularization during acute myocardial infarction_ including catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0659T","description":"Transcatheter intracoronary infusion of supersaturated oxygen in conjunction w/percutaneous coronary revascularization during acute myocardial infarction_ including catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLV","description":"HIPPS-4CHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med risk prostate cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3272F","description":"Med risk prostate cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC120","description":"HIPPS-HC120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Days; 5-10 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99421","description":"Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Days; 5-10 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL2","description":"HIPPS-4AFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"D/c hemo or perit dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9523","description":"D/c hemo or perit dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of sperm duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55450","description":"Ligation of sperm duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-sterile gauze > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6218","description":"Non-sterile gauze > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB104","description":"HIPPS-HB104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo iv infusion 1 hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96413","description":"Chemo iv infusion 1 hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No rh-immunoglobulin order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8811","description":"No rh-immunoglobulin order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace strap_ any orthosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4002","description":"Replace strap_ any orthosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6005","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemostatic agent_ gastrointestinal_ topical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1052","description":"Hemostatic agent_ gastrointestinal_ topical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"General health panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80050","description":"General health panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL5A","description":"HIPPS-RVL5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Td vacc no presv 7 yrs+ im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90714","description":"Td vacc no presv 7 yrs+ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8C","description":"HIPPS-RMA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18A","description":"HIPPS-PE18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition_ endoskeletal knee-shin system_ polycentric_ pneumatic swing_ and stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5841","description":"Addition_ endoskeletal knee-shin system_ polycentric_ pneumatic swing_ and stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy_ flexible_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0885T","description":"Colonoscopy_ flexible_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraor complete film series","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0210","description":"Intraor complete film series","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ qualitative; thin layer_ analyte not elsewhere specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82489","description":"Chromatography_ qualitative; thin layer_ analyte not elsewhere specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Verify pt site pxd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6100F","description":"Verify pt site pxd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1069T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1069T","description":"CPT-1069T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open/perq place stent same","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37238","description":"Open/perq place stent same","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame attached to b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0920","description":"Fracture frame attached to b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50610","description":"Removal of ureter stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKS","description":"HIPPS-1AHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom gradient sleev/glov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8420","description":"Custom gradient sleev/glov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove blood clot from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65930","description":"Remove blood clot from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infiltration of sustained release therapeutic drug - single or multiple sites","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9613","description":"Infiltration of sustained release therapeutic drug - single or multiple sites","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD250","description":"HIPPS-CD250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01682","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01682","description":"CPT-01682","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90695","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90695","description":"CPT-90695","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLX","description":"HIPPS-2AGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifocal 4.25-7/4.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2309","description":"Lens sphc trifocal 4.25-7/4.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM5","description":"HIPPS-1AFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB20A","description":"HIPPS-PB20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21436","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor lobectomy (lung)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2061","description":"Donor lobectomy (lung)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reproductive Medicine (Endometrial Receptivity Analysis)_ Rna Gene Expression Profile_ 238 Genes By Next-Generation Sequencing_ Endometrial Tissue_ Predictive Algorithm Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0253U","description":"Reproductive Medicine (Endometrial Receptivity Analysis)_ Rna Gene Expression Profile_ 238 Genes By Next-Generation Sequencing_ Endometrial Tissue_ Predictive Algorithm Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of rectal stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45150","description":"Excision of rectal stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain aneurysm repr complx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61697","description":"Brain aneurysm repr complx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion >2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11313","description":"Shave skin lesion >2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE125","description":"HIPPS-LE125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61539","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA05","description":"HIPPS-RHA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair maxillofacial prosth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8049","description":"Repair maxillofacial prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no pos air press","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8849","description":"Doc reas no pos air press","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove mandible cyst complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21046","description":"Remove mandible cyst complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth anorectal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90251","description":"Anesth anorectal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB10B","description":"HIPPS-HB10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/fast/dir lab ldl-c >190","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9675","description":"Pt w/fast/dir lab ldl-c >190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cstm manual wheelchair/base","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0008","description":"Cstm manual wheelchair/base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1001","description":"HCPCS-B1001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98972","description":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compression stocking bk40-50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6532","description":"Compression stocking bk40-50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC216","description":"HIPPS-CC216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins (teratocarcinoma derived growth factor-1 [TDGF-1_ Cripto-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0163U","description":"Oncology (colorectal) screening_ biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins (teratocarcinoma derived growth factor-1 [TDGF-1_ Cripto-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0305","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0305","description":"HCPCS-A0305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; unilateral placement_ including cystoscopy and fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0549T","description":"Transperineal periurethral balloon continence device; unilateral placement_ including cystoscopy and fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation medicine (kidney allograft rejection)_ microarray gene expression profiling of 1494 genes_ utilizing transplant biopsy tissue_ algorithm reported as a probabil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0088U","description":"Transplantation medicine (kidney allograft rejection)_ microarray gene expression profiling of 1494 genes_ utilizing transplant biopsy tissue_ algorithm reported as a probabil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Overdenture partial mandib","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5866","description":"Overdenture partial mandib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB56","description":"HIPPS-RUB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q9997","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9997","description":"HCPCS-Q9997","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29874","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electro connect btw control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2310","description":"Electro connect btw control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP11","description":"HIPPS-ATP11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX1C","description":"HIPPS-RLX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical testimony","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99075","description":"Medical testimony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES35A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES35A","description":"HIPPS-ES35A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA53","description":"HIPPS-RVA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lith ion non prosth recharge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4601","description":"Lith ion non prosth recharge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat metacarpal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26600","description":"Treat metacarpal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLS","description":"HIPPS-4AHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of arm nerve(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64713","description":"Revision of arm nerve(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK2","description":"HIPPS-3AFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of rib fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21813","description":"Treatment of rib fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFN5","description":"HIPPS-3BFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microdissection laser","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88380","description":"Microdissection laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25505","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0407","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0407","description":"HCPCS-A0407","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc antibody identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86870","description":"Rbc antibody identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular dev_ intraop_ det ret","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1784","description":"Ocular dev_ intraop_ det ret","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9736","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18D","description":"HIPPS-CE18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewho cap design w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3961","description":"Sewho cap design w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct skin color ea 20.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11922","description":"Correct skin color ea 20.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB5D","description":"HIPPS-RUB5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0992T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0992T","description":"CPT-0992T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser tx skin >500 sq cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96922","description":"Laser tx skin >500 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64656","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64656","description":"CPT-64656","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ulnar nerve at elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64718","description":"Revise ulnar nerve at elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test presump not opt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0479","description":"Drug test presump not opt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam drg <=16 sq in w/border","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6212","description":"Foam drg <=16 sq in w/border","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0231T","description":"Njx tfrml eprl w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy flexible brush","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43200","description":"Esophagoscopy flexible brush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0569U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0569U","description":"CPT-0569U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc count of ct in 12mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9322","description":"No doc count of ct in 12mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD117","description":"HIPPS-PD117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct scan for therapy guide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77014","description":"Ct scan for therapy guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Outside state ambulance serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0021","description":"Outside state ambulance serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lovotibeglogene autotemcel_ per treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3394","description":"Injection_ lovotibeglogene autotemcel_ per treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tcran magn stim redetemine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90869","description":"Tcran magn stim redetemine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE20C","description":"HIPPS-HE20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam filled drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2386","description":"Foam filled drive wheel tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dextroamphetamine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0160","description":"Dextroamphetamine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triamcinolone acetonide_ preservative-free_ extended-release_ microsphere formulation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9993","description":"Injection_ triamcinolone acetonide_ preservative-free_ extended-release_ microsphere formulation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35207","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable endoscope sheath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4270","description":"Disposable endoscope sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX1C","description":"HIPPS-RVX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC250","description":"HIPPS-LC250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcysteine comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7604","description":"Acetylcysteine comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX30","description":"HIPPS-RLX30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc skin abd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15830","description":"Exc skin abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Diffuse Large B-Cell Lymphoma [Dlbcl])_ Mrna_ Gene Expression Profiling By Fluorescent Probe Hybridization Of 20 Genes_ Formalin-Fixed Paraffin-Embedded Tissue_ Algo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0017M","description":"Oncology (Diffuse Large B-Cell Lymphoma [Dlbcl])_ Mrna_ Gene Expression Profiling By Fluorescent Probe Hybridization Of 20 Genes_ Formalin-Fixed Paraffin-Embedded Tissue_ Algo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fertility cycle (contraception & conception) tracking software application_ fda cleared_ per month_ includes accessories (e.g._ thermometer)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9293","description":"Fertility cycle (contraception & conception) tracking software application_ fda cleared_ per month_ includes accessories (e.g._ thermometer)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"von Willebrand factor (VWF)_ type 2B_ platelet-binding evaluation_ radioimmunoassay_ plasma (Versiti™ VWD Type 2B Evaluation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0283U","description":"von Willebrand factor (VWF)_ type 2B_ platelet-binding evaluation_ radioimmunoassay_ plasma (Versiti™ VWD Type 2B Evaluation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prenatal vitamins 30 day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0197","description":"Prenatal vitamins 30 day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of finger jnt add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26861","description":"Fusion of finger jnt add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53665","description":"Dilation of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64865","description":"Repair of facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep bk ptb laminated socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5540","description":"Prep bk ptb laminated socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluzone vacc_ 3 yrs & >_ im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2038","description":"Fluzone vacc_ 3 yrs & >_ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety concerns screening not provided_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9925","description":"Safety concerns screening not provided_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9309","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9309","description":"HCPCS-C9309","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLV","description":"HIPPS-4AGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laundry serv_ext_prof_/order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5175","description":"Laundry serv_ext_prof_/order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB144","description":"HIPPS-PB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine sodium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84300","description":"Assay of urine sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Not Referred_ Reason Not Otherwise Specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0039","description":"Patient Not Referred_ Reason Not Otherwise Specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42835","description":"Removal of adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sumatriptan succinate / 6 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3030","description":"Sumatriptan succinate / 6 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC155","description":"HIPPS-LC155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy_ debridement and capsular release of the first metatarsophalangeal joint; with implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28291","description":"Hallux rigidus correction with cheilectomy_ debridement and capsular release of the first metatarsophalangeal joint; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision and repair of eyelid_ involving lid margin_ tarsus_ conjunctiva_ canthus_ or full thickness_ may include preparation for skin graft or pedicle flap with adjacent tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67961","description":"Excision and repair of eyelid_ involving lid margin_ tarsus_ conjunctiva_ canthus_ or full thickness_ may include preparation for skin graft or pedicle flap with adjacent tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX53","description":"HIPPS-RMX53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE144","description":"HIPPS-PE144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of arm artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35045","description":"Repair defect of arm artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair middle ear structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69666","description":"Repair middle ear structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1938","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1938","description":"HCPCS-J1938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44345","description":"Revision of colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML0D","description":"HIPPS-RML0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct lumbar spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72132","description":"Ct lumbar spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB14","description":"HIPPS-RMB14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove intrauterine device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58301","description":"Remove intrauterine device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA15","description":"HIPPS-RMA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair vessel defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33803","description":"Repair vessel defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1185","description":"Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0801","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0801","description":"HCPCS-A0801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive surgery of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42844","description":"Extensive surgery of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy appendectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44970","description":"Laparoscopy appendectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knuckle joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26518","description":"Fusion of knuckle joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLW","description":"HIPPS-1AFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug/bio noc part b drug cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4082","description":"Drug/bio noc part b drug cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup gauntlet plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4013","description":"Cast sup gauntlet plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tongue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41140","description":"Removal of tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate mets no cast","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9132","description":"Onc dx prostate mets no cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA52","description":"HIPPS-RVA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aud rehab pre-ling hear loss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92630","description":"Aud rehab pre-ling hear loss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Msh6 gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81298","description":"Msh6 gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth trachea bronchi surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54851","description":"Anesth trachea bronchi surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adhere pos air press therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8851","description":"Adhere pos air press therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1 dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87534","description":"Hiv-1 dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA5D","description":"HIPPS-RMA5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ntiol category 5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q1005","description":"Ntiol category 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28I","description":"HIPPS-HE28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional_ two or more tests_ any method; each additional 30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96137","description":"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional_ two or more tests_ any method; each additional 30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB260","description":"HIPPS-BB260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac magnetic resonance imaging for morphology and function_ quantification of segmental dysfunction; with stress im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9763","description":"Cardiac magnetic resonance imaging for morphology and function_ quantification of segmental dysfunction; with stress im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bevacizumab-awwb_ biosimilar_ (Mvasi)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5107","description":"Injection_ bevacizumab-awwb_ biosimilar_ (Mvasi)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed prosthodontic proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6999","description":"Fixed prosthodontic proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ retifanlimab-dlwr_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9345","description":"Injection_ retifanlimab-dlwr_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0189T","description":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma symptoms evaluate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1005F","description":"Asthma symptoms evaluate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dyspnea scrnd mod-high dysp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3451F","description":"Dyspnea scrnd mod-high dysp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion/graft of elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24802","description":"Fusion/graft of elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE23A","description":"HIPPS-HE23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0565U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0565U","description":"CPT-0565U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay activated protein c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85307","description":"Assay activated protein c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracorp shockwv tx anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0102T","description":"Extracorp shockwv tx anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iliac revasc w/stent add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37223","description":"Iliac revasc w/stent add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ udenyca 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5111","description":"Injection_ udenyca 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy chemodenervation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52287","description":"Cystoscopy chemodenervation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ mRNA_ microarray gene expression profiling of 70 content genes and 465 housekeeping genes_ utilizing fresh frozen or formalin-fixed paraffin-embedded tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81521","description":"Oncology (breast)_ mRNA_ microarray gene expression profiling of 70 content genes and 465 housekeeping genes_ utilizing fresh frozen or formalin-fixed paraffin-embedded tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy lysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58559","description":"Hysteroscopy lysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp comm supp svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2016","description":"Comp comm supp svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exchange nephrostomy catheter_ percutaneous_ with ureteral stricture balloon dilation_ including diagnostic nephrostogram and/or ureterogram when performed_ imaging guidance (","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7548","description":"Exchange nephrostomy catheter_ percutaneous_ with ureteral stricture balloon dilation_ including diagnostic nephrostogram and/or ureterogram when performed_ imaging guidance (","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55051","description":"Anesth sternal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC22D","description":"HIPPS-LC22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stereotactic radiation trmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77432","description":"Stereotactic radiation trmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9948","description":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post-operative body jacket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1310","description":"Post-operative body jacket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocation Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To Existing Dual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0681T","description":"Relocation Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To Existing Dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metered dose inhaler drug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3535","description":"Metered dose inhaler drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD24B","description":"HIPPS-CD24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl electrode for aed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0609","description":"Repl electrode for aed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electric wound treatment dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0769","description":"Electric wound treatment dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenervation of abductor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2340","description":"Chemodenervation of abductor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact layer > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6208","description":"Contact layer > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone imaging 3 phase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78315","description":"Bone imaging 3 phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deliver placenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59414","description":"Deliver placenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ulnar fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24675","description":"Treat ulnar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFL6","description":"HIPPS-2AFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA1B","description":"HIPPS-RUA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHLU","description":"HIPPS-1CHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ciltacabtagene autoleucel_ up to 100 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells_ including leukapheresis and dose preparation procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9098","description":"Ciltacabtagene autoleucel_ up to 100 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells_ including leukapheresis and dose preparation procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level III_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0752T","description":"Digitization of glass microscope slides for level III_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4014","description":"Nephrology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom fab w/c back cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2617","description":"Custom fab w/c back cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of intervertebral biomechanical device(s) (eg_ synthetic cage_ mesh) with integral anterior instrumentation for device anchoring (eg_ screws_ flanges)_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22854","description":"Insertion of intervertebral biomechanical device(s) (eg_ synthetic cage_ mesh) with integral anterior instrumentation for device anchoring (eg_ screws_ flanges)_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA234","description":"HIPPS-CA234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE213","description":"HIPPS-LE213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99157","description":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKS","description":"HIPPS-4BGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hgb lvl 11-12.9 g/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3280F","description":"Hgb lvl 11-12.9 g/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M/phmtrc alysishquant/semiq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88369","description":"M/phmtrc alysishquant/semiq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent repair of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64872","description":"Subsequent repair of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHM5","description":"HIPPS-3BHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA60","description":"HIPPS-AAA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ADAMTS13_ recombinant-krhn_ 10 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7171","description":"Injection_ ADAMTS13_ recombinant-krhn_ 10 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPS","description":"HIPPS-1AGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL14","description":"HIPPS-RHL14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/svc dme non-oxygen eq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0739","description":"Repair/svc dme non-oxygen eq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGL2","description":"HIPPS-3CGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50575","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impltj ntrstrml crnl rng seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65785","description":"Impltj ntrstrml crnl rng seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay for infectious agent antibody(ies)_ qualitative or semi-quantitative_ single step method (eg. reagent strip); severe acute respiratory system coronavirus 2 (SARS C","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86328","description":"Immunoassay for infectious agent antibody(ies)_ qualitative or semi-quantitative_ single step method (eg. reagent strip); severe acute respiratory system coronavirus 2 (SARS C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt tobacco screen rcvd tlk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4004F","description":"Pt tobacco screen rcvd tlk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB230","description":"HIPPS-CB230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add ue prost a/e ultlite mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7401","description":"Add ue prost a/e ultlite mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9805","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intermittent urinary cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4353","description":"Intermittent urinary cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ adalimumab-afzb (abrilada)_ biosimilar_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5132","description":"Injection_ adalimumab-afzb (abrilada)_ biosimilar_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0602","description":"HCPCS-B0602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cefazolin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0690","description":"Cefazolin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sotrovimab_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0247","description":"Injection_ sotrovimab_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD155","description":"HIPPS-HD155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1705","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1705","description":"CDT-D1705","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67299","description":"Eye surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulpal regeneration initial","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3355","description":"Pulpal regeneration initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN5","description":"HIPPS-1CGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72157","description":"MRI chest spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD224","description":"HIPPS-CD224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate ic vasospasm init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61640","description":"Dilate ic vasospasm init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cetirizine hydrochloride_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9057","description":"Injection_ cetirizine hydrochloride_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93016","description":"Cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC2C","description":"HIPPS-RHC2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leuprolide acetate injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9218","description":"Leuprolide acetate injeciton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary bladder retention","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78730","description":"Urinary bladder retention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 cast based metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6781","description":"Crown 3/4 cast based metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP6","description":"HIPPS-3BGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal chrmoml aneuploidy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81420","description":"Fetal chrmoml aneuploidy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9312","description":"Injection_ rituximab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Minor blunt trauma w/head ct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9529","description":"Minor blunt trauma w/head ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar or lumbar rib pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1040","description":"Lumbar or lumbar rib pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHLW","description":"HIPPS-1CHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ translumin non-laser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1725","description":"Cath_ translumin non-laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cranial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64716","description":"Revision of cranial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0511U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0511U","description":"CPT-0511U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clsd reduct simpl maxilla fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7620","description":"Clsd reduct simpl maxilla fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of heart lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93505","description":"Biopsy of heart lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD126","description":"HIPPS-HD126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin test nos antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86486","description":"Skin test nos antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays lungs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75743","description":"Artery x-rays lungs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNX","description":"HIPPS-1BHNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ autologous white blood cell concentrate (autologous protein solution)_ any site_ including image guidance_ harvesting and preparation_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0481T","description":"Injection(s)_ autologous white blood cell concentrate (autologous protein solution)_ any site_ including image guidance_ harvesting and preparation_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HER2-targeted therapies not administered during the initial course of treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9827","description":"HER2-targeted therapies not administered during the initial course of treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac shunt imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78428","description":"Cardiac shunt imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD256","description":"HIPPS-LD256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/tele follow up 25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0407","description":"Inpt/tele follow up 25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of catheter-delivered prosthetic pulmonary valve_ endovascular approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0262T","description":"Implantation of catheter-delivered prosthetic pulmonary valve_ endovascular approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28360","description":"Reconstruct cleft foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC215","description":"HIPPS-PC215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CT studies not reported to a radiation dose index registry due to medical reasons (eg_ ct studies performed for radiation treatment planning or image-guided radiation trtmnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9325","description":"CT studies not reported to a radiation dose index registry due to medical reasons (eg_ ct studies performed for radiation treatment planning or image-guided radiation trtmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sisi hearing test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92564","description":"Sisi hearing test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB24A","description":"HIPPS-HB24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv sr 2pc thor ext pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0174","description":"Cerv sr 2pc thor ext pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10006","description":"Fine needle aspiration biopsy_ including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA0D","description":"HIPPS-RVA0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27437","description":"Revise kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special joystick handle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2323","description":"Special joystick handle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Silicone gel insert or equal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6692","description":"Silicone gel insert or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct bone density axial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77078","description":"Ct bone density axial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75710","description":"Artery x-rays arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln part maxil chr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5740","description":"Denture reln part maxil chr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2031","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2031","description":"HCPCS-A2031","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reposition intraocular lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66825","description":"Reposition intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair valve femoral vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34501","description":"Repair valve femoral vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acylcarnitines quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82017","description":"Acylcarnitines quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9141","description":"Diabetic management program_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exercise w/hemodynamic meas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93464","description":"Exercise w/hemodynamic meas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57400","description":"Dilation of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cap bacterial assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0012F","description":"Cap bacterial assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx dental pain minor proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9110","description":"Tx dental pain minor proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc recpt counsl vit d/calc+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4019F","description":"Doc recpt counsl vit d/calc+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES13C","description":"HIPPS-ES13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLT","description":"HIPPS-2BHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Congo red blood test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P2029","description":"Congo red blood test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1820","description":"Soft interface material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28H","description":"HIPPS-CA28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMS","description":"HIPPS-1AGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Who Receive Palliative Care Services Any Time During The Intake Period Through The End Of The Measurement Year","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0048","description":"Patients Who Receive Palliative Care Services Any Time During The Intake Period Through The End Of The Measurement Year","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25924","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens/es other type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2599","description":"Contact lens/es other type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate (Xatmep)_ oral_ 2.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8612","description":"Methotrexate (Xatmep)_ oral_ 2.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L5992","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5992","description":"HCPCS-L5992","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0576U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0576U","description":"CPT-0576U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB22","description":"HIPPS-RLB22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aprepitant_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9463","description":"Injection_ aprepitant_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic Small Intestine Follow-Through Study_ Including Multiple Serial Images (List Separately In Addition To Code For Primary Procedure For Upper Gi Radiologic Examinatio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74248","description":"Radiologic Small Intestine Follow-Through Study_ Including Multiple Serial Images (List Separately In Addition To Code For Primary Procedure For Upper Gi Radiologic Examinatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral med adm direct observe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0033","description":"Oral med adm direct observe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair special seat dept","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1297","description":"Wheelchair special seat dept","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed total elec w/o matt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0266","description":"Hosp bed total elec w/o matt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Team evaluation & management","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1024","description":"Team evaluation & management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(S)_ Bone-Substitute Material (Eg_ Calcium Phosphate) Into Subchondral Bone Defect (Ie_ Bone Marrow Lesion_ Bone Bruise_ Stress Injury_ Microtrabecular Fracture)_ Inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0707T","description":"Injection(S)_ Bone-Substitute Material (Eg_ Calcium Phosphate) Into Subchondral Bone Defect (Ie_ Bone Marrow Lesion_ Bone Bruise_ Stress Injury_ Microtrabecular Fracture)_ Inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health risk assessment test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99420","description":"Health risk assessment test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC236","description":"HIPPS-LC236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch for bar w flange/flt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4419","description":"Ost pch for bar w flange/flt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0799T","description":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conform band n/s w>=5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6444","description":"Conform band n/s w>=5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt brain chemotx add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61517","description":"Implt brain chemotx add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of bile duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47420","description":"Incision of bile duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of bursa of foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28001","description":"Drainage of bursa of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are transferred from one institution to another with a known diagnosis of CVA for endovascular stroke treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9766","description":"Patients who are transferred from one institution to another with a known diagnosis of CVA for endovascular stroke treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC25","description":"HIPPS-RHC25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Employment Skills Development (1:1)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1728","description":"Employment - Employment Skills Development (1:1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ thigh length_ 40 mmhg or greater_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6558","description":"Gradient compression stocking_ thigh length_ 40 mmhg or greater_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease_ intracranial_ coronary_ pulmonary_ or dialysis circuit)_ open or percutaneous_ incl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37246","description":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease_ intracranial_ coronary_ pulmonary_ or dialysis circuit)_ open or percutaneous_ incl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supported housing_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0044","description":"Supported housing_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine nrv half segmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63185","description":"Incise spine nrv half segmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCV2 3MCG TRS-SUCR 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0082A","description":"ADM SARSCV2 3MCG TRS-SUCR 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TAG_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4261","description":"TAG_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aminocaproic acid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0017","description":"Injection_ aminocaproic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC36","description":"HIPPS-RUC36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert non-tunnel cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36555","description":"Insert non-tunnel cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKW","description":"HIPPS-1CHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9310","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9310","description":"HCPCS-C9310","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPV","description":"HIPPS-3AFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair tongue laceration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41251","description":"Repair tongue laceration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41005","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ustekinumab-auub (Wezlana)_ biosimilar_ SC_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5137","description":"Injection_ ustekinumab-auub (Wezlana)_ biosimilar_ SC_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Static or dynami afo pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4396","description":"Static or dynami afo pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reloc skin pocket pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0416T","description":"Reloc skin pocket pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA55","description":"HIPPS-AAA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL02","description":"HIPPS-RUL02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng warf thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4300F","description":"Pt rcvng warf thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pericardial Drainage With Insertion Of Indwelling Catheter_ Percutaneous_ Including Ct Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33019","description":"Pericardial Drainage With Insertion Of Indwelling Catheter_ Percutaneous_ Including Ct Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01930","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01930","description":"CPT-01930","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP1","description":"HIPPS-1BHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj magnesium sulfate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3475","description":"Inj magnesium sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RAS (KRAS and NRAS) gene mutation testing not performed before initiation of anti-EGFR MoAb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9841","description":"RAS (KRAS and NRAS) gene mutation testing not performed before initiation of anti-EGFR MoAb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auto tissue graft addl tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4283","description":"Auto tissue graft addl tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP2","description":"HIPPS-1BGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC4A","description":"HIPPS-RMC4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Central dexa ordered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3096F","description":"Central dexa ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1805","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1805","description":"HCPCS-B1805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6088","description":"Implant Supported Crown - Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit postnatal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99501","description":"Home visit postnatal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB214","description":"HIPPS-CB214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis_ cell-free DNA_ initial (baseline) assessment to determine a patient specific panel for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0306U","description":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis_ cell-free DNA_ initial (baseline) assessment to determine a patient specific panel for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mouth surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40899","description":"Mouth surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Veritas collagen matrix_ cm2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9354","description":"Veritas collagen matrix_ cm2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zanamivir_ inh pwdr_ brand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9034","description":"Zanamivir_ inh pwdr_ brand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral prescription drug chemo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8999","description":"Oral prescription drug chemo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pamidronate disodium /30 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2430","description":"Pamidronate disodium /30 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant nerve end","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64787","description":"Implant nerve end","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gen_ neuro_ non-hf rechg bat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1820","description":"Gen_ neuro_ non-hf rechg bat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33694","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Normal saline solution infus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7050","description":"Normal saline solution infus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (oropharyngeal)_ detection of minimal residual disease by next-generation sequencing (NGS) based quantitative evaluation of 8 DNA targets_ cell-free HPV 16 and 18 DNA","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0470U","description":"Oncology (oropharyngeal)_ detection of minimal residual disease by next-generation sequencing (NGS) based quantitative evaluation of 8 DNA targets_ cell-free HPV 16 and 18 DNA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL4","description":"HIPPS-2CHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gefitinib oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8565","description":"Gefitinib oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN2","description":"HIPPS-3CFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Basic vestibular evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92540","description":"Basic vestibular evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewho airplane w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3967","description":"Sewho airplane w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE14A","description":"HIPPS-PE14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cranial cavity fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61001","description":"Remove cranial cavity fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert epicard eltrd endo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33203","description":"Insert epicard eltrd endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE140","description":"HIPPS-PE140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us >/= 14 wks addl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76810","description":"Ob us >/= 14 wks addl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18H","description":"HIPPS-PC18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB250","description":"HIPPS-CB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0803","description":"HCPCS-A0803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replc sockt below e/w disa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6883","description":"Replc sockt below e/w disa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLV","description":"HIPPS-3AFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28F","description":"HIPPS-PC28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair modified fontan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33615","description":"Repair modified fontan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27652","description":"Repair/graft achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLU","description":"HIPPS-3CGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00550","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00550","description":"CPT-00550","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA24C","description":"HIPPS-PA24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (high-grade prostate cancer)_ biochemical assay of four proteins (Total PSA_ Free PSA_ Intact PSA_ and human kallikrein-2 [hK2])_ utilizing plasma or serum_ prognosti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81539","description":"Oncology (high-grade prostate cancer)_ biochemical assay of four proteins (Total PSA_ Free PSA_ Intact PSA_ and human kallikrein-2 [hK2])_ utilizing plasma or serum_ prognosti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt nrostm pls gen dua non","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8688","description":"Implt nrostm pls gen dua non","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16376","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16376","description":"CPT-16376","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99253","description":"Inpatient consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7526","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7526","description":"HCPCS-J7526","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52450","description":"Incision of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ moxifloxacin 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2280","description":"Inj_ moxifloxacin 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28G","description":"HIPPS-CC28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA4C","description":"HIPPS-RHA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM2","description":"HIPPS-4AHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture interm part mandbl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5821","description":"Denture interm part mandbl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92641","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92641","description":"CPT-92641","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA21","description":"HIPPS-RUA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Papaverin hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2440","description":"Papaverin hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Promoting wellness mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0005","description":"Promoting wellness mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1809","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1809","description":"HCPCS-J1809","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr guidance for needle place","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77021","description":"Mr guidance for needle place","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise nerve back of head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64744","description":"Incise nerve back of head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29805","description":"Shoulder arthroscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pho doc >1 cecal ldmk com ex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9612","description":"Pho doc >1 cecal ldmk com ex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHN2","description":"HIPPS-1BHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35184","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of bile ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47700","description":"Exploration of bile ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL0D","description":"HIPPS-RHL0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01770","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01770","description":"CPT-01770","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx septal&nose fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21337","description":"Closed tx septal&nose fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1090","description":"Lumbar sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC213","description":"HIPPS-HC213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay technique_ (eg_ enzyme immunoassay [EIA]_ enzyme-linked immunosorbent assay [ELISA]_ fluorescence immunoassay [FIA]_ immunoch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87467","description":"Infectious agent antigen detection by immunoassay technique_ (eg_ enzyme immunoassay [EIA]_ enzyme-linked immunosorbent assay [ELISA]_ fluorescence immunoassay [FIA]_ immunoch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM2","description":"HIPPS-2CGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES224","description":"HIPPS-ES224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0689U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0689U","description":"CPT-0689U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair elbow deb/attch open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24359","description":"Repair elbow deb/attch open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso corset front","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0972","description":"Lso corset front","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sys<140 and dia<90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9273","description":"Sys<140 and dia<90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE234","description":"HIPPS-CE234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam abdo back wall lim","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76775","description":"Us exam abdo back wall lim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic us exam esoph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43237","description":"Endoscopic us exam esoph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6059","description":"Abutment supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC56","description":"HIPPS-RHC56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis/artery-aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33606","description":"Anastomosis/artery-aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic circulation assist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33970","description":"Aortic circulation assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0601","description":"HCPCS-A0601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9186","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9186","description":"HCPCS-J9186","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGN6","description":"HIPPS-1BGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0551U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0551U","description":"CPT-0551U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Candida dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87482","description":"Candida dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt & graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33764","description":"Major vessel shunt & graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of contact lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92326","description":"Replacement of contact lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHLS","description":"HIPPS-2AHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo-vag hyst complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58553","description":"Laparo-vag hyst complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLS","description":"HIPPS-4CFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain spinal cord cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62268","description":"Drain spinal cord cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq card stent/ath/angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92934","description":"Prq card stent/ath/angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES11A","description":"HIPPS-ES11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic cavernosometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54231","description":"Dynamic cavernosometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appl multlay comprs arm/hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29584","description":"Appl multlay comprs arm/hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oasis burn matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4103","description":"Oasis burn matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"2 cc sterile syringe&needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4207","description":"2 cc sterile syringe&needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie_ caval valve implantation [CAVI]); percutaneous femoral vein approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0805T","description":"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie_ caval valve implantation [CAVI]); percutaneous femoral vein approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pelvic structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51597","description":"Removal of pelvic structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction maxilla total","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7946","description":"Reconstruction maxilla total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject spine w/cath lmb/scrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62319","description":"Inject spine w/cath lmb/scrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap with implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27438","description":"Revise kneecap with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69645","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advancing Care For Heart Disease Mips Value Pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0055","description":"Advancing Care For Heart Disease Mips Value Pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD14D","description":"HIPPS-PD14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of salivary stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42335","description":"Removal of salivary stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diaper serv reusable diaper","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4538","description":"Diaper serv reusable diaper","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stationary o2 contents_ gas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0441","description":"Stationary o2 contents_ gas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE210","description":"HIPPS-LE210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX60","description":"HIPPS-RVX60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Athletic train reeval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97006","description":"Athletic train reeval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grp b strep screening docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3294F","description":"Grp b strep screening docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC131","description":"HIPPS-HC131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66630","description":"Removal of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rolapitant_ oral_ 1mg (Varubi)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9981","description":"Rolapitant_ oral_ 1mg (Varubi)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto laser tx ureteral calc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2070","description":"Cysto laser tx ureteral calc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump refill kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4220","description":"Infusion pump refill kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise spermatic cord veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55530","description":"Revise spermatic cord veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home mgmt gest hypertension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9211","description":"Home mgmt gest hypertension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hpv high-risk types","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87624","description":"Hpv high-risk types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mwc acc_ wheelchair brake","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2228","description":"Mwc acc_ wheelchair brake","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33684","description":"Repair heart septum defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29830","description":"Elbow arthroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Typhoid vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90691","description":"Typhoid vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of salivary stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42340","description":"Removal of salivary stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: headache radiating to the neck","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2190","description":"Patients with clinical indications for imaging of the head: headache radiating to the neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (asceniv)_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1554","description":"Injection_ immune globulin (asceniv)_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB2A","description":"HIPPS-RHB2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult day care per half day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5101","description":"Adult day care per half day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Av fuse uppr arm cephalic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36818","description":"Av fuse uppr arm cephalic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD206","description":"HIPPS-LD206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indic for head ct valid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9531","description":"Indic for head ct valid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0802","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0802","description":"HCPCS-C0802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prehensile actuator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7040","description":"Prehensile actuator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bone lower jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21025","description":"Excision of bone lower jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine oral 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0571","description":"Buprenorphine oral 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0154A","description":"IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasm)_ genomic sequence analysis using multiplex (PCR) and next-generation sequencing with algorithm_ quantification of dominant clonal sequence(s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0364U","description":"Oncology (hematolymphoid neoplasm)_ genomic sequence analysis using multiplex (PCR) and next-generation sequencing with algorithm_ quantification of dominant clonal sequence(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No surg proc w/in 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8628","description":"No surg proc w/in 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27745","description":"Reinforce tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ischial bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27060","description":"Removal of ischial bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trabectedin_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9352","description":"Injection_ trabectedin_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pemetrexed injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9305","description":"Pemetrexed injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Single transfer toe-hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26553","description":"Single transfer toe-hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC25C","description":"HIPPS-CC25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0498U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0498U","description":"CPT-0498U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect leg/ankle tum < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27615","description":"Resect leg/ankle tum < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise stomach-bowel fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43850","description":"Revise stomach-bowel fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Patient Pregnancy Anytime During The Measurement Period Prior To And Including The Current Encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9997","description":"Documentation Of Patient Pregnancy Anytime During The Measurement Period Prior To And Including The Current Encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Linezolid injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2020","description":"Linezolid injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iiv adjuvant vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90653","description":"Iiv adjuvant vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES226","description":"HIPPS-ES226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0485","description":"Oral device/appliance prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3D) mammography results documented and reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9899","description":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3D) mammography results documented and reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKX","description":"HIPPS-4AGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with dementia at any time prior to or during the month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1271","description":"Patients with dementia at any time prior to or during the month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurological procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95999","description":"Neurological procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc w/ather","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37229","description":"Tib/per revasc w/ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colon ca scrn; barium enema","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0122","description":"Colon ca scrn; barium enema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus and fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43305","description":"Repair esophagus and fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; cerebrospinal fluid shunting proced","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0135U","description":"Anesthesia for intracranial procedures; cerebrospinal fluid shunting proced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photodynamic tx addl 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96571","description":"Photodynamic tx addl 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Norsn no foot exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9225","description":"Norsn no foot exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat slipped epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27181","description":"Treat slipped epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL4C","description":"HIPPS-RUL4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ vincristine sul lip 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9371","description":"Inj_ vincristine sul lip 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral - periapical radiographic image - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0707","description":"Intraoral - periapical radiographic image - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD13C","description":"HIPPS-CD13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC15A","description":"HIPPS-LC15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99245","description":"Office consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90851","description":"Anesth removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00920","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00920","description":"CPT-00920","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us >/= 14 wks sngl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76805","description":"Ob us >/= 14 wks sngl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pituitary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61548","description":"Removal of pituitary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 3 piece rigid shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0492","description":"Tlso 3 piece rigid shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67906","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable peak flow meter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8096","description":"Portable peak flow meter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy wbx sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32604","description":"Thoracoscopy wbx sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc stent & ather","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37231","description":"Tib/per revasc stent & ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of wrist bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25215","description":"Removal of wrist bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder/revise tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51595","description":"Remove bladder/revise tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct colonography dx w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74262","description":"Ct colonography dx w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iv pole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0776","description":"Iv pole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elosulfase alfa_ injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1322","description":"Elosulfase alfa_ injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB254","description":"HIPPS-LB254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD112","description":"HIPPS-HD112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHM6","description":"HIPPS-3BHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00797","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00797","description":"CPT-00797","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPX","description":"HIPPS-1BHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD10C","description":"HIPPS-PD10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1058T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1058T","description":"CPT-1058T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune rheumatoid arthr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81490","description":"Autoimmune rheumatoid arthr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elliotts b solution per ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9175","description":"Elliotts b solution per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27086","description":"Remove hip foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine phosphorus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84105","description":"Assay of urine phosphorus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt asked re symp auto dysfxn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4326F","description":"Pt asked re symp auto dysfxn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC212","description":"HIPPS-CC212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFMT","description":"HIPPS-1BFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_phys coor-care ovrsght","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9008","description":"Mccd_phys coor-care ovrsght","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87391","description":"IAAD IA HIV-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL55","description":"HIPPS-RVL55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj dihydroergotamine mesylt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1110","description":"Inj dihydroergotamine mesylt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit periorbtl implt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21390","description":"Opn tx orbit periorbtl implt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Family (With The Patient Present)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96168","description":"Health Behavior Intervention_ Family (With The Patient Present)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ onasemnogene abeparvovec-xioi_ per treatment_ up to 5x10^15 vector genomes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3399","description":"Injection_ onasemnogene abeparvovec-xioi_ per treatment_ up to 5x10^15 vector genomes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0929T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0929T","description":"CPT-0929T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"VitoGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4317","description":"VitoGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shock absorber for power w/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1016","description":"Shock absorber for power w/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hast w/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94452","description":"Hast w/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM6","description":"HIPPS-2BHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protozoa antibody nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86753","description":"Protozoa antibody nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy & ureter catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52005","description":"Cystoscopy & ureter catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient pregnancy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1061","description":"Patient pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27258","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change of nephrostomy or pyelostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50398","description":"Change of nephrostomy or pyelostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC30","description":"HIPPS-RUC30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA12B","description":"HIPPS-CA12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB244","description":"HIPPS-LB244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed var ht w/o rail w/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0293","description":"Hosp bed var ht w/o rail w/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of residual cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57540","description":"Removal of residual cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Folding ped wc tilt-in-space","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1232","description":"Folding ped wc tilt-in-space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGL4","description":"HIPPS-3CGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87390","description":"IAAD IA HIV-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CT/MRI brain done 24 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3112F","description":"CT/MRI brain done 24 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Construction of absent anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46735","description":"Construction of absent anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of citrate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82507","description":"Assay of citrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis sacroiliac joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27279","description":"Arthrodesis sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA23","description":"HIPPS-RMA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No oder pjp for med reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9219","description":"No oder pjp for med reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61321","description":"Open skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA02","description":"HIPPS-RLA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA CYTOMEGALOVIRUS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87332","description":"IAAD IA CYTOMEGALOVIRUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing paternity test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86910","description":"Blood typing paternity test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric suction pump hme mdl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2000","description":"Gastric suction pump hme mdl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump_ programmable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1772","description":"Infusion pump_ programmable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0586U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0586U","description":"CPT-0586U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tumor imaging whole body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78802","description":"Tumor imaging whole body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy for aspiration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31515","description":"Laryngoscopy for aspiration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHLW","description":"HIPPS-3AHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB14B","description":"HIPPS-BB14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK4","description":"HIPPS-2AHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA146","description":"HIPPS-CA146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdominal wall surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73051","description":"Anesth abdominal wall surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Community Transition Svcs (Set-Up Fees)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7335","description":"Community Transition Svcs (Set-Up Fees)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1025T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1025T","description":"CPT-1025T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dyspnea scrnd no-mild dysp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3450F","description":"Dyspnea scrnd no-mild dysp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLV","description":"HIPPS-3CHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA241","description":"HIPPS-PA241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analysis of saliva sample","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0418","description":"Analysis of saliva sample","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK1","description":"HIPPS-4BGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA3C","description":"HIPPS-RMA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays bone survey infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77076","description":"X-rays bone survey infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth amniocentesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84251","description":"Anesth amniocentesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"G6pc gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81250","description":"G6pc gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore abdominal vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35840","description":"Explore abdominal vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of temporary anchorage device [screw retained plate]_ requiring flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7298","description":"Removal of temporary anchorage device [screw retained plate]_ requiring flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open reduct compd mandble fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7730","description":"Open reduct compd mandble fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Port_ indwelling_ imp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1788","description":"Port_ indwelling_ imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ pacing_ transesoph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1756","description":"Cath_ pacing_ transesoph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0165","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0165","description":"HCPCS-J0165","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy splenectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38120","description":"Laparoscopy splenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aortic graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33860","description":"Ascending aortic graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thymus gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60520","description":"Removal of thymus gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of forearm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25915","description":"Amputation of forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis a igm antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86709","description":"Hepatitis a igm antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHN4","description":"HIPPS-1BHN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC117","description":"HIPPS-PC117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heterophile antibody titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86309","description":"Heterophile antibody titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE101","description":"HIPPS-CE101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of impacted wax md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0268","description":"Removal of impacted wax md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemical peel nonfacial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15792","description":"Chemical peel nonfacial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of arm foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24200","description":"Removal of arm foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2920","description":"Methylprednisolone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB5B","description":"HIPPS-RUB5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lith-ion batt elec/pneum vad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0506","description":"Lith-ion batt elec/pneum vad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64659","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64659","description":"CPT-64659","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL50","description":"HIPPS-RVL50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dextran 75 infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7110","description":"Dextran 75 infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp sphincter pressure meas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43263","description":"Ercp sphincter pressure meas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHM2","description":"HIPPS-1CHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rv1 vacc 2 dose live oral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90681","description":"Rv1 vacc 2 dose live oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon extent unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9089","description":"Onc dx colon extent unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of skull with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62147","description":"Repair of skull with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumocystis carinii ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87281","description":"Pneumocystis carinii ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1 probe&reverse trnscrpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87535","description":"Hiv-1 probe&reverse trnscrpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL2","description":"HIPPS-4BFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB244","description":"HIPPS-HB244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES25D","description":"HIPPS-ES25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not achieve flat retinas six months post surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9379","description":"Patient did not achieve flat retinas six months post surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC24B","description":"HIPPS-LC24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer For Metal Fpd - Perdominantly Base Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6121","description":"Implant Supported Retainer For Metal Fpd - Perdominantly Base Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6035","description":"Gold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54380","description":"Repair penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endocervical curettage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57505","description":"Endocervical curettage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of aqueous drainage device_ without extraocular reservoir_ internal approach_ into the subconjunctival space; initial device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0449T","description":"Insertion of aqueous drainage device_ without extraocular reservoir_ internal approach_ into the subconjunctival space; initial device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35005","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens spher bifoc plano 4.00d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2200","description":"Lens spher bifoc plano 4.00d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ acute myeloid leukemia_ myelodysplastic syndrome_ and myeloproliferative neoplasms_ DNA analysis_ 23 genes_ interrogation for sequenc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0171U","description":"Targeted genomic sequence analysis panel_ acute myeloid leukemia_ myelodysplastic syndrome_ and myeloproliferative neoplasms_ DNA analysis_ 23 genes_ interrogation for sequenc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection ext venography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36005","description":"Injection ext venography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44382","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cst hgh nble mtl inlay >=3sr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6603","description":"Cst hgh nble mtl inlay >=3sr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thorac cont paraspinal uprig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2670","description":"Thorac cont paraspinal uprig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ neurostimulator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1778","description":"Lead_ neurostimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0703","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0703","description":"HCPCS-B0703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN6","description":"HIPPS-1AHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thiethylperazine maleate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3280","description":"Thiethylperazine maleate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban_ 1 mg (for non-ESRD use)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0883","description":"Injection_ argatroban_ 1 mg (for non-ESRD use)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical pathology reports that do not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by dna-based testing status_ or bo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1195","description":"Surgical pathology reports that do not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by dna-based testing status_ or bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray adrenal glands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75842","description":"Vein x-ray adrenal glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Florbetaben f18","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9458","description":"Florbetaben f18","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intl custm cong/latyp insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5681","description":"Intl custm cong/latyp insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of bladder neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52500","description":"Revision of bladder neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE145","description":"HIPPS-CE145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vis inj at surg/1mos post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9628","description":"Vis inj at surg/1mos post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lith ion batt cid_non-earlvl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8623","description":"Lith ion batt cid_non-earlvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44403","description":"Colonoscopy w/resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Receiving <=5 Mg Daily Prednisone (Or Equivalent)_ Or Ra Activity Is Worsening_ Or Glucocorticoid Use Is For Less Than 6 Months","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2112","description":"Patient Receiving <=5 Mg Daily Prednisone (Or Equivalent)_ Or Ra Activity Is Worsening_ Or Glucocorticoid Use Is For Less Than 6 Months","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth head/neck/ptrunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30051","description":"Anesth head/neck/ptrunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61518","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0801","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0801","description":"HCPCS-C0801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87468","description":"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB145","description":"HIPPS-CB145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine reagent strips/tablets","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4250","description":"Urine reagent strips/tablets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC12","description":"HIPPS-RMC12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip core decompression","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2325","description":"Hip core decompression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recording of fetal magnetic cardiac signal using at least 3 channels; signal extraction_ technical analysis_ and result","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0477T","description":"Recording of fetal magnetic cardiac signal using at least 3 channels; signal extraction_ technical analysis_ and result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ durvalumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9173","description":"Injection_ durvalumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_autosys and md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0141","description":"Scr c/v cyto_autosys and md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroglobulin antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86800","description":"Thyroglobulin antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL2","description":"HIPPS-1BFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce earlobes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69090","description":"Pierce earlobes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant breast silicone/eq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8600","description":"Implant breast silicone/eq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of rectocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45560","description":"Repair of rectocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of ankle bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28302","description":"Incision of ankle bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remov vert idrl bdy thrclmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63306","description":"Remov vert idrl bdy thrclmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKU","description":"HIPPS-1CHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No hepc rna after med docrsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9210","description":"No hepc rna after med docrsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CO GNOTYP AQP1 EXON 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0181U","description":"CO GNOTYP AQP1 EXON 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA40","description":"HIPPS-RMA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00218","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00218","description":"CPT-00218","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL46","description":"HIPPS-RUL46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00100","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00100","description":"CPT-00100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenervation anal musc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46505","description":"Chemodenervation anal musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1394","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1394","description":"HCPCS-M1394","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28I","description":"HIPPS-PE28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK4","description":"HIPPS-3BGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1807","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1807","description":"HCPCS-J1807","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2865","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2865","description":"HCPCS-J2865","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2049","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2049","description":"HCPCS-A2049","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD11C","description":"HIPPS-LD11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teprotumumab-trbw_10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9061","description":"Injection_ teprotumumab-trbw_10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC30","description":"HIPPS-RVC30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert idrl body thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63305","description":"Remove vert idrl body thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human epididymis protein 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86305","description":"Human epididymis protein 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8A","description":"HIPPS-RHB8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove rectal obstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45915","description":"Remove rectal obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76516","description":"Echo exam of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Posterior gait trainer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E8000","description":"Posterior gait trainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palliative Care Services Provided To Patient Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9988","description":"Palliative Care Services Provided To Patient Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R-T Spctrl Alys Prst8 Tiss Fluorescenc Spctrscpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0443T","description":"R-T Spctrl Alys Prst8 Tiss Fluorescenc Spctrscpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of lower eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15820","description":"Revision of lower eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; complete system (aortic counterpulsation device_ vascular hemostatic seal_ mechano-electr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0455T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; complete system (aortic counterpulsation device_ vascular hemostatic seal_ mechano-electr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/treat lung lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32141","description":"Remove/treat lung lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automatic bp monitor_ dial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4670","description":"Automatic bp monitor_ dial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Torsion straight knee joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2380","description":"Torsion straight knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isch containmt/narrow m-l so","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5649","description":"Isch containmt/narrow m-l so","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28200","description":"Repair of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post fusion 7-12 vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22802","description":"Post fusion 7-12 vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture bacteria anaerobic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87073","description":"Culture bacteria anaerobic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Embedded ip cath exit-site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49436","description":"Embedded ip cath exit-site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling indiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99401","description":"Preventive counseling indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (acute myelogenous leukemia)_ DNA_ genotyping of internal tandem d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0137U","description":"Oncology (acute myelogenous leukemia)_ DNA_ genotyping of internal tandem d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth blood vessel repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77051","description":"Anesth blood vessel repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transdermal gfr monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0603T","description":"Transdermal gfr monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0954T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0954T","description":"CPT-0954T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Admit w/in 180d req surg rev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9412","description":"Admit w/in 180d req surg rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No reason_ no refer hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9526","description":"No reason_ no refer hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leukocyte phagocytosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86344","description":"Leukocyte phagocytosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group behave couns 2-10","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0473","description":"Group behave couns 2-10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert pulse gen mult leads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33221","description":"Insert pulse gen mult leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28C","description":"HIPPS-CB28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comm psy face-face per 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0036","description":"Comm psy face-face per 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Residential Habilitation 4-8 Supp 1:1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0103","description":"Residential Habilitation 4-8 Supp 1:1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy_ flexible; proximal to splenic flexure; with ablation of tumor(s)_ polyp(s)_ or other lesion(s) not amenable to removal by hot biopsy forceps_ bipolar cautery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6024","description":"Colonoscopy_ flexible; proximal to splenic flexure; with ablation of tumor(s)_ polyp(s)_ or other lesion(s) not amenable to removal by hot biopsy forceps_ bipolar cautery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls rmvl prph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33984","description":"Ecmo/ecls rmvl prph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct bronchus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31775","description":"Reconstruct bronchus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath cell enhance tech","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88112","description":"Cytopath cell enhance tech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moisture exchanger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4483","description":"Moisture exchanger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bumetanide 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0171","description":"Bumetanide 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB14C","description":"HIPPS-HB14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid plastic cust fab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0484","description":"Tlso rigid plastic cust fab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ezderm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4136","description":"Ezderm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch w/barrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5071","description":"Urinary pouch w/barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect arm/elbow tum < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24077","description":"Resect arm/elbow tum < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL3B","description":"HIPPS-RUL3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC22B","description":"HIPPS-HC22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66999","description":"Eye surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27256","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ ITE/ITC","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5212","description":"Hearing aid_ contralateral routing system_ binaural_ ITE/ITC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not screened for tobacco use_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9905","description":"Patient not screened for tobacco use_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHKV","description":"HIPPS-3AHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 hd mult pow s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0886","description":"Pwc gp4 hd mult pow s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPS","description":"HIPPS-3AHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sleeve pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32442","description":"Sleeve pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens pmma color vision","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2503","description":"Cntct lens pmma color vision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of vein clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34451","description":"Removal of vein clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intragastric hypothermia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0100","description":"Intragastric hypothermia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polysom <6 yrs cpap/bilvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95783","description":"Polysom <6 yrs cpap/bilvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flexible keel foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5972","description":"Flexible keel foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt ref oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8564","description":"Pt ref oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00400","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00400","description":"CPT-00400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fats/lipids feces quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82710","description":"Fats/lipids feces quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy irrigation bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4398","description":"Ostomy irrigation bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comm trans waiver/service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2038","description":"Comm trans waiver/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD114","description":"HIPPS-LD114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther fx nasal inf turbinate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30930","description":"Ther fx nasal inf turbinate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor speech d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9158","description":"Motor speech d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMX","description":"HIPPS-1AHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xray endovasc thor ao repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75957","description":"Xray endovasc thor ao repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKS","description":"HIPPS-1BHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual reticulocyte count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85044","description":"Manual reticulocyte count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect mediastinal tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39220","description":"Resect mediastinal tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18F","description":"HIPPS-ES18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0958T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0958T","description":"CPT-0958T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 2 genotyping (HPA-2)_ GP1BA (glycoprotein Ib [platelet]_ alpha polypeptide [GPIba]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post-transfusion p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81106","description":"Human Platelet Antigen 2 genotyping (HPA-2)_ GP1BA (glycoprotein Ib [platelet]_ alpha polypeptide [GPIba]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post-transfusion p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1032","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1032","description":"HCPCS-E1032","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87320","description":"IAAD IA CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Expiratory positive airway pressure intranasal resistance valve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7049","description":"Expiratory positive airway pressure intranasal resistance valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/read 9-15","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88188","description":"Flowcytometry/read 9-15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00770","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00770","description":"CPT-00770","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0365U","description":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ casimersen_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1426","description":"Injection_ casimersen_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Locm >= 400 mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9951","description":"Locm >= 400 mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4377","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4377","description":"HCPCS-Q4377","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no tx sys bio rx 6 mths","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9653","description":"Pt no tx sys bio rx 6 mths","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM3","description":"HIPPS-4BGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI neck spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72141","description":"MRI neck spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB135","description":"HIPPS-CB135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA2D","description":"HIPPS-RVA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement Period O","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2114","description":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement Period O","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ekg interpret & report preve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0405","description":"Ekg interpret & report preve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLW","description":"HIPPS-4BHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dissolve clot heart vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92975","description":"Dissolve clot heart vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA21A","description":"HIPPS-CA21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Services performed by a occupational therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program_ each 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2169","description":"Services performed by a occupational therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program_ each 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37788","description":"Revascularization penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of lumbar spine region infection at the time of the procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1039","description":"Patients with a diagnosis of lumbar spine region infection at the time of the procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attendant control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2331","description":"Attendant control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zanamivir_inhalation pwd 10m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9018","description":"Zanamivir_inhalation pwd 10m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg >16<=48 in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6255","description":"Absorpt drg >16<=48 in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glycine receptor alpha1 IgG_ serum or cerebrospinal fluid (CSF)_ live cell-binding assay (LCBA)_ qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0431U","description":"Glycine receptor alpha1 IgG_ serum or cerebrospinal fluid (CSF)_ live cell-binding assay (LCBA)_ qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External transmitter_ cgm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9277","description":"External transmitter_ cgm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fecal microbiota_ live - jslm_ 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1440","description":"Fecal microbiota_ live - jslm_ 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj calcitriol per 0.1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0636","description":"Inj calcitriol per 0.1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No 7d f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9407","description":"No 7d f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGK5","description":"HIPPS-4AGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewho airplane w/jnt(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3973","description":"Sewho airplane w/jnt(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close nephrovisceral fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50525","description":"Close nephrovisceral fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis for chromosomal abnormalities_ copy number variants_ duplications/deletions_ inversions_ unb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0469U","description":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis for chromosomal abnormalities_ copy number variants_ duplications/deletions_ inversions_ unb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M.pneumon dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87580","description":"M.pneumon dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair ruptd popliteal art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35152","description":"Repair ruptd popliteal art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Map tachycardia add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93609","description":"Map tachycardia add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore treat shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23107","description":"Explore treat shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6066","description":"Implant supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert aqueous drain device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0253T","description":"Insert aqueous drain device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"2d tte w or w/o fol w/con_co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8923","description":"2d tte w or w/o fol w/con_co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelets_ pheresis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9034","description":"Platelets_ pheresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped home apnea rec hk-up","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94775","description":"Ped home apnea rec hk-up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indium in-111 pentetreotide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9572","description":"Indium in-111 pentetreotide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95717","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK5","description":"HIPPS-2BHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef >/=40% systolic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3022F","description":"Lvef >/=40% systolic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGKW","description":"HIPPS-3AGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision/removal of kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27424","description":"Revision/removal of kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62190","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seg pneumatic appl full leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0667","description":"Seg pneumatic appl full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26130","description":"Remove wrist joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Overdenture partial max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5864","description":"Overdenture partial max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip flex inner socket ext fr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5643","description":"Hip flex inner socket ext fr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla class ii phenotype qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86831","description":"Hla class ii phenotype qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec seat depth/w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1298","description":"Wheelchair spec seat depth/w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism ehealthline clinical decision support mechanism_ as defined by the medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1021","description":"Clinical decision support mechanism ehealthline clinical decision support mechanism_ as defined by the medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4366","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4366","description":"HCPCS-Q4366","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00640","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00640","description":"CPT-00640","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block cont infuse b plex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64416","description":"N block cont infuse b plex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"XCellerate_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4234","description":"XCellerate_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Angioscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35400","description":"Angioscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic bone marrow; biopsy(ies) and aspiration(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38222","description":"Diagnostic bone marrow; biopsy(ies) and aspiration(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult size brief/diaper xl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4524","description":"Adult size brief/diaper xl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt surv results not avail","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9604","description":"Pt surv results not avail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ liposomal_ 1 mg daunorubicin and 2.27 mg cytarabine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9153","description":"Injection_ liposomal_ 1 mg daunorubicin and 2.27 mg cytarabine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc no fall in asc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8911","description":"Pt doc no fall in asc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB4B","description":"HIPPS-RVB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroretinography (ERG)_ with interpretation and report; multifocal (mfERG)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92274","description":"Electroretinography (ERG)_ with interpretation and report; multifocal (mfERG)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC13D","description":"HIPPS-PC13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Odontics repr abutment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6095","description":"Odontics repr abutment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of pregnenolone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84140","description":"Assay of pregnenolone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB06","description":"HIPPS-RHB06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group mnt 2 or more 30 mins","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0271","description":"Group mnt 2 or more 30 mins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso corset front","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0970","description":"Tlso corset front","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31587","description":"Revision of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous measurement of five biomarkers (tissue oxygenation [StO2]_ oxyhemoglobin [ctHbO2]_ deoxyhemoglobin [ctHbR]_ papillary and reticular dermal hemoglobin concentrat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0061U","description":"Transcutaneous measurement of five biomarkers (tissue oxygenation [StO2]_ oxyhemoglobin [ctHbO2]_ deoxyhemoglobin [ctHbR]_ papillary and reticular dermal hemoglobin concentrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ bin_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5258","description":"Hearing aid_ digit_ bin_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc no comp or mort w in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9269","description":"Doc no comp or mort w in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX35","description":"HIPPS-RLX35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin-based indirect","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2710","description":"Crown resin-based indirect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colorectal cancer screening results documented and reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1277","description":"Colorectal cancer screening results documented and reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Composite byp grft 2 veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35682","description":"Composite byp grft 2 veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received chemotherapy in the last 14 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9847","description":"Patient received chemotherapy in the last 14 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore wound extremity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20103","description":"Explore wound extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61541","description":"Incision of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1138","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKU","description":"HIPPS-5BGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed wing air transport","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0430","description":"Fixed wing air transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine_ 20 valent (PCV20)_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90677","description":"Pneumococcal conjugate vaccine_ 20 valent (PCV20)_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL20","description":"HIPPS-RHL20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein byp grft fem-popliteal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35583","description":"Vein byp grft fem-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Each additional cervical vertebral body (list separately in addition to code for primary procedure)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2361","description":"Each additional cervical vertebral body (list separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL51","description":"HIPPS-RUL51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr spectroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76390","description":"Mr spectroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post fusion </6 vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22800","description":"Post fusion </6 vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cranial cavity fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61000","description":"Remove cranial cavity fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct lower jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21247","description":"Reconstruct lower jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frozen blood thaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86931","description":"Frozen blood thaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ pegylated-aucl (Jivi)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9141","description":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ pegylated-aucl (Jivi)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-2 antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86702","description":"Hiv-2 antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht inj noc per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9542","description":"Ht inj noc per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8F","description":"HIPPS-RVL8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4396","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4396","description":"HCPCS-Q4396","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC26","description":"HIPPS-RUC26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd esophagogastrc fndoplsty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43210","description":"Egd esophagogastrc fndoplsty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deluxe lens feature","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2702","description":"Deluxe lens feature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impression casting ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0395","description":"Impression casting ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy flex dx brush","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43197","description":"Esophagoscopy flex dx brush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suspension of uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58400","description":"Suspension of uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abduction bar-straight","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2310","description":"Abduction bar-straight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/stent plcmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45389","description":"Colonoscopy w/stent plcmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE10A","description":"HIPPS-PE10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1032T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1032T","description":"CPT-1032T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of arm artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34111","description":"Removal of arm artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1447","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1447","description":"HCPCS-M1447","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24538","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hips bi 5/> views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73523","description":"X-ray exam hips bi 5/> views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML20","description":"HIPPS-RML20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0011","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64600","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electro-oculography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92270","description":"Electro-oculography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1904","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1904","description":"CDT-D1904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE15C","description":"HIPPS-CE15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75741","description":"Artery x-rays lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA54","description":"HIPPS-RUA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconst lwr jaw w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21194","description":"Reconst lwr jaw w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA45","description":"HIPPS-RLA45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL3C","description":"HIPPS-RVL3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical_ total hysterectomy for resection of malignancy (tumor debulking)_ with omentectomy including salpingo-oophorectomy_ unilateral or bilateral_ when perfor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58575","description":"Laparoscopy_ surgical_ total hysterectomy for resection of malignancy (tumor debulking)_ with omentectomy including salpingo-oophorectomy_ unilateral or bilateral_ when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ mRNA expression profiling of HOXC6 and DLX1_ reverse transcription polymerase chain reaction (RT-PCR)_ first-void urine following digital rectal examinati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0339U","description":"Oncology (prostate)_ mRNA expression profiling of HOXC6 and DLX1_ reverse transcription polymerase chain reaction (RT-PCR)_ first-void urine following digital rectal examinati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1012T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1012T","description":"CPT-1012T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls initiation venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33946","description":"Ecmo/ecls initiation venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6752","description":"Crown porcelain noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL32","description":"HIPPS-RUL32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mobility current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8978","description":"Mobility current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0079","description":"Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anes spine tranthor w/o vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62559","description":"Anes spine tranthor w/o vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKW","description":"HIPPS-5CGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2027","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2027","description":"HCPCS-A2027","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8C","description":"HIPPS-RVB8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 2.6-5.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12052","description":"Intmd rpr face/mm 2.6-5.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of externally accessible nephroureteral catheter (eg_ external/internal stent) requiring fluoroscopic guidance_ with ureteral stricture balloon dilatio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7546","description":"Removal and replacement of externally accessible nephroureteral catheter (eg_ external/internal stent) requiring fluoroscopic guidance_ with ureteral stricture balloon dilatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Creatine mb fraction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82553","description":"Creatine mb fraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c lateral trunk/hip suppor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0956","description":"W/c lateral trunk/hip suppor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documented medical reasons for not performing intraoperative cystoscopy (e.g._ urethral pathology precluding cystoscopy_ any patient who has a congenital or acquired absence o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9607","description":"Documented medical reasons for not performing intraoperative cystoscopy (e.g._ urethral pathology precluding cystoscopy_ any patient who has a congenital or acquired absence o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy shoulder tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23065","description":"Biopsy shoulder tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Choline C 11_ diagnostic_ per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9461","description":"Choline C 11_ diagnostic_ per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPS","description":"HIPPS-1BHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HER2/neu negative or undocumented/unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9825","description":"HER2/neu negative or undocumented/unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97001","description":"Pt evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tafasitamab-cxix_ 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9070","description":"Injection_ tafasitamab-cxix_ 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair dura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61618","description":"Repair dura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home sleep test/type 2 porta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0398","description":"Home sleep test/type 2 porta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Matristem burn matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4120","description":"Matristem burn matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays bone length studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77073","description":"X-rays bone length studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"InnovaBurn or InnovaMatrix XL_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2022","description":"InnovaBurn or InnovaMatrix XL_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol hepatic fream","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B5200","description":"Parenteral sol hepatic fream","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whfo nontorsion joint prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3931","description":"Whfo nontorsion joint prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29881","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ intraspinal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1755","description":"Catheter_ intraspinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levofloxacin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1956","description":"Levofloxacin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB155","description":"HIPPS-BB155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1438","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1438","description":"HCPCS-M1438","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18C","description":"HIPPS-BA18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"7 field photo interp doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2024F","description":"7 field photo interp doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Butorphanol tartrate_ nasal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0012","description":"Butorphanol tartrate_ nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Employment Benefits Counseling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1740","description":"Employment Benefits Counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX5D","description":"HIPPS-RVX5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29823","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc cardiac modulj pls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0409T","description":"Insj/rplc cardiac modulj pls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Succinycholine chloride inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0330","description":"Succinycholine chloride inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5877","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5877","description":"CDT-D5877","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1393","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1393","description":"HCPCS-M1393","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; first 30 minutes of patient face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0368T","description":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; first 30 minutes of patient face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65400","description":"Removal of eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44320","description":"Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate cancer)_ analysis of all prostate-specific antigen (PSA) structural isoforms by phase separation and immunoassay_ plasma_ algorithm reports risk of cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0359U","description":"Oncology (prostate cancer)_ analysis of all prostate-specific antigen (PSA) structural isoforms by phase separation and immunoassay_ plasma_ algorithm reports risk of cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep b vac injxn admin/recvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4149F","description":"Hep b vac injxn admin/recvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove sling repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57287","description":"Revise/remove sling repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8X","description":"HIPPS-RUC8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office-Based Treatment For Opioid Use Disorder_ Including Care Coordination_ Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2087","description":"Office-Based Treatment For Opioid Use Disorder_ Including Care Coordination_ Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove limb nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64782","description":"Remove limb nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tympanometry & reflex thresh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92550","description":"Tympanometry & reflex thresh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bowel to bowel fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44130","description":"Bowel to bowel fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal biophys profile w/nst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76818","description":"Fetal biophys profile w/nst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genome sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81426","description":"Genome sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8F","description":"HIPPS-RVC8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echograp trans r pros study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76873","description":"Echograp trans r pros study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN5","description":"HIPPS-3AGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01820","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01820","description":"CPT-01820","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15936","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrcp talk b/4 antiv txmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4159F","description":"Contrcp talk b/4 antiv txmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release forearm/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26449","description":"Release forearm/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Darbepoetin alfa_ esrd use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0882","description":"Darbepoetin alfa_ esrd use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc pretx incubatj w/enzymes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86971","description":"Rbc pretx incubatj w/enzymes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy (trisomy 13_ 18_ and 21)_ DNA sequence analysis of selected regions using maternal plasma_ algorithm reported as a risk score for each trisomy_ includes sex r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0327U","description":"Fetal aneuploidy (trisomy 13_ 18_ and 21)_ DNA sequence analysis of selected regions using maternal plasma_ algorithm reported as a risk score for each trisomy_ includes sex r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0653U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0653U","description":"CPT-0653U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ controlled by phone application","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0492","description":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ controlled by phone application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tensix_ 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4146","description":"Tensix_ 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dem severity classified mod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1491F","description":"Dem severity classified mod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC2D","description":"HIPPS-RHC2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Melan follow-up complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0015F","description":"Melan follow-up complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX23","description":"HIPPS-RMX23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med reas antibiotic pres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8709","description":"Med reas antibiotic pres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPU","description":"HIPPS-1AFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fev >/=40% predicted value","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3042F","description":"Fev >/=40% predicted value","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wash harvest stem cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38209","description":"Wash harvest stem cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infect disease (bact)_ DNA_ 27 resistance genes_ PCR amplification and probe hybridization in microarray format (molecular detection and identification of AmpC_ carbapenemas)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0004U","description":"Infect disease (bact)_ DNA_ 27 resistance genes_ PCR amplification and probe hybridization in microarray format (molecular detection and identification of AmpC_ carbapenemas)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Na ferric gluconate complex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2916","description":"Na ferric gluconate complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis_ solid organ neoplasm_ DNA analysis of 324 genes_ interrogation for sequence variants_ gene copy number amplifications_ gene rearrangements_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0037U","description":"Targeted genomic sequence analysis_ solid organ neoplasm_ DNA analysis of 324 genes_ interrogation for sequence variants_ gene copy number amplifications_ gene rearrangements_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98014","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98014","description":"CPT-98014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36561","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ docetaxel (ingenus) not therapeutically equivalent to j9171_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9172","description":"Injection_ docetaxel (ingenus) not therapeutically equivalent to j9171_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA15A","description":"HIPPS-PA15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth facial bone surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19251","description":"Anesth facial bone surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rx cntact lens aphakia 2 eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92316","description":"Rx cntact lens aphakia 2 eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oth resp proc_ indiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0238","description":"Oth resp proc_ indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFLW","description":"HIPPS-1BFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE154","description":"HIPPS-CE154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA32","description":"HIPPS-RHA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay triiodothyronine (t3)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84480","description":"Assay triiodothyronine (t3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31600","description":"Incision of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA3C","description":"HIPPS-RVA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No elig ref for oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8857","description":"No elig ref for oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove aorta constriction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33840","description":"Remove aorta constriction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB13C","description":"HIPPS-LB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1120","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Busulfan injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0594","description":"Busulfan injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0517U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0517U","description":"CPT-0517U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glycosylated acute phase proteins (GlycA)_ nuclear magnetic resonance spectroscopy_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0024U","description":"Glycosylated acute phase proteins (GlycA)_ nuclear magnetic resonance spectroscopy_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited dental tx adolescent","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8030","description":"Limited dental tx adolescent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eo w/o joints cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3702","description":"Eo w/o joints cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB36","description":"HIPPS-RUB36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0939T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0939T","description":"CPT-0939T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Growth hormone panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80428","description":"Growth hormone panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gel cap for trach voice pros","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8512","description":"Gel cap for trach voice pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gated heart planar single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78472","description":"Gated heart planar single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trh stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80438","description":"Trh stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair semi-recl detach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1110","description":"Wheelchair semi-recl detach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ non-coa/non-cov w/del","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1876","description":"Stent_ non-coa/non-cov w/del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB112","description":"HIPPS-PB112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism InveniQA semantic answers in medicine _ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1014","description":"Clinical decision support mechanism InveniQA semantic answers in medicine _ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap inc hern repair comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49655","description":"Lap inc hern repair comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0101","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0101","description":"CDT-D0101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adrenalin epinephrine inject","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0171","description":"Adrenalin epinephrine inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct lower jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21255","description":"Reconstruct lower jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX13","description":"HIPPS-RUX13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resolve Matrix_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2024","description":"Resolve Matrix_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise lower leg tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27686","description":"Revise lower leg tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapy exercise joint rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4018F","description":"Therapy exercise joint rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision or replacement of chest wall respiratory sensor electrode or electrode array_ including connection to existing pulse generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0467T","description":"Revision or replacement of chest wall respiratory sensor electrode or electrode array_ including connection to existing pulse generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetics 10-30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88273","description":"Cytogenetics 10-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Truss double w/ standard pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8310","description":"Truss double w/ standard pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML33","description":"HIPPS-RML33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tmp manipulation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7820","description":"Closed tmp manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multi-axial ankle/ft prosth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5979","description":"Multi-axial ankle/ft prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB224","description":"HIPPS-BB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB221","description":"HIPPS-CB221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 25MCG/0.25ML1ST","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0111A","description":"ADM SARSCOV2 25MCG/0.25ML1ST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2090","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy lymph node biop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38570","description":"Laparoscopy lymph node biop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Finger tendon transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26498","description":"Finger tendon transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68330","description":"Revise eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27429","description":"Reconstruction knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE114","description":"HIPPS-LE114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; aortic counterpulsation device and vascular hemostatic seal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0456T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; aortic counterpulsation device and vascular hemostatic seal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD214","description":"HIPPS-HD214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydroxyprogesterone caproate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1725","description":"Hydroxyprogesterone caproate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18I","description":"HIPPS-HB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce clavicle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23490","description":"Reinforce clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open red simp malar/zygom fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7650","description":"Open red simp malar/zygom fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1370","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1370","description":"HCPCS-J1370","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD150","description":"HIPPS-HD150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block lumbar/thoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64520","description":"N block lumbar/thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0491U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0491U","description":"CPT-0491U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01432","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01432","description":"CPT-01432","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ neuro non-recharg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1767","description":"Generator_ neuro non-recharg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ elastography; parenchyma (eg_ organ)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76981","description":"Ultrasound_ elastography; parenchyma (eg_ organ)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chorionic gonadotropin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84702","description":"Chorionic gonadotropin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy lymph node exc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32674","description":"Thoracoscopy lymph node exc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advanced brain imaging (CTA_ CT_ MRA or MRI) was not ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9534","description":"Advanced brain imaging (CTA_ CT_ MRA or MRI) was not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE251","description":"HIPPS-CE251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Fixed Bilateral Space Maintainer - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1558","description":"Removal Of Fixed Bilateral Space Maintainer - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27457","description":"Realignment of knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semen analysis w/huhner","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89300","description":"Semen analysis w/huhner","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mediskin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4135","description":"Mediskin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth sperm duct surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92251","description":"Anesth sperm duct surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ablate renal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50541","description":"Laparo ablate renal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit est pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99335","description":"Domicil/r-home visit est pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPU","description":"HIPPS-3CFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aud rehab postling hear loss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92633","description":"Aud rehab postling hear loss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD226","description":"HIPPS-CD226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gjb6 gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81254","description":"Gjb6 gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chimerism anal no cell selec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81267","description":"Chimerism anal no cell selec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art pressure waveform analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93050","description":"Art pressure waveform analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGL5","description":"HIPPS-3CGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKS","description":"HIPPS-2BFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD14A","description":"HIPPS-PD14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pain Management_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 36 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0290U","description":"Pain Management_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 36 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rehab thxpy options w/pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4400F","description":"Rehab thxpy options w/pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch and cane holder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2207","description":"Crutch and cane holder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulse gen sys tx endolymp fl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2120","description":"Pulse gen sys tx endolymp fl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9985","description":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of leg veins/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37735","description":"Removal of leg veins/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortbifemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35540","description":"Art byp grft aortbifemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc pretx incubatj w/chemicl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86970","description":"Rbc pretx incubatj w/chemicl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00632","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00632","description":"CPT-00632","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP1","description":"HIPPS-3BHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0901T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0901T","description":"CPT-0901T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain ovary abscess open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58820","description":"Drain ovary abscess open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of midfoot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28800","description":"Amputation of midfoot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad exp time w/fluor doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9500","description":"Rad exp time w/fluor doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Nusinersen 0.1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9489","description":"Injection Nusinersen 0.1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX4D","description":"HIPPS-RVX4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hymenotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56442","description":"Hymenotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98016","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98016","description":"CPT-98016","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Genome Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Frozen Tissue_ Blood_ Or Bone Marrow_ Comparative Structural Vari","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0299U","description":"Oncology (Pan Tumor)_ Whole Genome Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Frozen Tissue_ Blood_ Or Bone Marrow_ Comparative Structural Vari","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB40","description":"HIPPS-RMB40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colon ca screen;barium enema","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0106","description":"Colon ca screen;barium enema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4425","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4425","description":"HCPCS-Q4425","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC BRST CA AI ASSMT 12 FEAT","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0220U","description":"ONC BRST CA AI ASSMT 12 FEAT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of stomach and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43810","description":"Fusion of stomach and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL6","description":"HIPPS-3AFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reas no adhere pos air pres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8854","description":"Reas no adhere pos air pres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5%dextrose/0.45%saline1000ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5013","description":"5%dextrose/0.45%saline1000ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace vad intra w/bp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33983","description":"Replace vad intra w/bp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rehabilitation program 1/2 d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2001","description":"Rehabilitation program 1/2 d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast tomosynthesis bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77063","description":"Breast tomosynthesis bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"L hrt art/grft angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93459","description":"L hrt art/grft angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67916","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ human papillomavirus (HPV) for five or more separately reported high-risk HPV types (eg_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0500T","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ human papillomavirus (HPV) for five or more separately reported high-risk HPV types (eg_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intranasal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30118","description":"Removal of intranasal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES311","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES311","description":"HIPPS-ES311","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Right And Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S); Normal Nativ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93596","description":"Right And Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S); Normal Nativ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC14","description":"HIPPS-RMC14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ elastography; each additional target lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76983","description":"Ultrasound_ elastography; each additional target lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC255","description":"HIPPS-PC255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tebentafusp-tebn_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9274","description":"Injection_ tebentafusp-tebn_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNW","description":"HIPPS-3AFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Docetaxel injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9171","description":"Docetaxel injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid met imaging/studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78016","description":"Thyroid met imaging/studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acesso_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4311","description":"Acesso_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace blood leak detector","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1560","description":"Replace blood leak detector","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep ak ischial laminated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5590","description":"Prep ak ischial laminated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0841","description":"Pwc gp2 std mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluate swallowing function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92610","description":"Evaluate swallowing function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of teeth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7290","description":"Repositioning of teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Terbutaline sulf comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7681","description":"Terbutaline sulf comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC246","description":"HIPPS-HC246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL32","description":"HIPPS-RVL32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder/revise tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51580","description":"Remove bladder/revise tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of retinal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67208","description":"Treatment of retinal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt w out cath maint dia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9241","description":"Doc pt w out cath maint dia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX43","description":"HIPPS-RLX43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue culture placenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88235","description":"Tissue culture placenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Furnsh initial orthosis only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1200","description":"Furnsh initial orthosis only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polysom 6/>yrs cpap 4/> parm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95811","description":"Polysom 6/>yrs cpap 4/> parm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosphenytoin sodi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0078","description":"Injection_ fosphenytoin sodi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychological testing (eg_ Halstead-Reitan Neuropsychological Battery_ Wechsler Memory Scales and Wisconsin Card Sorting Test)_ per hour of the psychologist_s or physicia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96118","description":"Neuropsychological testing (eg_ Halstead-Reitan Neuropsychological Battery_ Wechsler Memory Scales and Wisconsin Card Sorting Test)_ per hour of the psychologist_s or physicia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB4A","description":"HIPPS-RUB4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone biopsy excisional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20240","description":"Bone biopsy excisional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN5","description":"HIPPS-1AHN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine infusion device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62360","description":"Insert spine infusion device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB22D","description":"HIPPS-LB22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0521U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0521U","description":"CPT-0521U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX55","description":"HIPPS-RHX55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair testis injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54670","description":"Repair testis injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 resin-based compos","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2712","description":"Crown 3/4 resin-based compos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impltj Nonbiol/Synth Implt Fasc Rnfcmt Abdl Wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0437T","description":"Impltj Nonbiol/Synth Implt Fasc Rnfcmt Abdl Wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infliximab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80230","description":"Infliximab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl bat t.e.n.s. own by pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4630","description":"Repl bat t.e.n.s. own by pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE24D","description":"HIPPS-CE24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arm trough each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2209","description":"Arm trough each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair brake extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0961","description":"Wheelchair brake extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18X","description":"HIPPS-HD18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us transrectal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76872","description":"Us transrectal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory bp analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93788","description":"Ambulatory bp analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Saquinavir_ 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0140","description":"Saquinavir_ 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain external ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69005","description":"Drain external ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of lower jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21244","description":"Reconstruction of lower jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandage roll_ elastic medium stretch_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6598","description":"Gradient compression bandage roll_ elastic medium stretch_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHK2","description":"HIPPS-1CHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49615","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0600U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0600U","description":"CPT-0600U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of aqueous shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66184","description":"Revision of aqueous shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB44","description":"HIPPS-RVB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of fibula fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27780","description":"Treatment of fibula fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polysom <6 yrs 4/> paramtrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95782","description":"Polysom <6 yrs 4/> paramtrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response)_ buccal specimen_ gene-drug interactions_ variant analysis of 33 genes_ including deletion/duplication analysis of C","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0438U","description":"Drug metabolism (adverse drug reactions and drug response)_ buccal specimen_ gene-drug interactions_ variant analysis of 33 genes_ including deletion/duplication analysis of C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87564","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87564","description":"CPT-87564","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alteplase recombinant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2997","description":"Alteplase recombinant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse pancreas cyst and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48540","description":"Fuse pancreas cyst and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home uterine monitor with or","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9001","description":"Home uterine monitor with or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient was not admitted to the ICU in the last 30 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9854","description":"Patient was not admitted to the ICU in the last 30 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0506","description":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure dev_ vasc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1760","description":"Closure dev_ vasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX4C","description":"HIPPS-RLX4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asparaginase_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9020","description":"Asparaginase_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC14D","description":"HIPPS-CC14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attempted vbac after care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59622","description":"Attempted vbac after care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla ii typing ag equiv lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81375","description":"Hla ii typing ag equiv lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rehabilitative support for musculoskeletal care mips value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1370","description":"Rehabilitative support for musculoskeletal care mips value pathway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including target assessment_ initial motor threshold determination_ neuronavigati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0890T","description":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including target assessment_ initial motor threshold determination_ neuronavigati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caloric vstblr test w/rec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92537","description":"Caloric vstblr test w/rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA254","description":"HIPPS-CA254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat metatarsal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28476","description":"Treat metatarsal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incompl donor egg case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4023","description":"Incompl donor egg case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90484","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90484","description":"CPT-90484","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPW","description":"HIPPS-3CGPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy planning","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77299","description":"Radiation therapy planning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enclosed walker w rear seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0144","description":"Enclosed walker w rear seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX06","description":"HIPPS-RVX06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking thighlngth 40-50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6535","description":"Gc stocking thighlngth 40-50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX26","description":"HIPPS-RHX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Construction of absent anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46740","description":"Construction of absent anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67110","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy spinal cord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62269","description":"Needle biopsy spinal cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay glucose blood quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82947","description":"Assay glucose blood quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL30","description":"HIPPS-RUL30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subtalar arthro w/fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29907","description":"Subtalar arthro w/fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56637","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pontic-indirect resin based","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6205","description":"Pontic-indirect resin based","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of cryoglobulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82595","description":"Assay of cryoglobulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guardant360 CDX_ Guardant Health Inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0242U","description":"Guardant360 CDX_ Guardant Health Inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ natalizumab-sztn (tyruko)_ biosimilar_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5134","description":"Injection_ natalizumab-sztn (tyruko)_ biosimilar_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doppler echo exam heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93320","description":"Doppler echo exam heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ using oral fluid_ reported as a comparison to an estimated steady-state range_ per date of service inclu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0011U","description":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ using oral fluid_ reported as a comparison to an estimated steady-state range_ per date of service inclu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN4","description":"HIPPS-1CHN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed fixed ht w/ mattres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0250","description":"Hosp bed fixed ht w/ mattres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX30","description":"HIPPS-RMX30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place duod/jej tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49441","description":"Place duod/jej tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoluminal bx biliary tree","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47543","description":"Endoluminal bx biliary tree","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"D5w/0.45ns w kcl and mgs04","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5014","description":"D5w/0.45ns w kcl and mgs04","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 5.1-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12053","description":"Intmd rpr face/mm 5.1-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Testosterone undecanoate 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3145","description":"Testosterone undecanoate 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of long arm cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29065","description":"Application of long arm cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9292","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9292","description":"HCPCS-J9292","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1 (BRCA1_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ detection of large gene rearrangements)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81166","description":"BRCA1 (BRCA1_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ detection of large gene rearrangements)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Group (2 Or More Patients)_ Face-To-Face; Initial 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96164","description":"Health Behavior Intervention_ Group (2 Or More Patients)_ Face-To-Face; Initial 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1445","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1445","description":"HCPCS-M1445","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Derm autograft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15130","description":"Derm autograft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt falls assess-docd le1/yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1101F","description":"Pt falls assess-docd le1/yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1385","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1385","description":"HCPCS-M1385","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"VEKLURY - Injection_ remdesivir_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0248","description":"VEKLURY - Injection_ remdesivir_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate heart dysrhythm focus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93650","description":"Ablate heart dysrhythm focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18A","description":"HIPPS-CA18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5169","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5169","description":"HCPCS-Q5169","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trb@ gene rearrange amplify","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81340","description":"Trb@ gene rearrange amplify","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC THYR MRNA XPRSN ALYS 593","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0204U","description":"ONC THYR MRNA XPRSN ALYS 593","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Administration Of Chemotherapy Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0618","description":"Hospital Special Treatment Room Support Component (Hstrsc) Administration Of Chemotherapy Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Micafungin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2248","description":"Micafungin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ft insert ucb berkeley shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3000","description":"Ft insert ucb berkeley shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Cystoscopy/Transurethral Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0615","description":"Hospital Special Treatment Room Support Component (Hstrsc) Cystoscopy/Transurethral Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN4","description":"HIPPS-1AHN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92628","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92628","description":"CPT-92628","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA5C","description":"HIPPS-RVA5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Special Meal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1764","description":"Home Delivered Meals-Special Meal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of a new patient with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0522","description":"Management of a new patient with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intestine transplnt cadaver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44135","description":"Intestine transplnt cadaver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear antigen antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86235","description":"Nuclear antigen antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB5C","description":"HIPPS-RHB5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodener muscle larynx emg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64617","description":"Chemodener muscle larynx emg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back pain was measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 - 20 weeks) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9941","description":"Back pain was measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 - 20 weeks) postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Fluocinolone Acetonide Intravitreal Implant_ 0.01mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9450","description":"Injection Fluocinolone Acetonide Intravitreal Implant_ 0.01mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trapeze bar free standing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0940","description":"Trapeze bar free standing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFLT","description":"HIPPS-4AFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clean & inspect rem dent max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9932","description":"Clean & inspect rem dent max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty tricuspid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33463","description":"Valvuloplasty tricuspid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB55","description":"HIPPS-RHB55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt ed write/oral pts w/ hf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4003F","description":"Pt ed write/oral pts w/ hf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete wheel lock assembly","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2206","description":"Complete wheel lock assembly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver allotransplantation; heterotopic_ partial or whole_ from cadaver or living donor_ any age","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47136","description":"Liver allotransplantation; heterotopic_ partial or whole_ from cadaver or living donor_ any age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL1","description":"HIPPS-3BHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tb scrng done-interpd 6mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3455F","description":"Tb scrng done-interpd 6mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated platelet count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85049","description":"Automated platelet count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj pembrolizumab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9271","description":"Inj pembrolizumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40500","description":"Partial excision of lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place needle in vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36000","description":"Place needle in vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g._ inside-out technique)_ including imaging guidance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9780","description":"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g._ inside-out technique)_ including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with dementia any time during the patient_s history through the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1164","description":"Patients with dementia any time during the patient_s history through the end of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sedative hypnotics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80368","description":"Sedative hypnotics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA5B","description":"HIPPS-AAA5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj intercost mlt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64421","description":"N block inj intercost mlt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Procedure-Related Bp_S Not Taken During An Outpatient Visit. Examples Include Same Day Surgery_ Ambulatory Service Center_ G.I. Lab_ Dialysis_ Infusion Center_ Chemotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2129","description":"Procedure-Related Bp_S Not Taken During An Outpatient Visit. Examples Include Same Day Surgery_ Ambulatory Service Center_ G.I. Lab_ Dialysis_ Infusion Center_ Chemotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bladder irrigation tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4355","description":"Bladder irrigation tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00802","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00802","description":"CPT-00802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Igh gene rearrang dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81262","description":"Igh gene rearrang dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iliac revasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37220","description":"Iliac revasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iliac aneurysm endovas rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75954","description":"Iliac aneurysm endovas rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit hydra total diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9373","description":"Hit hydra total diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rails bed side half length","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0305","description":"Rails bed side half length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc visceral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0235T","description":"Trluml perip athrc visceral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analgesics non-opioid 3-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80330","description":"Analgesics non-opioid 3-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic myomectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58545","description":"Laparoscopic myomectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFM1","description":"HIPPS-4BFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam neck spine 6/>vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72052","description":"X-ray exam neck spine 6/>vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD215","description":"HIPPS-HD215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair rotator cuff acute","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23410","description":"Repair rotator cuff acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4359","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4359","description":"HCPCS-Q4359","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69310","description":"Rebuild outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastoid surgery revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69603","description":"Mastoid surgery revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine creatinine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82570","description":"Assay of urine creatinine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splint - intra-coronal; natural teeth or prosthetic crowns","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4322","description":"Splint - intra-coronal; natural teeth or prosthetic crowns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of astigmatism","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65772","description":"Correction of astigmatism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo mnl lock ultra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5711","description":"Knee-shin exo mnl lock ultra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0303","description":"HCPCS-A0303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4373","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4373","description":"HCPCS-Q4373","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ana crown exp 1-3 per quad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4231","description":"Ana crown exp 1-3 per quad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28106","description":"Remove/graft foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore parathyroid glands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60505","description":"Explore parathyroid glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmp22 gene dup/delet","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81324","description":"Pmp22 gene dup/delet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE254","description":"HIPPS-LE254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision lesion mouth roof","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42106","description":"Excision lesion mouth roof","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC156","description":"HIPPS-LC156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01963","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01963","description":"CPT-01963","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Developmental test administration (including assessment of fine and/or gross motor_ language_ cognitive level_ social_ memory and/or executive functions by standardized develo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96112","description":"Developmental test administration (including assessment of fine and/or gross motor_ language_ cognitive level_ social_ memory and/or executive functions by standardized develo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postsurgical obturator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5932","description":"Postsurgical obturator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"T cell absolute count/ratio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86360","description":"T cell absolute count/ratio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic salivary reflex s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0755","description":"Electronic salivary reflex s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive surgery of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42845","description":"Extensive surgery of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sugars multiple qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84377","description":"Sugars multiple qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dressing >48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6233","description":"Hydrogel dressing >48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replantation of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54438","description":"Replantation of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA33","description":"HIPPS-RUA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB10C","description":"HIPPS-LB10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28E","description":"HIPPS-HB28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"GYPA GNOTYP NTRNS 1 5 EXON 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0189U","description":"GYPA GNOTYP NTRNS 1 5 EXON 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC24C","description":"HIPPS-PC24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Probe nasolacrimal duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68811","description":"Probe nasolacrimal duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP1","description":"HIPPS-3AHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00604","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00604","description":"CPT-00604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical_ ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring_ radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58674","description":"Laparoscopy_ surgical_ ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring_ radiofrequency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA55","description":"HIPPS-RLA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ctr mount pwr elev leg rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1012","description":"Ctr mount pwr elev leg rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of total testosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84403","description":"Assay of total testosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain w/ noble met","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2752","description":"Crown porcelain w/ noble met","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm transmitter ald","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5288","description":"Ald fm/dm transmitter ald","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC21","description":"HIPPS-RUC21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (anxiety disorders)_ mRNA_ gene expression profiling by RNA sequencing of 15 biomarkers_ whole blood_ algorithm reported as predictive risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0437U","description":"Psychiatry (anxiety disorders)_ mRNA_ gene expression profiling by RNA sequencing of 15 biomarkers_ whole blood_ algorithm reported as predictive risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31780","description":"Reconstruct windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular reeducation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97112","description":"Neuromuscular reeducation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGP4","description":"HIPPS-1AGP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15261","description":"Skin full graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11100","description":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of rectal abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46045","description":"Incision of rectal abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker rigid adjust/fixed ht","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0130","description":"Walker rigid adjust/fixed ht","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CaregraFT_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4322","description":"CaregraFT_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Axillary crutch extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0978","description":"Axillary crutch extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifo 7.25-12/2.25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2312","description":"Lens sphc trifo 7.25-12/2.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA10A","description":"HIPPS-PA10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0628U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0628U","description":"CPT-0628U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES141","description":"HIPPS-ES141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD225","description":"HIPPS-LD225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration femoral artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35721","description":"Exploration femoral artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ovulation mgmt per cycle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4042","description":"Ovulation mgmt per cycle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC50","description":"HIPPS-RMC50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0602","description":"HCPCS-A0602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee cap medial or lateral p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2800","description":"Knee cap medial or lateral p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK5","description":"HIPPS-1BFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull for biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61140","description":"Pierce skull for biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFL4","description":"HIPPS-2BFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung perfusion differential","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78597","description":"Lung perfusion differential","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate sol test kit_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4760","description":"Dialysate sol test kit_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA121","description":"HIPPS-BA121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9224","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9224","description":"CDT-D9224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microbiology procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87999","description":"Microbiology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC42","description":"HIPPS-RUC42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ear and throat examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92502","description":"Ear and throat examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy rigid trnso dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43191","description":"Esophagoscopy rigid trnso dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Right And Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S); Abnormal Nat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93597","description":"Right And Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S); Abnormal Nat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pertussis ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87265","description":"Pertussis ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of rectal abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46060","description":"Incision of rectal abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX17","description":"HIPPS-RLX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symes type medial opening so","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5636","description":"Symes type medial opening so","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Islet cell tissue transplant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2102","description":"Islet cell tissue transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artiss fibrin sealant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9250","description":"Artiss fibrin sealant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28F","description":"HIPPS-LC28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ high density foam roll for bandage_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6602","description":"Gradient compression bandaging supply_ high density foam roll for bandage_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA02","description":"HIPPS-RMA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA124","description":"HIPPS-CA124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray urethra/bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74455","description":"X-ray urethra/bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cannula declotting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36861","description":"Cannula declotting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNW","description":"HIPPS-3CFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0654","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0654","description":"HCPCS-J0654","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28E","description":"HIPPS-HC28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHNT","description":"HIPPS-3CHNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auric/peri pain assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1116F","description":"Auric/peri pain assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2428","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2428","description":"HCPCS-J2428","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol amino acid >","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4178","description":"Parenteral sol amino acid >","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computer-aided detection_ including computer algorithm analysis of MRI image data for lesion detection/characterization_ pharmacokinetic analysis_ with further physician revie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0159T","description":"Computer-aided detection_ including computer algorithm analysis of MRI image data for lesion detection/characterization_ pharmacokinetic analysis_ with further physician revie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool tub_ walk-in_ portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1301","description":"Whirlpool tub_ walk-in_ portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83251","description":"Anesth repair of hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Children who are taking antibiotics in the 30 days prior to the date of the encounter during which the diagnosis was established","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9701","description":"Children who are taking antibiotics in the 30 days prior to the date of the encounter during which the diagnosis was established","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Surveillance Center Technical Support Including Data Transmission With Analysis_ With A Minimum Of 18 Training Hour","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0705T","description":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Surveillance Center Technical Support Including Data Transmission With Analysis_ With A Minimum Of 18 Training Hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peripheral nerve block (PNB)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9770","description":"Peripheral nerve block (PNB)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cellesta_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4184","description":"Cellesta_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD24C","description":"HIPPS-LD24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nivolumab and relatlimab-rmbw_ 3 mg/1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9298","description":"Injection_ nivolumab and relatlimab-rmbw_ 3 mg/1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artacent AC_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4189","description":"Artacent AC_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cor artery disease mrna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81493","description":"Cor artery disease mrna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB24B","description":"HIPPS-CB24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intranasal reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30620","description":"Intranasal reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (von Willebrand disease [VWD])_ von Willebrand factor (VWF) and collagen III binding by enzyme-linked immunosorbent assays (ELISA)_ plasma_ report of collagen III b","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0279U","description":"Hematology (von Willebrand disease [VWD])_ von Willebrand factor (VWF) and collagen III binding by enzyme-linked immunosorbent assays (ELISA)_ plasma_ report of collagen III b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical placement of craniofacial implant - extra oral","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7993","description":"Surgical placement of craniofacial implant - extra oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB260","description":"HIPPS-PB260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8G","description":"HIPPS-RUA8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status was measured by the Oswestry Disability Index (ODI version 2.1a) patient reported outcome tool within three m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1044","description":"Functional status was measured by the Oswestry Disability Index (ODI version 2.1a) patient reported outcome tool within three m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture without fixation_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21805","description":"Open treatment of rib fracture without fixation_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpower mattress overlay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0371","description":"Nonpower mattress overlay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA21","description":"HIPPS-RHA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Idecabtagene vicleucel_ up to 460 million autologous anti-BCMA CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9081","description":"Idecabtagene vicleucel_ up to 460 million autologous anti-BCMA CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipoprotein bld hr fraction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83701","description":"Lipoprotein bld hr fraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proton treatment complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77525","description":"Proton treatment complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroplasty w/o v-band","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43843","description":"Gastroplasty w/o v-band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFK4","description":"HIPPS-1AFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop dsg cast chg elb dis/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6382","description":"Postop dsg cast chg elb dis/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair rectourethral fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45820","description":"Repair rectourethral fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg_ spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81184","description":"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg_ spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete aca_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4302","description":"Complete aca_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB140","description":"HIPPS-LB140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA GRP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87337","description":"IAAD IA ENTAMOEBA HISTOLYTICA GRP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile cefuroxime injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0697","description":"Sterile cefuroxime injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kras gene addl variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81276","description":"Kras gene addl variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27596","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"remove erupted tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7210","description":"remove erupted tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99233","description":"Subsequent hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth 60 min/> as docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4255F","description":"Anesth 60 min/> as docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot external keel sach foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5970","description":"Foot external keel sach foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diag laparo separate proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49320","description":"Diag laparo separate proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27510","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyperbaric o2 chamber disps","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4575","description":"Hyperbaric o2 chamber disps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA0C","description":"HIPPS-RLA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5+ cc sterile syringe&needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4209","description":"5+ cc sterile syringe&needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exam of cervix w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57452","description":"Exam of cervix w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45330","description":"Diagnostic sigmoidoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physical performance test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97750","description":"Physical performance test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28193","description":"Removal of foot foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transport taxi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0100","description":"Nonemergency transport taxi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel wedge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3350","description":"Shoe heel wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA23","description":"HIPPS-RLA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD23D","description":"HIPPS-PD23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of finger splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29131","description":"Application of finger splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0933T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0933T","description":"CPT-0933T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB14A","description":"HIPPS-LB14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor viii vw antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85246","description":"Clot factor viii vw antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLS","description":"HIPPS-2CFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anti-inflm/anlgsc agent rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4016F","description":"Anti-inflm/anlgsc agent rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogate crtd sns w/pgrmg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0273T","description":"Interrogate crtd sns w/pgrmg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumat walking boot pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4360","description":"Pneumat walking boot pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame attachmnts pe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0947","description":"Fracture frame attachmnts pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMV","description":"HIPPS-2AFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28635","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8D","description":"HIPPS-RLA8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC210","description":"HIPPS-CC210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed institutional t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0270","description":"Hospital bed institutional t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comparative DNA analysis using multiple selected single-nucleotide polymorphisms (SNPs)_ urine and buccal DNA_ for specimen identity verification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0079U","description":"Comparative DNA analysis using multiple selected single-nucleotide polymorphisms (SNPs)_ urine and buccal DNA_ for specimen identity verification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open nasoethmoid fx w/o fixj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21338","description":"Open nasoethmoid fx w/o fixj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cstm dme other than wheelchr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0900","description":"Cstm dme other than wheelchr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE22D","description":"HIPPS-HE22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66635","description":"Removal of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0524U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0524U","description":"CPT-0524U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA15B","description":"HIPPS-CA15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES15B","description":"HIPPS-ES15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM3","description":"HIPPS-2AHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0704","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0704","description":"HCPCS-C0704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial proctectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45113","description":"Partial proctectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amiodarone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80151","description":"Amiodarone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA245","description":"HIPPS-PA245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay tumor other","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86316","description":"Immunoassay tumor other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of sinuses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31090","description":"Exploration of sinuses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe outflare wedge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3390","description":"Shoe outflare wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ trans atherec_rotation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1724","description":"Cath_ trans atherec_rotation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9342","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9342","description":"HCPCS-J9342","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX53","description":"HIPPS-RVX53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD23C","description":"HIPPS-PD23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special supply_ nos waiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2028","description":"Special supply_ nos waiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc fe+ stores b/4 epo thx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3160F","description":"Doc fe+ stores b/4 epo thx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Male condom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4267","description":"Male condom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33770","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brompheniramine maleate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0945","description":"Brompheniramine maleate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycobacteric identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87118","description":"Mycobacteric identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD254","description":"HIPPS-HD254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj heparin sodium per 1000u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1644","description":"Inj heparin sodium per 1000u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37255","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37255","description":"CPT-37255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31382","description":"Partial removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pinworm examinations","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0113","description":"Pinworm examinations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lg vol nebulizer disposable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7007","description":"Lg vol nebulizer disposable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relieve bladder contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52640","description":"Relieve bladder contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0915T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0915T","description":"CPT-0915T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Had Prior Adverse Reaction Caused By Zoster Vaccine Or Its Components Any Time During Or Before The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2161","description":"Patient Had Prior Adverse Reaction Caused By Zoster Vaccine Or Its Components Any Time During Or Before The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX5C","description":"HIPPS-RUX5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg_ Neisseria meningitidis_ Streptococcus pneumoniae_ Listeria_ Haemophilus influenza","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87483","description":"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg_ Neisseria meningitidis_ Streptococcus pneumoniae_ Listeria_ Haemophilus influenza","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm aud input receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5285","description":"Ald fm/dm aud input receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult size brief/diaper lg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4523","description":"Adult size brief/diaper lg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00540","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00540","description":"CPT-00540","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP1","description":"HIPPS-1AFP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25690","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00934","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00934","description":"CPT-00934","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN5","description":"HIPPS-1AFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lev 4 hosp type b ed visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0383","description":"Lev 4 hosp type b ed visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-77436","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77436","description":"CPT-77436","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc antibio given b/4 surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4047F","description":"Doc antibio given b/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50580","description":"Kidney endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (plasma cell disorders and myeloma)_ circulating plasma cell immunologic selection_ identification_ morphological characterization_ and enumeration of plasma cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0337U","description":"Oncology (plasma cell disorders and myeloma)_ circulating plasma cell immunologic selection_ identification_ morphological characterization_ and enumeration of plasma cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (eg_ Parkinson disease_ dementia with Lewy bodies)_ cerebrospinal fluid (CSF)_ detection of misfolded a-synuclein protein by seed amplification assay_ qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0393U","description":"Neurology (eg_ Parkinson disease_ dementia with Lewy bodies)_ cerebrospinal fluid (CSF)_ detection of misfolded a-synuclein protein by seed amplification assay_ qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA20C","description":"HIPPS-CA20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heat lamp with stand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0205","description":"Heat lamp with stand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment by protocol_ administered by technician under the direction of a physician or other qualified health care professional_ face-to-face with two","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97154","description":"Group adaptive behavior treatment by protocol_ administered by technician under the direction of a physician or other qualified health care professional_ face-to-face with two","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit new pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99327","description":"Domicil/r-home visit new pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Z7610","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Z7610","description":"HCPCS-Z7610","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rotation wrst w/ cable lock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6625","description":"Rotation wrst w/ cable lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27246","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKT","description":"HIPPS-4AHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reshaping bone orthognathic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7940","description":"Reshaping bone orthognathic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; common variant(s) (eg_ A_ A-)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81247","description":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; common variant(s) (eg_ A_ A-)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17284","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood pressure measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2000F","description":"Blood pressure measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl nasal pillow comb mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7029","description":"Repl nasal pillow comb mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rerepair ventrl hern block","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49566","description":"Rerepair ventrl hern block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0658","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0658","description":"HCPCS-E0658","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transportation costs to and","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9992","description":"Transportation costs to and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peanut allergen specific IgE and quantitative assessment of 64 epitopes using enzyme-linked immunosorbent assay (ELISA)_ blood_ individual epitope results and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0165U","description":"Peanut allergen specific IgE and quantitative assessment of 64 epitopes using enzyme-linked immunosorbent assay (ELISA)_ blood_ individual epitope results and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Als 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0433","description":"Als 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of silica","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84285","description":"Assay of silica","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0974T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0974T","description":"CPT-0974T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placement of a custom removable clear plastic temporary aesthetic appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9939","description":"Placement of a custom removable clear plastic temporary aesthetic appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Centrifuge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1500","description":"Centrifuge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4542","description":"Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guidance radiotherapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76965","description":"Echo guidance radiotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hand dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26686","description":"Treat hand dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vasc embolize/occlude organ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37243","description":"Vasc embolize/occlude organ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFKU","description":"HIPPS-4BFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB141","description":"HIPPS-CB141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot single axis ankle/foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5974","description":"Foot single axis ankle/foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8D","description":"HIPPS-RHC8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow fair lead cable molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6584","description":"Elbow fair lead cable molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMX","description":"HIPPS-1CHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25125","description":"Remove/graft forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise additional leg tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27692","description":"Revise additional leg tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apnea monitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0618","description":"Apnea monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place stereo cath brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0169T","description":"Place stereo cath brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPU","description":"HIPPS-3AFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occlusive eye patch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6412","description":"Occlusive eye patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Create eardrum opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69436","description":"Create eardrum opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coombs test direct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86880","description":"Coombs test direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0301","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0301","description":"CDT-D0301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML2D","description":"HIPPS-RML2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RARE DS GEN DNA ALYS EA COMP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0213U","description":"RARE DS GEN DNA ALYS EA COMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of cloacal anomaly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46748","description":"Repair of cloacal anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pvc intravenous administ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1016","description":"Non-pvc intravenous administ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Search for prior patient completed dicom format images not completed due to medical reasons(eg_CT studies performed for radiation treatment planning or image-guided radiation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9343","description":"Search for prior patient completed dicom format images not completed due to medical reasons(eg_CT studies performed for radiation treatment planning or image-guided radiation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methadone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6053","description":"Methadone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct interprete max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0366","description":"Cone beam ct interprete max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonrandomized_ nonblinded procedure for NYHA Class II_ III_ IV heart failure; transcatheter implantation of interatrial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9760","description":"Nonrandomized_ nonblinded procedure for NYHA Class II_ III_ IV heart failure; transcatheter implantation of interatrial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sps ankle device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1816","description":"Sps ankle device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pik3Ca (Phosphatidylinositol-4_ 5-Biphosphate 3-Kinase_ Catalytic Subunit Alpha) (Eg_ Colorectal And Breast Cancer) Gene Analysis_ Targeted Sequence Analysis (Eg_ Exons 7_ 9_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81309","description":"Pik3Ca (Phosphatidylinositol-4_ 5-Biphosphate 3-Kinase_ Catalytic Subunit Alpha) (Eg_ Colorectal And Breast Cancer) Gene Analysis_ Targeted Sequence Analysis (Eg_ Exons 7_ 9_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin mnl lck ultra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5811","description":"Endo knee-shin mnl lck ultra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Separate eyelid adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68340","description":"Separate eyelid adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0167","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0167","description":"HCPCS-J0167","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of head brace","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20661","description":"Application of head brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8E","description":"HIPPS-RMC8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36216","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest vein for bypass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35500","description":"Harvest vein for bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGM6","description":"HIPPS-2AGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semi precision attach abut","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6052","description":"Semi precision attach abut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33475","description":"Replacement pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Procuren or other growth fac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9055","description":"Procuren or other growth fac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient has metastatic disease at diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9838","description":"Patient has metastatic disease at diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA13","description":"HIPPS-AAA13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add mech leg elevation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1009","description":"Add mech leg elevation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Encephaltis east eqne anbdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86652","description":"Encephaltis east eqne anbdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of spinal nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64772","description":"Incision of spinal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy hand joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26100","description":"Biopsy hand joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8X","description":"HIPPS-RHX8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27030","description":"Drainage of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide villus sampling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76945","description":"Echo guide villus sampling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81343","description":"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retrograde ejaculation anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89331","description":"Retrograde ejaculation anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng ace/arb b-blockertx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4480F","description":"Pt rcvng ace/arb b-blockertx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGK3","description":"HIPPS-4AGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE106","description":"HIPPS-PE106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer reservoir bottle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7009","description":"Nebulizer reservoir bottle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Hot Entrée","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1759","description":"Home Delivered Meals-Hot Entrée","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15013","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15013","description":"CPT-15013","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1420","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1420","description":"HCPCS-M1420","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ibd mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8758","description":"Ibd mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement facemask interfa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7031","description":"Replacement facemask interfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB241","description":"HIPPS-CB241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1357","description":"Patients who had a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for shoulder x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23350","description":"Injection for shoulder x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In hospice or using hospice services during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1167","description":"In hospice or using hospice services during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preperitoneal Pelvic Packing For Hemorrhage Associated With Pelvic Trauma_ Including Local Exploration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49013","description":"Preperitoneal Pelvic Packing For Hemorrhage Associated With Pelvic Trauma_ Including Local Exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB10D","description":"HIPPS-CB10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PolyCyte_ for topical use only_ per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4241","description":"PolyCyte_ for topical use only_ per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1902","description":"HCPCS-B1902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC226","description":"HIPPS-CC226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had encephalitis due to the tetanus_ diphtheria or pertussis vaccine any time on or before the patient_s 13th birthday","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1162","description":"Patient had encephalitis due to the tetanus_ diphtheria or pertussis vaccine any time on or before the patient_s 13th birthday","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of nasal septum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30520","description":"Repair of nasal septum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate conc sol add 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4766","description":"Dialysate conc sol add 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec alys vagus nrv pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0317T","description":"Elec alys vagus nrv pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of zinc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84630","description":"Assay of zinc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver elastography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91200","description":"Liver elastography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28B","description":"HIPPS-LB28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous tibial nerve stimulator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0736","description":"Transcutaneous tibial nerve stimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX0C","description":"HIPPS-RVX0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLW","description":"HIPPS-2BHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1735","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1735","description":"HCPCS-C1735","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral prescrip drug non chemo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8499","description":"Oral prescrip drug non chemo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-adher band >=5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6455","description":"Self-adher band >=5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic image bone marrow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77084","description":"Magnetic image bone marrow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD221","description":"HIPPS-HD221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC25","description":"HIPPS-RUC25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Odontics endosteal implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6010","description":"Odontics endosteal implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX0B","description":"HIPPS-RUX0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gingival irrigation per quad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4921","description":"Gingival irrigation per quad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0677T","description":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Theragenesis_ Per Square Centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2008","description":"Theragenesis_ Per Square Centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient recorded spirometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94015","description":"Patient recorded spirometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61315","description":"Open skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC225","description":"HIPPS-LC225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical exposure of root surface without apicoectomy or repair of root resorption - molar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3503","description":"Surgical exposure of root surface without apicoectomy or repair of root resorption - molar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA32","description":"HIPPS-AAA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Financial Management Services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7341","description":"Financial Management Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair wrist joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25447","description":"Repair wrist joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18G","description":"HIPPS-CC18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8H","description":"HIPPS-RHA8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery bifurcation (eg_ aneurysm_ pseudoaneurysm_ arteriovenous malformation_ trauma_ dissection) using bifurcated endograft from the common iliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0254T","description":"Endovascular repair of iliac artery bifurcation (eg_ aneurysm_ pseudoaneurysm_ arteriovenous malformation_ trauma_ dissection) using bifurcated endograft from the common iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percut bx lung/mediastinum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32405","description":"Percut bx lung/mediastinum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA144","description":"HIPPS-BA144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tinzaparin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1655","description":"Tinzaparin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87478","description":"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN3","description":"HIPPS-1CHN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ret dev_ insertable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1773","description":"Ret dev_ insertable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX3C","description":"HIPPS-RUX3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28F","description":"HIPPS-LE28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGPS","description":"HIPPS-3BGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology gynecologic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81536","description":"Oncology gynecologic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supply/ext inf pump syr type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0552","description":"Supply/ext inf pump syr type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain aneurysm repr simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61700","description":"Brain aneurysm repr simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA26","description":"HIPPS-RLA26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xenograft implantation into the articular surface","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0737T","description":"Xenograft implantation into the articular surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_thinlayer_rescr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0145","description":"Scr c/v cyto_thinlayer_rescr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft contral carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35509","description":"Art byp grft contral carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87341","description":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES104","description":"HIPPS-ES104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage abdom abscess open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49020","description":"Drainage abdom abscess open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0509U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0509U","description":"CPT-0509U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL35","description":"HIPPS-RUL35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE101","description":"HIPPS-PE101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24498","description":"Reinforce humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fld ped wc adjstabl w/o seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1238","description":"Fld ped wc adjstabl w/o seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg strap h style each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0039","description":"Leg strap h style each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear matrix protein 22","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86386","description":"Nuclear matrix protein 22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat spinal cord lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62281","description":"Treat spinal cord lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27703","description":"Reconstruction ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"2 pc drainable ost pouch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4413","description":"2 pc drainable ost pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v index add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88155","description":"Cytopath c/v index add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-facial prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8044","description":"Hemi-facial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace part denture teeth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5640","description":"Replace part denture teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplcmt defib w/lead(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33249","description":"Insj/rplcmt defib w/lead(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE13A","description":"HIPPS-LE13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device_ transducer/actuator_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8694","description":"Auditory osseointegrated device_ transducer/actuator_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye with implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65093","description":"Revise eye with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNV","description":"HIPPS-1BHNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart pacing mapping","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93631","description":"Heart pacing mapping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES21C","description":"HIPPS-ES21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"West nile virus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86789","description":"West nile virus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62327","description":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB160","description":"HIPPS-CB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levetiracetam injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1953","description":"Levetiracetam injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prostheses_ osseointegrated external prosthetic connector","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5991","description":"Addition to lower extremity prostheses_ osseointegrated external prosthetic connector","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ cell-free circulating DNA analysis of 83 or more genes_ interrogation for sequence variants_ gene copy number a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0326U","description":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ cell-free circulating DNA analysis of 83 or more genes_ interrogation for sequence variants_ gene copy number a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFKT","description":"HIPPS-4AFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lowr extremity prosthes nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5999","description":"Lowr extremity prosthes nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFK4","description":"HIPPS-2AFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove colloid cyst w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62162","description":"Remove colloid cyst w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not counting previous ct and cardiac nuclear medicine (myocardial perfusion) studies (eg_CT studies performed for radiation treatment)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9323","description":"Documentation of medical reason(s) for not counting previous ct and cardiac nuclear medicine (myocardial perfusion) studies (eg_CT studies performed for radiation treatment)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0151A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ mRNA_ gene expression profiling by next-generation sequencing of 101 genes_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as a tripl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0153U","description":"Oncology (breast)_ mRNA_ gene expression profiling by next-generation sequencing of 101 genes_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as a tripl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess inc xray docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3340F","description":"Mammo assess inc xray docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert picc cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36569","description":"Insert picc cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asp not presc doc reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9436","description":"Asp not presc doc reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0316","description":"Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK3","description":"HIPPS-5CFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma)_ patients who are h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1018","description":"Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma)_ patients who are h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not prescribing ace inhibitor or arb therapy during the measurement period_ (e.g._ patient declined_ other patient reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1202","description":"Documentation of patient reason(s) for not prescribing ace inhibitor or arb therapy during the measurement period_ (e.g._ patient declined_ other patient reasons)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit pain mgmt per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9325","description":"Hit pain mgmt per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psori tool doc/no bnchmk met","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9651","description":"Psori tool doc/no bnchmk met","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP5","description":"HIPPS-3AGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep < 2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21013","description":"Exc face tum deep < 2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC2A","description":"HIPPS-RVC2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00528","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00528","description":"CPT-00528","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ear mold/insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5264","description":"Ear mold/insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay porc 4/more sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2644","description":"Dental onlay porc 4/more sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"C/o for orthotic/prosth use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97762","description":"C/o for orthotic/prosth use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methsuximide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6054","description":"Methsuximide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC225","description":"HIPPS-PC225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk molded distal cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5668","description":"Bk molded distal cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp grade elec breast pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0604","description":"Hosp grade elec breast pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Teflon or equal cable lining","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6665","description":"Teflon or equal cable lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient treatment and final evaluation complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1012","description":"Patient treatment and final evaluation complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of embryo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58974","description":"Transfer of embryo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Max MRI capture & interprete","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0369","description":"Max MRI capture & interprete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat scapula fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23585","description":"Treat scapula fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Waterjet prostate abltj cmpl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0421T","description":"Waterjet prostate abltj cmpl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA15C","description":"HIPPS-BA15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1131","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext antenna phren nerve stim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8696","description":"Ext antenna phren nerve stim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology Cardiac Specialist Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4002","description":"Electrophysiology Cardiac Specialist Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0774T","description":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Second level cer diskectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22858","description":"Second level cer diskectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC33","description":"HIPPS-RUC33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open reduc compd alveolus fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7770","description":"Open reduc compd alveolus fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vinorelbine tartrate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9390","description":"Vinorelbine tartrate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA5D","description":"HIPPS-AAA5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam dressing wound filler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6215","description":"Foam dressing wound filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cltx med ankle fx w/mnpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27762","description":"Cltx med ankle fx w/mnpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of upper jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31225","description":"Removal of upper jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of neck muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21725","description":"Revision of neck muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive anti-EGFR monoclonal antibody therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9844","description":"Patient did not receive anti-EGFR monoclonal antibody therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate_ inclusive of all imaging guidance and monitoring; singl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36465","description":"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate_ inclusive of all imaging guidance and monitoring; singl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy thru skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47553","description":"Biliary endoscopy thru skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise parotid gland/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42420","description":"Excise parotid gland/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Static str shldr dev rom adj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1841","description":"Static str shldr dev rom adj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHK5","description":"HIPPS-1BHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA31","description":"HIPPS-RMA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD124","description":"HIPPS-HD124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKU","description":"HIPPS-4BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93644","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB31","description":"HIPPS-RHB31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD101","description":"HIPPS-HD101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treprostinil_ non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7686","description":"Treprostinil_ non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lanadelumab-flyo_ 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician_ not for use when drug is self-administered)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0593","description":"Injection_ lanadelumab-flyo_ 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician_ not for use when drug is self-administered)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair safety vest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0980","description":"Wheelchair safety vest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE114","description":"HIPPS-HE114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control of nosebleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30903","description":"Control of nosebleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thiamine hcl 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3411","description":"Thiamine hcl 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No antibio w in 10d of sympt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9287","description":"No antibio w in 10d of sympt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip fracture(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27228","description":"Treat hip fracture(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj foramen epidural c/t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64479","description":"Inj foramen epidural c/t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system_ (Kyleena)_ 19.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7296","description":"Levonorgestrel-releasing intrauterine contraceptive system_ (Kyleena)_ 19.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25446","description":"Wrist replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKU","description":"HIPPS-2BFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB105","description":"HIPPS-PB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fem/popl revasc w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37226","description":"Fem/popl revasc w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay malate dehydrogenase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83775","description":"Assay malate dehydrogenase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB226","description":"HIPPS-BB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Igg 1 2 3 or 4 each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82787","description":"Igg 1 2 3 or 4 each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCV2 10MCG TRS-SUCR 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0072A","description":"ADM SARSCV2 10MCG TRS-SUCR 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-53866","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53866","description":"CPT-53866","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4392","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4392","description":"HCPCS-Q4392","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE216","description":"HIPPS-LE216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft arm/leg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64898","description":"Nerve graft arm/leg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluvirin vacc_ 3 yrs & >_ im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2037","description":"Fluvirin vacc_ 3 yrs & >_ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl cushions for jaw motion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1701","description":"Repl cushions for jaw motion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA221","description":"HIPPS-BA221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00532","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00532","description":"CPT-00532","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC141","description":"HIPPS-PC141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MSH2 (mutS homolog 2) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0159U","description":"MSH2 (mutS homolog 2) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ micafungin sodium (par pharm) not thereapeutically equivalent to j2248_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2247","description":"Injection_ micafungin sodium (par pharm) not thereapeutically equivalent to j2248_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth larynx/trach < 1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32651","description":"Anesth larynx/trach < 1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18C","description":"HIPPS-PC18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61682","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mcp joint arthroscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29902","description":"Mcp joint arthroscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin pump initiation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9145","description":"Insulin pump initiation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped crit care transport","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99466","description":"Ped crit care transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc osmotic fragility","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85555","description":"Rbc osmotic fragility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub graft f/n/hf/g addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15276","description":"Skin sub graft f/n/hf/g addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66225","description":"Repair/graft eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8B","description":"HIPPS-RVA8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med trng & support per 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0034","description":"Med trng & support per 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB231","description":"HIPPS-CB231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inhalation solution for dme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7699","description":"Inhalation solution for dme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB10A","description":"HIPPS-LB10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implnt/abut remov dent max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6110","description":"Implnt/abut remov dent max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antisperm antibodies test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3655","description":"Antisperm antibodies test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (xembify)_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1558","description":"Injection_ immune globulin (xembify)_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair pul venous stenosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33726","description":"Repair pul venous stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shldr disartic switch contro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6960","description":"Shldr disartic switch contro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8012","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8012","description":"HCPCS-C8012","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal cancer)_ qualitative real-time PCR of 35 variants of KRAS and NRAS genes (exons 2_ 3_ 4)_ formalin-fixed paraffin-embedded (FFPE)_ predictive_ identificat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0471U","description":"Oncology (colorectal cancer)_ qualitative real-time PCR of 35 variants of KRAS and NRAS genes (exons 2_ 3_ 4)_ formalin-fixed paraffin-embedded (FFPE)_ predictive_ identificat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA14","description":"HIPPS-AAA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0928T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0928T","description":"CPT-0928T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGMV","description":"HIPPS-4BGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69801","description":"Incise inner ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pi volunteer ambulance co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0432","description":"Pi volunteer ambulance co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC205","description":"HIPPS-PC205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ DNA_ targeted sequencing of protein-coding exons of 468 cancer-associated genes_ including interrogation for somatic mutations and microsatel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0048U","description":"Oncology (solid organ neoplasia)_ DNA_ targeted sequencing of protein-coding exons of 468 cancer-associated genes_ including interrogation for somatic mutations and microsatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulator supplies (external) for use with implantable neurostimulator_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8678","description":"Electrical stimulator supplies (external) for use with implantable neurostimulator_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc advncd dis cmfrt not 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1153F","description":"Doc advncd dis cmfrt not 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLX","description":"HIPPS-1CGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28H","description":"HIPPS-CC28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMU","description":"HIPPS-4CHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photorefractive keratectomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0810","description":"Photorefractive keratectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-str_ gold-198","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1716","description":"Brachytx_ non-str_ gold-198","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo examination procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76999","description":"Echo examination procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54125","description":"Removal of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin pro/pos wc cus wd <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2607","description":"Skin pro/pos wc cus wd <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephropathy doc tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3066F","description":"Nephropathy doc tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med serv eve/wkend/holiday","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99051","description":"Med serv eve/wkend/holiday","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB1B","description":"HIPPS-RUB1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc hand tum deep < 1.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26116","description":"Exc hand tum deep < 1.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL5","description":"HIPPS-4BHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8A","description":"HIPPS-RMB8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect nasopharynx skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61586","description":"Resect nasopharynx skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB10C","description":"HIPPS-BB10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGM5","description":"HIPPS-1CGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15934","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy vent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4366","description":"Ostomy vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mopath procedure level 3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81402","description":"Mopath procedure level 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE15D","description":"HIPPS-CE15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score hip < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8652","description":"Fun stat score hip < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amikacin sulfate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0278","description":"Amikacin sulfate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD136","description":"HIPPS-LD136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oligoclonal bands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83916","description":"Oligoclonal bands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFK6","description":"HIPPS-1AFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA1B","description":"HIPPS-RMA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft morsel add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20937","description":"Sp bone agrft morsel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj tendon sheath/ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20550","description":"Inj tendon sheath/ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent observation care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99225","description":"Subsequent observation care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Outpatient_ ed_ or observation visits that result in an inpatient admission","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2176","description":"Outpatient_ ed_ or observation visits that result in an inpatient admission","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext ureth clmp or compr dvc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4356","description":"Ext ureth clmp or compr dvc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neostim membrane_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4266","description":"Neostim membrane_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA51","description":"HIPPS-RVA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous prp for ulcers","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0460","description":"Autologous prp for ulcers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26428","description":"Repair/graft finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-mgmt educ & train 1 pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98960","description":"Self-mgmt educ & train 1 pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx duod intub w/asp specs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43757","description":"Dx duod intub w/asp specs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHLV","description":"HIPPS-1CHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assessment of and care planning for a patient with cognitive impairment_ requiring an independent historian_ in the office or other outpatient_ home or domiciliary or rest hom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99483","description":"Assessment of and care planning for a patient with cognitive impairment_ requiring an independent historian_ in the office or other outpatient_ home or domiciliary or rest hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed semi-elect w/o matt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0295","description":"Hosp bed semi-elect w/o matt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion catheter artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36625","description":"Insertion catheter artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of thigh muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27386","description":"Repair/graft of thigh muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy surg colpopexy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57425","description":"Laparoscopy surg colpopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic anrysm 6/> cm diam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9004F","description":"Aortic anrysm 6/> cm diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28E","description":"HIPPS-CB28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0503","description":"HCPCS-C0503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Agile MD_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1012","description":"Clinical decision support mechanism Agile MD_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wireless Skin Sensor Thermal Anisotropy Measurement(S) And Assessment Of Flow In Cerebrospinal Fluid Shunt_ Including Ultrasound Guidance_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0639T","description":"Wireless Skin Sensor Thermal Anisotropy Measurement(S) And Assessment Of Flow In Cerebrospinal Fluid Shunt_ Including Ultrasound Guidance_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring_ including deployment and calibration of the sensor_ right heart c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33289","description":"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring_ including deployment and calibration of the sensor_ right heart c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep c therapy started","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9206","description":"Hep c therapy started","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emr hd pmp elec/combo_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0494","description":"Emr hd pmp elec/combo_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA4B","description":"HIPPS-RVA4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing device_ monaural_ in the ear (ITE)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5171","description":"Hearing aid_ contralateral routing device_ monaural_ in the ear (ITE)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flu immuno admind rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4274F","description":"Flu immuno admind rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genital surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58999","description":"Genital surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35216","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with di","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7560","description":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with di","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8B","description":"HIPPS-RUX8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial allergy tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95071","description":"Bronchial allergy tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB05","description":"HIPPS-RHB05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0656U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0656U","description":"CPT-0656U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sialodochoplasty","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7982","description":"Sialodochoplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office-Based Treatment For Opioid Use Disorder_ Including Development Of The Treatment Plan_ Care Coordination_ Individual Therapy And Group Therapy And Counseling; At Least 7","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2086","description":"Office-Based Treatment For Opioid Use Disorder_ Including Development Of The Treatment Plan_ Care Coordination_ Individual Therapy And Group Therapy And Counseling; At Least 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy br/wa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44380","description":"Small bowel endoscopy br/wa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc system reas adv imaging","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9537","description":"Doc system reas adv imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0880T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glycopyrrolate comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7642","description":"Glycopyrrolate comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKS","description":"HIPPS-1AFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tray w/o bag/cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4310","description":"Insert tray w/o bag/cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI orbit/face/neck w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70542","description":"MRI orbit/face/neck w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01232","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01232","description":"CPT-01232","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing assessment/evaluatn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1001","description":"Nursing assessment/evaluatn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE10C","description":"HIPPS-PE10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66505","description":"Incision of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc prostate prob score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0010M","description":"Onc prostate prob score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67971","description":"Reconstruction of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX52","description":"HIPPS-RUX52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid skin barrier 6x6","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5121","description":"Solid skin barrier 6x6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop cyst eval not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9608","description":"Intraop cyst eval not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise/drain tear sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68420","description":"Incise/drain tear sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft carotid-vertbrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35508","description":"Art byp grft carotid-vertbrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost skn barr convex <=4 sq i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4409","description":"Ost skn barr convex <=4 sq i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cymetra injectable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4112","description":"Cymetra injectable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc rspse chmotx rx motility cntrst tomography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0083U","description":"Onc rspse chmotx rx motility cntrst tomography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38H","description":"HIPPS-ES38H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcv hedia outpt dyls fac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8956","description":"Pt rcv hedia outpt dyls fac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7525","description":"Tracheostomy mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kneecap bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27340","description":"Removal of kneecap bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of heel bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28300","description":"Incision of heel bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stnd hemi (low seat) whlchr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0002","description":"Stnd hemi (low seat) whlchr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (heart transplant)_ mRNA gene expression profiling by microarray of 1283 genes_  transplant biopsy tissue_ allograft rejection and injury algorithm reported as a pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0087U","description":"Cardiology (heart transplant)_ mRNA gene expression profiling by microarray of 1283 genes_  transplant biopsy tissue_ allograft rejection and injury algorithm reported as a pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1496","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1496","description":"HCPCS-M1496","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat larynx fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31584","description":"Treat larynx fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt pulse gen sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4638","description":"Repl batt pulse gen sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot and ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28262","description":"Revision of foot and ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No elig tpa init w/in 3 hrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8601","description":"No elig tpa init w/in 3 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod sed diff phys/qhp<5 yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99148","description":"Mod sed diff phys/qhp<5 yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86648","description":"Diphtheria antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin sign vol ovrld assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2002F","description":"Clin sign vol ovrld assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 std seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0822","description":"Pwc gp 2 std seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Current tobacco non-user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1316","description":"Current tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unskilled respitecare /diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5151","description":"Unskilled respitecare /diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monitor_ Cardiac_ Including Intracardiac Lead And All System Components (Implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1833","description":"Monitor_ Cardiac_ Including Intracardiac Lead And All System Components (Implantable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj arthroscopy debridement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7877","description":"Tmj arthroscopy debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGKS","description":"HIPPS-3AGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther/proph/diag iv inf init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96365","description":"Ther/proph/diag iv inf init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90471","description":"Immunization admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Access av dial grft for proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36148","description":"Access av dial grft for proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio upr extrm w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73206","description":"Ct angio upr extrm w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM1","description":"HIPPS-1BHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelashes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67820","description":"Revise eyelashes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 5_ gene duplication/multiplication) (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0075U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 5_ gene duplication/multiplication) (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD130","description":"HIPPS-CD130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28I","description":"HIPPS-HC28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sperm duct pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55650","description":"Remove sperm duct pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biofeedback train any meth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90901","description":"Biofeedback train any meth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam ribs bil 3 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71110","description":"X-ray exam ribs bil 3 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alternating pressure pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4640","description":"Alternating pressure pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1400","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1400","description":"HCPCS-M1400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ntrk (Neurotrophic-Tropomyosin Receptor Tyrosine Kinase 1_ 2_ And 3) (Eg_ Solid Tumors) Translocation Analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81194","description":"Ntrk (Neurotrophic-Tropomyosin Receptor Tyrosine Kinase 1_ 2_ And 3) (Eg_ Solid Tumors) Translocation Analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/transplant tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23440","description":"Remove/transplant tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denervation of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27035","description":"Denervation of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acesso AC_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4312","description":"Acesso AC_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 16 central carbon metabolites (ie_a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ succinat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0263U","description":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 16 central carbon metabolites (ie_a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ succinat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGMS","description":"HIPPS-3BGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18F","description":"HIPPS-CD18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sialoendoscopy capt & interp","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0371","description":"Sialoendoscopy capt & interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0952T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0952T","description":"CPT-0952T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transposition of vein valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34510","description":"Transposition of vein valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPX","description":"HIPPS-3AFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tremelimumab-actl_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9147","description":"Injection_ tremelimumab-actl_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFM1","description":"HIPPS-1BFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC1C","description":"HIPPS-RMC1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00700","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00700","description":"CPT-00700","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not having a follow up exam (e.g._ inadequate time for follow up)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1335","description":"Documentation of patient reason(s) for not having a follow up exam (e.g._ inadequate time for follow up)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stereoscopic x-ray guidance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6002","description":"Stereoscopic x-ray guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dispense fee initial 30 day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0333","description":"Dispense fee initial 30 day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calc bmi norm parameters","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8420","description":"Calc bmi norm parameters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM2","description":"HIPPS-3AGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt pres antibiotic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8710","description":"Pt pres antibiotic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic compression device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0675","description":"Pneumatic compression device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29825","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ bra_ for nighttime use_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6529","description":"Gradient compression garment_ bra_ for nighttime use_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mh partial hosp tx under 24h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0035","description":"Mh partial hosp tx under 24h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rsa spine exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0348T","description":"Rsa spine exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sbsq Plmt Drug Eluting Ocular Insert Uni/Bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0445T","description":"Sbsq Plmt Drug Eluting Ocular Insert Uni/Bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMT","description":"HIPPS-1AGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo spiral molded to pt plas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1950","description":"Afo spiral molded to pt plas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjacent tissue transfer or rearrangement_ scalp_ arms and/or legs; defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2023F","description":"Adjacent tissue transfer or rearrangement_ scalp_ arms and/or legs; defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16075","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16075","description":"CPT-16075","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01953","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01953","description":"CPT-01953","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0612U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0612U","description":"CPT-0612U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES20A","description":"HIPPS-ES20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ omadacycline_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0121","description":"Injection_ omadacycline_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHKT","description":"HIPPS-3BHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser in situ keratomileusis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0800","description":"Laser in situ keratomileusis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28E","description":"HIPPS-HD28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ buprenorphine extended-release (Brixadi)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9154","description":"Injection_ buprenorphine extended-release (Brixadi)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4015","description":"Neurology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing care_ in the home; b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9124","description":"Nursing care_ in the home; b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA46","description":"HIPPS-RHA46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX3D","description":"HIPPS-RHX3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9978","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Throat x-ray & fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70370","description":"Throat x-ray & fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lutetium Lu 177 vipivotide tetraxetan_ therapeutic_ 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9607","description":"Lutetium Lu 177 vipivotide tetraxetan_ therapeutic_ 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKU","description":"HIPPS-4AGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydromorphone 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0092","description":"Hydromorphone 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct orbit/ear/fossa w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70480","description":"Ct orbit/ear/fossa w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m maa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9540","description":"Tc99m maa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ oliceridine_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9101","description":"Injection_ oliceridine_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38F","description":"HIPPS-ES38F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety concerns screen provided and if positive then documented mitigation recommendations","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9922","description":"Safety concerns screen provided and if positive then documented mitigation recommendations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation Medicine (Allograft Rejection_ Pediatric Liver And Small Bowel)_ Measurement Of Donor And Third-Party-Induced Cd154+T-Cytotoxic Memory Cells_ Utilizing Whole P","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81560","description":"Transplantation Medicine (Allograft Rejection_ Pediatric Liver And Small Bowel)_ Measurement Of Donor And Third-Party-Induced Cd154+T-Cytotoxic Memory Cells_ Utilizing Whole P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr s/a/l addl 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13122","description":"Cmplx rpr s/a/l addl 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolytic plasminogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85420","description":"Fibrinolytic plasminogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD11C","description":"HIPPS-HD11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGMS","description":"HIPPS-1CGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post removal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2955","description":"Post removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0560","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0560","description":"HCPCS-G0560","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdtrans bench w/wo comm open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0248","description":"Hdtrans bench w/wo comm open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01780","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01780","description":"CPT-01780","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple surgery abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49220","description":"Multiple surgery abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC20C","description":"HIPPS-LC20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of breast tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19300","description":"Removal of breast tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB21B","description":"HIPPS-LB21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhv-6 dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87532","description":"Hhv-6 dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8X","description":"HIPPS-RUB8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0401","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0401","description":"CDT-D0401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10051","description":"Anesth salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Singlay_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4329","description":"Singlay_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpt doc class histo type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9422","description":"Rpt doc class histo type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I&d abscess p-spine l/s/ls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22015","description":"I&d abscess p-spine l/s/ls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft finger lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26215","description":"Remove/graft finger lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ mRNA_ microarray gene expression profiling of 209 genes_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as molecular subtype (lumina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0016M","description":"Oncology (bladder)_ mRNA_ microarray gene expression profiling of 209 genes_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as molecular subtype (lumina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit 2.5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12041","description":"Intmd rpr n-hf/genit 2.5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement diaphragm/fplate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7502","description":"Replacement diaphragm/fplate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Health Factor 10 Amniotic Patch (HHF10-P)_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4224","description":"Human Health Factor 10 Amniotic Patch (HHF10-P)_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close bronchial fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32815","description":"Close bronchial fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP4","description":"HIPPS-3AGP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5151","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5151","description":"HCPCS-Q5151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wet mounts/ w preparations","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0111","description":"Wet mounts/ w preparations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient responded completely true for the question of patient felt this provider and team understood what is important to me in my life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1249","description":"Patient responded completely true for the question of patient felt this provider and team understood what is important to me in my life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45130","description":"Excision of rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25040","description":"Explore/treat wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40805","description":"Removal foreign body mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC54","description":"HIPPS-RHC54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w iv ab given on time","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8916","description":"Pt w iv ab given on time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36563","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid uptake measurement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78012","description":"Thyroid uptake measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 80 or more drugs or metabolites_ urine_ by quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitori","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0146U","description":"Drug assay_ definitive_ 80 or more drugs or metabolites_ urine_ by quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitori","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emr pwr cbl elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0492","description":"Emr pwr cbl elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thi/glut/ischia wgt bearing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2500","description":"Thi/glut/ischia wgt bearing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forensic cytopathology","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88125","description":"Forensic cytopathology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home health care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99374","description":"Home health care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ra disease activity high","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3472F","description":"Ra disease activity high","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rabies ig im/sc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90375","description":"Rabies ig im/sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special base curve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2730","description":"Special base curve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC15B","description":"HIPPS-PC15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo new ureter/bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50948","description":"Laparo new ureter/bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of head of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23195","description":"Removal of head of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brst prsth bra & bilat form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8002","description":"Brst prsth bra & bilat form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of breast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40651","description":"Anesth surgery of breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lympho venereum antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86729","description":"Lympho venereum antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replantation thumb complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20827","description":"Replantation thumb complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace molded thigh lacer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4040","description":"Replace molded thigh lacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit est pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99336","description":"Domicil/r-home visit est pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zenith Amniotic Membrane_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4253","description":"Zenith Amniotic Membrane_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prostate biopsy_ any mthd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0416","description":"Prostate biopsy_ any mthd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0091A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31580","description":"Revision of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toc dur aneth to icu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9657","description":"Toc dur aneth to icu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ventral hern init block","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49561","description":"Rpr ventral hern init block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of arm bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23931","description":"Drainage of arm bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac MRI w/stress img","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75559","description":"Cardiac MRI w/stress img","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-52443","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52443","description":"CPT-52443","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resource-intensive services for patients for whom the use of specialized mobility-assistive technology (such as adjustable height chairs or tables_ patient lift_ and adjustabl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0501","description":"Resource-intensive services for patients for whom the use of specialized mobility-assistive technology (such as adjustable height chairs or tables_ patient lift_ and adjustabl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter therapy_ infusion_ any method (eg_ thrombolysis other than coronary)_ radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75896","description":"Transcatheter therapy_ infusion_ any method (eg_ thrombolysis other than coronary)_ radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB150","description":"HIPPS-CB150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKU","description":"HIPPS-1BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc prac mgmt disagree w/gui","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9058","description":"Onc prac mgmt disagree w/gui","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA11","description":"HIPPS-RMA11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso s/c shell/panel custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0640","description":"Lso s/c shell/panel custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-elec oscillatory pep dvc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0484","description":"Non-elec oscillatory pep dvc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0666","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0666","description":"HCPCS-G0666","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL2A","description":"HIPPS-RVL2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC121","description":"HIPPS-HC121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC113","description":"HIPPS-CC113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC140","description":"HIPPS-HC140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE12D","description":"HIPPS-HE12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLV","description":"HIPPS-1CGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth procedures on eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14051","description":"Anesth procedures on eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Patisiran_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0222","description":"Injection_ Patisiran_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHM1","description":"HIPPS-3AHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt scrnd hgh-risk sex behav","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4293F","description":"Pt scrnd hgh-risk sex behav","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61524","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tongue mouth jaw surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41150","description":"Tongue mouth jaw surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1108T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1108T","description":"CPT-1108T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert/place heart catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93503","description":"Insert/place heart catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dark field examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87164","description":"Dark field examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clean & inspect rem dent man","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9933","description":"Clean & inspect rem dent man","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J8541","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8541","description":"HCPCS-J8541","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of acute vitreous hemorrhage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1328","description":"Patients with a diagnosis of acute vitreous hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation)_ full sequence analysis_ including small sequence changes in exonic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0230U","description":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation)_ full sequence analysis_ including small sequence changes in exonic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental case management - care coordination","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9992","description":"Dental case management - care coordination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for pyelography (as nephrostogram_ pyelostogram_ antegrade pyeloureterograms) through nephrostomy or pyelostomy tube_ or indwelling ureteral c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50394","description":"Injection procedure for pyelography (as nephrostogram_ pyelostogram_ antegrade pyeloureterograms) through nephrostomy or pyelostomy tube_ or indwelling ureteral c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy upr extrem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15878","description":"Suction lipectomy upr extrem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML4D","description":"HIPPS-RML4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4393","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4393","description":"HCPCS-Q4393","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo ak/hip alignable system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5920","description":"Endo ak/hip alignable system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1095T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1095T","description":"CPT-1095T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect scapula tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23210","description":"Resect scapula tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61867","description":"Implant neuroelectrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy (trisomy 21_ 18_ and 13) DNA sequence analysis of selected regions using maternal plasma without fetal fraction cutoff_ algorithm reported as a risk score for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0168U","description":"Fetal aneuploidy (trisomy 21_ 18_ and 13) DNA sequence analysis of selected regions using maternal plasma without fetal fraction cutoff_ algorithm reported as a risk score for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd us fine needle bx/aspir","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43238","description":"Egd us fine needle bx/aspir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral fludarabine phosphate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8562","description":"Oral fludarabine phosphate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6010","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision (eg_ augmentation_ division of tether)_ replacement_ or removal of thoracolumbar or lumbar vertebral body tethering_ including thoracoscopy_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0790T","description":"Revision (eg_ augmentation_ division of tether)_ replacement_ or removal of thoracolumbar or lumbar vertebral body tethering_ including thoracoscopy_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with single or multiple bronchial or endobronchial biopsy(ies)_ single or multiple sites_ with computer-assisted image-guided navigation_ incl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7511","description":"Bronchoscopy_ rigid or flexible_ with single or multiple bronchial or endobronchial biopsy(ies)_ single or multiple sites_ with computer-assisted image-guided navigation_ incl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD120","description":"HIPPS-LD120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36565","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous vertebroplasty_ one vertebral body_ unilateral or bilateral injection; cervical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2360","description":"Percutaneous vertebroplasty_ one vertebral body_ unilateral or bilateral injection; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cannabinoid synthetic 7/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80352","description":"Cannabinoid synthetic 7/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj estrogen conjugate 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1410","description":"Inj estrogen conjugate 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42180","description":"Repair palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGL1","description":"HIPPS-1CGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28D","description":"HIPPS-CB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18D","description":"HIPPS-CD18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61522","description":"Removal of brain abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert semi-rigid prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54400","description":"Insert semi-rigid prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4412","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4412","description":"HCPCS-Q4412","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6035","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6035","description":"HCPCS-L6035","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA)_ genitourinary pathogens_ identification of 20 bacterial and fungal organisms_ including identification of 20 associated antib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0416U","description":"Infectious agent detection by nucleic acid (DNA)_ genitourinary pathogens_ identification of 20 bacterial and fungal organisms_ including identification of 20 associated antib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifo 7.25-12/4.25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2313","description":"Lens sphc trifo 7.25-12/4.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial angioplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61630","description":"Intracranial angioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop ea cast chg & realign","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6386","description":"Postop ea cast chg & realign","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL51","description":"HIPPS-RHL51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFN2","description":"HIPPS-3BFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion/graft of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25805","description":"Fusion/graft of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60240","description":"Removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drop lock knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2182","description":"Drop lock knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open/perq place stent ea add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37237","description":"Open/perq place stent ea add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB11B","description":"HIPPS-PB11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC46","description":"HIPPS-RMC46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD14C","description":"HIPPS-PD14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elevated or hypertensive blood pressure reading documented_ and the indicated follow-up is documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1278","description":"Elevated or hypertensive blood pressure reading documented_ and the indicated follow-up is documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA14A","description":"HIPPS-PA14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLU","description":"HIPPS-2BHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine hydrochloride (vivimusta)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9056","description":"Injection_ bendamustine hydrochloride (vivimusta)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Positional nystagmus test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92542","description":"Positional nystagmus test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other specified case mgmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9012","description":"Other specified case mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of an implantable_ patient-activated cardiac event recorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33284","description":"Removal of an implantable_ patient-activated cardiac event recorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle for the reduction of snoring and obstructive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1028","description":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle for the reduction of snoring and obstructive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-63032","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63032","description":"CPT-63032","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0231","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0231","description":"HCPCS-M0231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opiate(s)_ drug and metabolites_ each procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6056","description":"Opiate(s)_ drug and metabolites_ each procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0203","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0203","description":"HCPCS-A0203","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpneumatic compression controller with sequential calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1024","description":"Nonpneumatic compression controller with sequential calibrated gradient pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathogen reduced platelets","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9072","description":"Pathogen reduced platelets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK3","description":"HIPPS-3BFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99377","description":"Hospice care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No smok b/4 anes day of surg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9644","description":"No smok b/4 anes day of surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol renal-amirosy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B5000","description":"Parenteral sol renal-amirosy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9809","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9809","description":"HCPCS-C9809","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45349","description":"Sigmoidoscopy w/resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens_ hydrophilic_ dual focus_ per lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2525","description":"Contact lens_ hydrophilic_ dual focus_ per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin alfa_ non-esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0885","description":"Epoetin alfa_ non-esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who have had a hysterectomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9774","description":"Patients who have had a hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Circumcision neonate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54160","description":"Circumcision neonate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kit gene analys d816 variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81273","description":"Kit gene analys d816 variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo cholangiopancreatograph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43261","description":"Endo cholangiopancreatograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28C","description":"HIPPS-PB28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11440","description":"Exc face-mm b9+marg 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TB screening performed and results interpreted within 12 months prior to initiation of first-time biologic disease modifying an","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1003","description":"TB screening performed and results interpreted within 12 months prior to initiation of first-time biologic disease modifying an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28G","description":"HIPPS-CB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; subdural taps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0131U","description":"Anesthesia for intracranial procedures; subdural taps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Band stabilization - per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2976","description":"Band stabilization - per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27244","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Car seat/bed test 60 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94780","description":"Car seat/bed test 60 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18G","description":"HIPPS-BA18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhc slp ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0161","description":"Hhc slp ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB22A","description":"HIPPS-LB22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln cmplt mand lab","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5751","description":"Denture reln cmplt mand lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted ambulance service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0999","description":"Unlisted ambulance service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj test 7-8 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95910","description":"Nrv cndj test 7-8 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0602U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0602U","description":"CPT-0602U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc rectal tumor endoscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0184T","description":"Exc rectal tumor endoscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg_ touch preparation_ squash preparation)_ initial site (List separa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0843T","description":"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg_ touch preparation_ squash preparation)_ initial site (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Ramucirumab_ 5 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9025","description":"Injection_ Ramucirumab_ 5 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rabies vaccine id","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90676","description":"Rabies vaccine id","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen probe used w oximeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4606","description":"Oxygen probe used w oximeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA5B","description":"HIPPS-RUA5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37263","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37263","description":"CPT-37263","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc hep gene risk classifier","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0006M","description":"Onc hep gene risk classifier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1291","description":"Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct entire forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21179","description":"Reconstruct entire forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina >2 thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63016","description":"Remove spine lamina >2 thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pan-solid tumor)_ analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA_ biomarker comparison to a previous baseline pre-treatmen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0422U","description":"Oncology (pan-solid tumor)_ analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA_ biomarker comparison to a previous baseline pre-treatmen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Death occurring during the index acute care hospitalization","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9814","description":"Death occurring during the index acute care hospitalization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc comm risk calc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9317","description":"No doc comm risk calc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15014","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15014","description":"CPT-15014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic bone marrow; aspiration(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38220","description":"Diagnostic bone marrow; aspiration(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA4A","description":"HIPPS-AAA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC31","description":"HIPPS-RMC31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18D","description":"HIPPS-PA18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES30C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES30C","description":"HIPPS-ES30C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81189","description":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cold agglutinin screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86156","description":"Cold agglutinin screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL1","description":"HIPPS-3CFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stoma cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5055","description":"Stoma cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ with definitive confirmation of positive results_ any number of drug classes_ urine_ includes specimen verification including DNA authentication in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0007U","description":"Drug test(s)_ presumptive_ with definitive confirmation of positive results_ any number of drug classes_ urine_ includes specimen verification including DNA authentication in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative near-infrared fluorescence lymphatic mapping of lymp node(s) (sentinel or tumor draining) with administration of indocyanine green (ICG) (List separately in add","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9756","description":"Intraoperative near-infrared fluorescence lymphatic mapping of lymp node(s) (sentinel or tumor draining) with administration of indocyanine green (ICG) (List separately in add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lngleg cylndr ped p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4035","description":"Cast sup lngleg cylndr ped p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57000","description":"Exploration of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-str_ ha_ i-125","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2634","description":"Brachytx_ non-str_ ha_ i-125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med admin_ not oral/inject","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1503","description":"Med admin_ not oral/inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anacaulase-bcdb_ 8.8% gel_ 1 gm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7353","description":"Anacaulase-bcdb_ 8.8% gel_ 1 gm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroguide for vein device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77001","description":"Fluoroguide for vein device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29883","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60270","description":"Removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ahi or rdi initial dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8842","description":"Ahi or rdi initial dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iiv4 vacc no prsv 6-35 m im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90685","description":"Iiv4 vacc no prsv 6-35 m im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hpv types 16 & 18 only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87625","description":"Hpv types 16 & 18 only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; subcutaneous electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0458T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; subcutaneous electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens spher single plano 4.00","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2100","description":"Lens spher single plano 4.00","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gear reduction drive wheel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2227","description":"Gear reduction drive wheel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair amputee fixed arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1200","description":"Wheelchair amputee fixed arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFN5","description":"HIPPS-1CFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk knee joints polycentric p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5677","description":"Bk knee joints polycentric p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Puncture/clear windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31612","description":"Puncture/clear windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1903","description":"HCPCS-A1903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laps rmvl vgl arry&pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0314T","description":"Laps rmvl vgl arry&pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES240","description":"HIPPS-ES240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vehicle mod waiver/service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2039","description":"Vehicle mod waiver/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng esa thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4171F","description":"Pt rcvng esa thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AmnioCoreTM_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4227","description":"AmnioCoreTM_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor ix ptc/chrstmas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85250","description":"Clot factor ix ptc/chrstmas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLX","description":"HIPPS-4BGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL4","description":"HIPPS-1BHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLV","description":"HIPPS-2AGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB35","description":"HIPPS-RHB35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor <22.05._without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0207","description":"Traumatic brain injury with Motor <22.05._without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ aicd_ non sing/dual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1896","description":"Lead_ aicd_ non sing/dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES216","description":"HIPPS-ES216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPS","description":"HIPPS-3BHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Janssen Covid-19 Vaccine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91303","description":"Janssen Covid-19 Vaccine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nos flu vacc_ 3 yrs & >_ im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2039","description":"Nos flu vacc_ 3 yrs & >_ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile gauze>16 <= 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6403","description":"Sterile gauze>16 <= 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair upper jaw fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30580","description":"Repair upper jaw fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corf related serv 15 mins ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0409","description":"Corf related serv 15 mins ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK5","description":"HIPPS-5BFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGKV","description":"HIPPS-5AGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole_ (Abilify Asimtufii)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9152","description":"Injection_ aripiprazole_ (Abilify Asimtufii)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparotomy islet cell transp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0343","description":"Laparotomy islet cell transp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple_ including serial trended analysis and limited reprogramming of device parameter - AV and VV delays_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0225T","description":"Multiple_ including serial trended analysis and limited reprogramming of device parameter - AV and VV delays_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ stranded_ c-131","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2642","description":"Brachytx_ stranded_ c-131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meg spontaneous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95965","description":"Meg spontaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald_ tv amplifier_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5270","description":"Ald_ tv amplifier_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ischm stroke symp ge3 hrsb/4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1066F","description":"Ischm stroke symp ge3 hrsb/4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantable/insertable device for device intensive procedure_ not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1889","description":"Implantable/insertable device for device intensive procedure_ not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair solid seat insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0992","description":"Wheelchair solid seat insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2208","description":"Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM5","description":"HIPPS-4AHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylenedioxyamphetamines","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80359","description":"Methylenedioxyamphetamines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism National Decision Support Company_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1004","description":"Clinical Decision Support Mechanism National Decision Support Company_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad exp time w/o fluor doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9501","description":"Rad exp time w/o fluor doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement breastpump tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4281","description":"Replacement breastpump tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ATXN3 (ataxin 3) (eg_ spinocerebellar ataxia_ Machado-Joseph disease) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81180","description":"ATXN3 (ataxin 3) (eg_ spinocerebellar ataxia_ Machado-Joseph disease) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD201","description":"HIPPS-CD201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB24D","description":"HIPPS-BB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos clin depres scrn f/u doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8431","description":"Pos clin depres scrn f/u doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cap bld skin piercing laser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0620","description":"Cap bld skin piercing laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair brain fluid leakage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62100","description":"Repair brain fluid leakage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen skin test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q3031","description":"Collagen skin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk thigh lacer glut/ischia m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5682","description":"Bk thigh lacer glut/ischia m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure_ for example patient bilateral amputee; patient has condition tha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2178","description":"Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure_ for example patient bilateral amputee; patient has condition tha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject spine lumbar/sacral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62311","description":"Inject spine lumbar/sacral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic source imaging","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8035","description":"Magnetic source imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ hydroxocobalamin_ intravenous_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3424","description":"Injection_ hydroxocobalamin_ intravenous_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Craniofacial approach skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61582","description":"Craniofacial approach skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB06","description":"HIPPS-RUB06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00142","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00142","description":"CPT-00142","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Docrsn no comm comorb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9232","description":"Docrsn no comm comorb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2101","description":"HCPCS-A2101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC12C","description":"HIPPS-CC12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis with complex programming of implanted integrated neurostimulation system (eg_ electrode array and receiver)_ including contact group(s)_ amplitude_ pulse w","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0789T","description":"Electronic analysis with complex programming of implanted integrated neurostimulation system (eg_ electrode array and receiver)_ including contact group(s)_ amplitude_ pulse w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27507","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of throat abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42720","description":"Drainage of throat abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open/perq place stent ea add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37239","description":"Open/perq place stent ea add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m disofenin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9510","description":"Tc99m disofenin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFLS","description":"HIPPS-1CFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE20B","description":"HIPPS-LE20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath report nongyn spcmn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0550F","description":"Cytopath report nongyn spcmn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breathing capacity test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94010","description":"Breathing capacity test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt instr nrml activities","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4245F","description":"Pt instr nrml activities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN3","description":"HIPPS-3CFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HER2-targeted therapies administered during the initial course of treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9828","description":"HER2-targeted therapies administered during the initial course of treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp ea duct/ampulla dilate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43277","description":"Ercp ea duct/ampulla dilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ whole mitochondrial genome sequence with heteroplasmy detection and deletion analysis_ nuclear-encoded mitochondrial gene a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0417U","description":"Rare diseases (constitutional/heritable disorders)_ whole mitochondrial genome sequence with heteroplasmy detection and deletion analysis_ nuclear-encoded mitochondrial gene a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visc & infraren abd 3 prosth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34847","description":"Visc & infraren abd 3 prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-stranded_p-103","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2641","description":"Brachytx_ non-stranded_p-103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esw wound healing init wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0299T","description":"Esw wound healing init wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1604","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1604","description":"HCPCS-C1604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA10C","description":"HIPPS-BA10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0104","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0104","description":"HCPCS-B0104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of clot in graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35875","description":"Removal of clot in graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD254","description":"HIPPS-LD254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fentanyl citrate injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3010","description":"Fentanyl citrate injeciton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Cns Tumors Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1084","description":"Radiation Therapy For Cns Tumors Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4185","description":"Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tray","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0950","description":"Tray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41017","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28I","description":"HIPPS-CE28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9817","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9817","description":"HCPCS-C9817","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00520","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00520","description":"CPT-00520","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate conc pow per pack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4765","description":"Dialysate conc pow per pack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PLCG2 (phospholipase C gamma 2) (eg_ chronic lymphocytic leukemia) gene analysis_ common variants (eg_ R665W_ S707F_ L845F)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81320","description":"PLCG2 (phospholipase C gamma 2) (eg_ chronic lymphocytic leukemia) gene analysis_ common variants (eg_ R665W_ S707F_ L845F)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA4D","description":"HIPPS-RLA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacist at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9479","description":"Pharmacist at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as tobacco user did not receive tobacco cessation intervention (counseling and/or pharmacotherapy)_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9908","description":"Patient identified as tobacco user did not receive tobacco cessation intervention (counseling and/or pharmacotherapy)_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No impr vis acuit w/in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9517","description":"No impr vis acuit w/in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cell enumeration phys interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86153","description":"Cell enumeration phys interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFM1","description":"HIPPS-2AFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corticorelin ovine triflutal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0795","description":"Corticorelin ovine triflutal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood culture for bacteria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87040","description":"Blood culture for bacteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place po breast cath for rad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19296","description":"Place po breast cath for rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25515","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1103","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1103","description":"CDT-D1103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fas/dir ldl 70-189mg/dl mst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9666","description":"Fas/dir ldl 70-189mg/dl mst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hand dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26685","description":"Treat hand dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKX","description":"HIPPS-5BGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixation of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23700","description":"Fixation of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt tx sys bio med psori 6mth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9652","description":"Pt tx sys bio med psori 6mth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1804","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1804","description":"CDT-D1804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB13B","description":"HIPPS-PB13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00880","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00880","description":"CPT-00880","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear exam of tear flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78660","description":"Nuclear exam of tear flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ant fusion 2-3 vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22808","description":"Ant fusion 2-3 vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01940","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01940","description":"CPT-01940","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ringers lactate infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7120","description":"Ringers lactate infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPX","description":"HIPPS-3CFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA31","description":"HIPPS-RHA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis spine 3 column adl seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22208","description":"Incis spine 3 column adl seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD12D","description":"HIPPS-LD12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Power adapter_ combo vad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0478","description":"Power adapter_ combo vad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivitive_ genvisc 850_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7320","description":"Hyaluronan or derivitive_ genvisc 850_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE214","description":"HIPPS-CE214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23155","description":"Removal of humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26725","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29838","description":"Elbow arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE21B","description":"HIPPS-HE21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lipoprotein(a)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83695","description":"Assay of lipoprotein(a)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD11B","description":"HIPPS-HD11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92992","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Axolotl DualGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4332","description":"Axolotl DualGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ viltolarsen_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9071","description":"Injection_ viltolarsen_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES351","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES351","description":"HIPPS-ES351","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73080","description":"X-ray exam of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bed pan standard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0275","description":"Bed pan standard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc abd les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22902","description":"Exc abd les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Written discharge instr prvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4014F","description":"Written discharge instr prvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMX","description":"HIPPS-3AHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50972","description":"Ureter endoscopy & catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retinal tamp_ silicone oil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1814","description":"Retinal tamp_ silicone oil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24545","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg <=16 in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6237","description":"Hydrocolld drg <=16 in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast cancer)_ DNA_ PIK3CA (phosphatidylinositol-4_5-bisphosphate 3-kinase_ catalytic subunit alpha) (eg_ breast cancer) gene analysis (ie_ p.C420R_ p.E542K_ p.E545","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0155U","description":"Oncology (breast cancer)_ DNA_ PIK3CA (phosphatidylinositol-4_5-bisphosphate 3-kinase_ catalytic subunit alpha) (eg_ breast cancer) gene analysis (ie_ p.C420R_ p.E542K_ p.E545","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx px nfrosgrm &/urtrgrm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50430","description":"Njx px nfrosgrm &/urtrgrm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Molecular diagnostic test reader_ nonprescription self-administered and self-collected use_ fda approved_ authorized or cleared","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1035","description":"Molecular diagnostic test reader_ nonprescription self-administered and self-collected use_ fda approved_ authorized or cleared","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gabapentin non-blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80355","description":"Gabapentin non-blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGKU","description":"HIPPS-1BGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray of mammary ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77054","description":"X-ray of mammary ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza immunization was not administered for reasons documented by clinician (e.g._ patient allergy or other medical reasons_ patient declined or other patient reasons_ vac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1300","description":"Influenza immunization was not administered for reasons documented by clinician (e.g._ patient allergy or other medical reasons_ patient declined or other patient reasons_ vac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explr/decompress eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67414","description":"Explr/decompress eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle Insertion(S) Without Injection(S); 1 Or 2 Muscle(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20560","description":"Needle Insertion(S) Without Injection(S); 1 Or 2 Muscle(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47135","description":"Transplantation of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA116","description":"HIPPS-PA116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC5C","description":"HIPPS-RMC5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elevat legrst low extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0046","description":"Elevat legrst low extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1001","description":"HCPCS-C1001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9310","description":"Injection_ rituximab_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stem cells total count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86367","description":"Stem cells total count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bilat space maintain","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1525","description":"Remove bilat space maintain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE13B","description":"HIPPS-CE13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bile duct tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47711","description":"Excision of bile duct tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB50","description":"HIPPS-RVB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0503","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0503","description":"CDT-D0503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hmes filter holder or cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7503","description":"Hmes filter holder or cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC12B","description":"HIPPS-LC12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB23","description":"HIPPS-RUB23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of calcium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82330","description":"Assay of calcium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMV","description":"HIPPS-1BGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp duct stent placement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43274","description":"Ercp duct stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73120","description":"X-ray exam of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruct lesion 15 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17111","description":"Destruct lesion 15 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PermeaDerm C_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2018","description":"PermeaDerm C_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50722","description":"Release of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP02","description":"HIPPS-ATP02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ntsty modul rad tx dlvr smpl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77385","description":"Ntsty modul rad tx dlvr smpl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM5","description":"HIPPS-4BGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occlusal guard - soft appliance_ full arch","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9945","description":"Occlusal guard - soft appliance_ full arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKT","description":"HIPPS-4CHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bowel pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57270","description":"Repair of bowel pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paramed intrcept nonvol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0208","description":"Paramed intrcept nonvol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient  compression arm sleeve_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6578","description":"Gradient  compression arm sleeve_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Counseling for the control and prevention of adverse oral_ behavioral_ and systemic health effects associated with high-risk substance use","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1321","description":"Counseling for the control and prevention of adverse oral_ behavioral_ and systemic health effects associated with high-risk substance use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHPS","description":"HIPPS-1CHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote multi-day complex uroflowmetry (eg_ calibrated electronic equipment); set-up and patient education on use of equipment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0811T","description":"Remote multi-day complex uroflowmetry (eg_ calibrated electronic equipment); set-up and patient education on use of equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stance phase only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5858","description":"Stance phase only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 0.5cm<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11640","description":"Exc f/e/e/n/l mal+mrg 0.5cm<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM3","description":"HIPPS-2CGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appliance removal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7997","description":"Appliance removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramuscular injection of (SARS-CoV-2) ([COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3 mL dosage_ tris-sucrose formula_ second dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0052A","description":"Imm admin by intramuscular injection of (SARS-CoV-2) ([COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3 mL dosage_ tris-sucrose formula_ second dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC240","description":"HIPPS-PC240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic decompression of spinal cord_ nerve root(s)_ including laminotomy_ partial facetectomy_ foraminotomy_ discectomy and/or excision of herniated intervertebral disc_ 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62380","description":"Endoscopic decompression of spinal cord_ nerve root(s)_ including laminotomy_ partial facetectomy_ foraminotomy_ discectomy and/or excision of herniated intervertebral disc_ 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE231","description":"HIPPS-CE231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 4 std seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0868","description":"Pwc gp 4 std seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place cath carotid/inom art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36222","description":"Place cath carotid/inom art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg tendon each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27658","description":"Repair of leg tendon each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Provide inr test mater/equip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0249","description":"Provide inr test mater/equip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of esophagus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43101","description":"Excision of esophagus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv trunk musc 1-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64646","description":"Chemodenerv trunk musc 1-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC130","description":"HIPPS-CC130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral surgery procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7999","description":"Oral surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj hi_ initial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9003","description":"Mccd_ risk adj hi_ initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop app non-wgt bear dsg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5450","description":"Postop app non-wgt bear dsg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1304","description":"Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23505","description":"Treat clavicle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resin one surface-anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2330","description":"Resin one surface-anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries_ including right heart catheterization_ pulmonary artery angiography_ and all imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0793T","description":"Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries_ including right heart catheterization_ pulmonary artery angiography_ and all imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0674U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0674U","description":"CPT-0674U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver lobe split","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47145","description":"Prep donor liver lobe split","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrics (preeclampsia)_ kinase insert domain receptor (KDR)_ Endoglin (ENG)_ and retinol-binding protein 4 (RBP4)_ by immunoassay_ serum_ algorithm reported as a risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0390U","description":"Obstetrics (preeclampsia)_ kinase insert domain receptor (KDR)_ Endoglin (ENG)_ and retinol-binding protein 4 (RBP4)_ by immunoassay_ serum_ algorithm reported as a risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc daily aspirin or contra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9277","description":"Doc daily aspirin or contra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sputum specimen collection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89220","description":"Sputum specimen collection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digoxin immune fab (ovine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1162","description":"Digoxin immune fab (ovine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA154","description":"HIPPS-PA154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trifoc prscrp lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0508","description":"Trifoc prscrp lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak/knee disartic acrylic soc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5631","description":"Ak/knee disartic acrylic soc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead wires_ pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4557","description":"Lead wires_ pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tah rad dissect for debulk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58953","description":"Tah rad dissect for debulk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism_ Qualified Tool Not Otherwise Specified_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1011","description":"Clinical Decision Support Mechanism_ Qualified Tool Not Otherwise Specified_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49594","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transducer protect/fld bar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1575","description":"Transducer protect/fld bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2005","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2005","description":"HCPCS-B2005","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nvr cndj tst 1-2 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95907","description":"Nvr cndj tst 1-2 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB12A","description":"HIPPS-LB12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA20","description":"HIPPS-RVA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA07","description":"HIPPS-RMA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clear eyelid gland w/heat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0207T","description":"Clear eyelid gland w/heat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1001","description":"Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62121","description":"Incise skull repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most recent hemoblobin A1c (HbA1c) level greater than or equal to 7.0% and less than 8.0% (DM)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3051F","description":"Most recent hemoblobin A1c (HbA1c) level greater than or equal to 7.0% and less than 8.0% (DM)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Misc vision item or service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2799","description":"Misc vision item or service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer water collec devic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7012","description":"Nebulizer water collec devic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC12A","description":"HIPPS-HC12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (acute myelogenous leukemia)_ DNA_ genotyping of internal tandem duplication_ p.D835_ p.I836_ using mononuclear cells_ reported as detection or non-detection of FLT3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0023U","description":"Oncology (acute myelogenous leukemia)_ DNA_ genotyping of internal tandem duplication_ p.D835_ p.I836_ using mononuclear cells_ reported as detection or non-detection of FLT3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins mark abd/pel for rt perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49411","description":"Ins mark abd/pel for rt perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25370","description":"Revise radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiologic study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93624","description":"Electrophysiologic study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge porcelain/ceramic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6245","description":"Bridge porcelain/ceramic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18I","description":"HIPPS-LB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25670","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv eccrine glands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64650","description":"Chemodenerv eccrine glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (respiratory infection)_ Myxovirus resistance protein A (MxA) and C-reactive protein (CRP)_ fingerstick whole blood specimen_ each biomarker reported as pre","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0442U","description":"Infectious disease (respiratory infection)_ Myxovirus resistance protein A (MxA) and C-reactive protein (CRP)_ fingerstick whole blood specimen_ each biomarker reported as pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of windpipe injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31800","description":"Repair of windpipe injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fo nontorsion joint cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3935","description":"Fo nontorsion joint cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE13C","description":"HIPPS-HE13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ avacincaptad pegol_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2782","description":"Injection_ avacincaptad pegol_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm counseling by a physician or other qualified health care prof for COVID-19_ ages under 21_ 16-30 minutes time (This code is used for the Medicaid EPSDT)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0314","description":"Imm counseling by a physician or other qualified health care prof for COVID-19_ ages under 21_ 16-30 minutes time (This code is used for the Medicaid EPSDT)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Second stage implant surgery","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6011","description":"Second stage implant surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 hd mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0843","description":"Pwc gp2 hd mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mercaptopurine 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0108","description":"Mercaptopurine 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC53","description":"HIPPS-RVC53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intratubal occlusion device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4264","description":"Intratubal occlusion device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methocarbamol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2800","description":"Methocarbamol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral periapical first f","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0220","description":"Intraoral periapical first f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40808","description":"Biopsy of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acute gi blood loss imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78278","description":"Acute gi blood loss imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC0C","description":"HIPPS-RVC0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove tear gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68540","description":"Remove tear gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip bone les super","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27065","description":"Remove hip bone les super","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of spinal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63173","description":"Drainage of spinal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of pregnanetriol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84138","description":"Assay of pregnanetriol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special stains group 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88313","description":"Special stains group 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; set-up_ patient training_ configuration of monitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0534T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; set-up_ patient training_ configuration of monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMV","description":"HIPPS-1CHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0560U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0560U","description":"CPT-0560U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21240","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Circum 28 days or older","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54161","description":"Circum 28 days or older","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8I","description":"HIPPS-RVX8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished w/in a bene home)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0083","description":"Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished w/in a bene home)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial brush biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31717","description":"Bronchial brush biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9914","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9914","description":"CDT-D9914","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath emboliz microspher","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2095","description":"Transcath emboliz microspher","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tcd vasoreactivity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93890","description":"Tcd vasoreactivity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ ns_ non-hdrir-192","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1719","description":"Brachytx_ ns_ non-hdrir-192","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Refer to hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9524","description":"Refer to hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGKT","description":"HIPPS-4CGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/revise wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25320","description":"Repair/revise wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL1A","description":"HIPPS-RHL1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC210","description":"HIPPS-LC210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI abdomen w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74183","description":"MRI abdomen w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_ without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0109","description":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_ without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE105","description":"HIPPS-LE105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl/rplc nstim apnea pls gn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0431T","description":"Rmvl/rplc nstim apnea pls gn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC234","description":"HIPPS-PC234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX52","description":"HIPPS-RVX52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01464","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01464","description":"CPT-01464","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise temple bone implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69718","description":"Revise temple bone implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD210","description":"HIPPS-PD210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52000","description":"Cystoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35261","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM4","description":"HIPPS-2CFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin (lyumjev)_ per 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1814","description":"Insulin (lyumjev)_ per 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cervix/repair pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57545","description":"Remove cervix/repair pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown full cast base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2791","description":"Crown full cast base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysterectomy/revise vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58280","description":"Hysterectomy/revise vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj metaraminol bitartrate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0380","description":"Inj metaraminol bitartrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest wrap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0459","description":"Chest wrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychiatric symp absent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1183F","description":"Neuropsychiatric symp absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ travoprost_ intracameral implant_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7355","description":"Injection_ travoprost_ intracameral implant_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgraft ft_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4268","description":"Surgraft ft_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/curett of cervix w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57454","description":"Bx/curett of cervix w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15200","description":"Skin full graft trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Right Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone; Abnormal Native Connecti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93594","description":"Right Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone; Abnormal Native Connecti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK6","description":"HIPPS-1BGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28307","description":"Incision of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orth dev repair/repl minor p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4210","description":"Orth dev repair/repl minor p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Novafix dl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4254","description":"Novafix dl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX3B","description":"HIPPS-RVX3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal fat absorpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3708","description":"Gastrointestinal fat absorpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC12C","description":"HIPPS-PC12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner eye strands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67030","description":"Incise inner eye strands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr s/a/l 10 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14020","description":"Tis trnfr s/a/l 10 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray uppr gi tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74249","description":"Contrst x-ray uppr gi tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC110","description":"HIPPS-HC110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLU","description":"HIPPS-4BHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA32","description":"HIPPS-RMA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Pancreatic Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1098","description":"Radiation Therapy For Pancreatic Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multi-vitamin nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9153","description":"Multi-vitamin nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27532","description":"Treat knee fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE220","description":"HIPPS-HE220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-91323","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91323","description":"CPT-91323","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC134","description":"HIPPS-CC134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acesso dl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4293","description":"Acesso dl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion catheter artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36660","description":"Insertion catheter artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK1","description":"HIPPS-1AHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ voretigene neparvovec-rzyl_ 1 billion vector genomes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3398","description":"Injection_ voretigene neparvovec-rzyl_ 1 billion vector genomes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Op rad mg composite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9236","description":"Op rad mg composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ abdomen; 3 or more views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74021","description":"Radiologic examination_ abdomen; 3 or more views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve w/byp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33369","description":"Replace aortic valve w/byp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius/ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25575","description":"Treat fracture radius/ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0616U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0616U","description":"CPT-0616U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v auto in fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88174","description":"Cytopath c/v auto in fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise windpipe scar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31830","description":"Revise windpipe scar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above knee surgical stocking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4490","description":"Above knee surgical stocking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse esophagus & intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43341","description":"Fuse esophagus & intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC12C","description":"HIPPS-HC12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67882","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intradermal Cancer Immunotherapy; Preparation And Initial Injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0708T","description":"Intradermal Cancer Immunotherapy; Preparation And Initial Injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cylinder tank carrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2208","description":"Cylinder tank carrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23605","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shrinker above knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8460","description":"Shrinker above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumb artif diskectomy addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0163T","description":"Lumb artif diskectomy addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Waiver service_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2025","description":"Waiver service_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair umbilical lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49605","description":"Repair umbilical lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0487U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0487U","description":"CPT-0487U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Casting/strapping procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29799","description":"Casting/strapping procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFK3","description":"HIPPS-1AFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP2","description":"HIPPS-1AFP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reimplant ureter in bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50782","description":"Reimplant ureter in bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization counseling by a physician or other qualified health care professional for COVID-19_ ages under 21_ 5-15 minutes time (This code is used for the Medicaid EPSDT)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0315","description":"Immunization counseling by a physician or other qualified health care professional for COVID-19_ ages under 21_ 5-15 minutes time (This code is used for the Medicaid EPSDT)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHK3","description":"HIPPS-4BHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vision svcs frames purchases","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2020","description":"Vision svcs frames purchases","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibody detection nos if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87299","description":"Antibody detection nos if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ labetalol hydrochloride (hikma) not therapeutically equivalent to j1820_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1921","description":"Injection_ labetalol hydrochloride (hikma) not therapeutically equivalent to j1820_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cer post col occ/man sup adj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0180","description":"Cer post col occ/man sup adj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0677","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0677","description":"HCPCS-G0677","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0908T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0908T","description":"CPT-0908T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enteral ng tubing w/o stylet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4082","description":"Enteral ng tubing w/o stylet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compression bandage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8431","description":"Compression bandage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alarm symp assessed-absent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1070F","description":"Alarm symp assessed-absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD135","description":"HIPPS-LD135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Giardia lamblia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86674","description":"Giardia lamblia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33786","description":"Repair arterial trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18G","description":"HIPPS-PE18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE146","description":"HIPPS-CE146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of retinal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67218","description":"Treatment of retinal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate inf turbinate submuc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30802","description":"Ablate inf turbinate submuc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8B","description":"HIPPS-RLA8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGM1","description":"HIPPS-1CGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18G","description":"HIPPS-BB18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hsv dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87530","description":"Hsv dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1601","description":"HCPCS-A1601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpneumatic sequential compression garment_ full leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1032","description":"Nonpneumatic sequential compression garment_ full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair clitoris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56805","description":"Repair clitoris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthroflex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4125","description":"Arthroflex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc nstim apnea stm ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0426T","description":"Insj/rplc nstim apnea stm ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Breast Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1081","description":"Radiation Therapy For Breast Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGLX","description":"HIPPS-3BGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human ig im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90281","description":"Human ig im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16072","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16072","description":"CPT-16072","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing antigen system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86911","description":"Blood typing antigen system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18I","description":"HIPPS-BA18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35563","description":"Art byp grft ilioiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1702","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1702","description":"CDT-D1702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD116","description":"HIPPS-LD116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1129","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phys exam for college","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0622","description":"Phys exam for college","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ethchlorvynol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6050","description":"Ethchlorvynol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza immunization was not administered_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1308","description":"Influenza immunization was not administered_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of urinary leakage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53085","description":"Drainage of urinary leakage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 3.1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11624","description":"Exc s/n/h/f/g mal+mrg 3.1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE22D","description":"HIPPS-LE22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ epoetin alfa_ biosimilar_ (Retacrit) (for non ESRD use)_ 1000 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5106","description":"Injection_ epoetin alfa_ biosimilar_ (Retacrit) (for non ESRD use)_ 1000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wedging of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29740","description":"Wedging of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of left heart vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33988","description":"Insertion of left heart vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML13","description":"HIPPS-RML13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Belt_ strap_ sleeve_ garment_ or covering_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4467","description":"Belt_ strap_ sleeve_ garment_ or covering_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE116","description":"HIPPS-PE116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70328","description":"X-ray exam of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES134","description":"HIPPS-ES134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10008","description":"Fine needle aspiration biopsy_ including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin a1c level >9.0%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3046F","description":"Hemoglobin a1c level >9.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE154","description":"HIPPS-HE154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prefab stainless steel crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2933","description":"Prefab stainless steel crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trach care kit for new trach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4625","description":"Trach care kit for new trach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of eyelid lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68040","description":"Treatment of eyelid lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE20C","description":"HIPPS-CE20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq&ic allg test drugs/biol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95018","description":"Perq&ic allg test drugs/biol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC14","description":"HIPPS-RHC14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removable prosthodontic proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5899","description":"Removable prosthodontic proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1483","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1483","description":"HCPCS-M1483","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB2D","description":"HIPPS-RHB2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"YT GNOTYP ACHE EXON 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0201U","description":"YT GNOTYP ACHE EXON 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA46","description":"HIPPS-RVA46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ drainage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1729","description":"Cath_ drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ meropenem (WG Critical Care)_ not therapeutically equivalent to J2185_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2183","description":"Injection_ meropenem (WG Critical Care)_ not therapeutically equivalent to J2185_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen non tlc devices","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80300","description":"Drug screen non tlc devices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB1C","description":"HIPPS-RVB1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v thin layer redo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88143","description":"Cytopath c/v thin layer redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Vedolizumab_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9026","description":"Injection_ Vedolizumab_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES255","description":"HIPPS-ES255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin k phytonadione inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3430","description":"Vitamin k phytonadione inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1030T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1030T","description":"CPT-1030T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cipaglucosidase alfa-atga_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1203","description":"Injection_ cipaglucosidase alfa-atga_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair elevating leg res","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0990","description":"Wheelchair elevating leg res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNU","description":"HIPPS-3BHNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB55","description":"HIPPS-RLB55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLS","description":"HIPPS-4AGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Persist asthma medicine ctrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4015F","description":"Persist asthma medicine ctrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap remove rectum w/pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45397","description":"Lap remove rectum w/pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lenticular lens_ single","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2121","description":"Lenticular lens_ single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspergillus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86606","description":"Aspergillus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumoc vac/admin/rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4040F","description":"Pneumoc vac/admin/rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Halo repl liner/interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0861","description":"Halo repl liner/interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ovulation tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84830","description":"Ovulation tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhcp-serv of ot_ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0152","description":"Hhcp-serv of ot_ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem odontogen cyst > 1.25 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7451","description":"Rem odontogen cyst > 1.25 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX0D","description":"HIPPS-RLX0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB0C","description":"HIPPS-RUB0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D7259","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D7259","description":"CDT-D7259","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15999","description":"Removal of pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01740","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01740","description":"CPT-01740","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8D","description":"HIPPS-RUL8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coude tip urinary catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4352","description":"Coude tip urinary catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy w/biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31535","description":"Laryngoscopy w/biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27829","description":"Treat lower leg joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m oxidronate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9561","description":"Tc99m oxidronate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1052T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1052T","description":"CPT-1052T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophth us quant a only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76511","description":"Ophth us quant a only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27041","description":"Biopsy of soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43135","description":"Removal of esophagus pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corticoster sparng thrpy rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4142F","description":"Corticoster sparng thrpy rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder/vagina lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51900","description":"Repair bladder/vagina lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gingivectomy/plasty per quad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4210","description":"Gingivectomy/plasty per quad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation of wheezing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94070","description":"Evaluation of wheezing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP1","description":"HIPPS-3AGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx isodose intermed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77317","description":"Brachytx isodose intermed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp lithotripsy calculi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43265","description":"Ercp lithotripsy calculi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth skin ext/per/atrunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40051","description":"Anesth skin ext/per/atrunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clsd ostomy pouch w/o barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5052","description":"Clsd ostomy pouch w/o barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP2","description":"HIPPS-3AHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt post facet implt cerv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0219T","description":"Plmt post facet implt cerv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retreat root canal bicuspid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3347","description":"Retreat root canal bicuspid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision subvalvular tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33415","description":"Revision subvalvular tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruct premalg les 2-14","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17003","description":"Destruct premalg les 2-14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ buprenorphine extended-release (brixadi)_ less than or equal to 7 days of therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0577","description":"Injection_ buprenorphine extended-release (brixadi)_ less than or equal to 7 days of therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft peri each addl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3429","description":"Bone graft peri each addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11426","description":"Exc h-f-nk-sp b9+marg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Homecare train pt session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5109","description":"Homecare train pt session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ palonosetron HCl (Avyxa)_ not therapeutically equivalent to J2469_ 25 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2468","description":"Injection_ palonosetron HCl (Avyxa)_ not therapeutically equivalent to J2469_ 25 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"K flow/funct image w/o drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78707","description":"K flow/funct image w/o drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA07","description":"HIPPS-RUA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of transcortin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84449","description":"Assay of transcortin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct hrt w/o dye w/ca test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75571","description":"Ct hrt w/o dye w/ca test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC21B","description":"HIPPS-HC21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vital capacity test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94150","description":"Vital capacity test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Derm-Maxx_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4238","description":"Derm-Maxx_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of g6pd enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82955","description":"Assay of g6pd enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mh health assess by non-md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0031","description":"Mh health assess by non-md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens gas impermeable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2530","description":"Contact lens gas impermeable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC55","description":"HIPPS-RMC55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8A","description":"HIPPS-RUX8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interim crown-further treatment or completion of diagnosis necessary prior to final impression","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2799","description":"Interim crown-further treatment or completion of diagnosis necessary prior to final impression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acesso tl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4300","description":"Acesso tl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat scor nek/ts pt no e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8673","description":"Fun stat scor nek/ts pt no e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dent therapeutic drug inject","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9610","description":"Dent therapeutic drug inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped critical care subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99472","description":"Ped critical care subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped complete intact nut","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4158","description":"Ef ped complete intact nut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tibial length sock fx or equ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2840","description":"Tibial length sock fx or equ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj fe-based mr contrast_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9953","description":"Inj fe-based mr contrast_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forearm/arm cuffs free motio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3720","description":"Forearm/arm cuffs free motio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibula bone graft microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20955","description":"Fibula bone graft microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lwr ext dynamic prosth pylon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5985","description":"Lwr ext dynamic prosth pylon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot arch support remov prem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3030","description":"Foot arch support remov prem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoetharine non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7649","description":"Isoetharine non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA215","description":"HIPPS-PA215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sodium nitrite 3 mg and sodium thiosulfate 125 mg (Nithiodote)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0211","description":"Injection_ sodium nitrite 3 mg and sodium thiosulfate 125 mg (Nithiodote)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluoride applicator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5986","description":"Fluoride applicator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ lower leg and foot_ padded_ for nighttime use_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6524","description":"Gradient compression garment_ lower leg and foot_ padded_ for nighttime use_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18E","description":"HIPPS-PB18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl garment for aed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0608","description":"Repl garment for aed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insitu hybridization (fish)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88365","description":"Insitu hybridization (fish)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for tear sac x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68850","description":"Injection for tear sac x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP3","description":"HIPPS-1AFP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ reslizumab_ 1 mg (Cinqair)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9481","description":"Injection_ reslizumab_ 1 mg (Cinqair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis g dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87525","description":"Hepatitis g dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy_ flexible_ transoral_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0884T","description":"Esophagoscopy_ flexible_ transoral_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-77438","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77438","description":"CPT-77438","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stationary compressed gas 02","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0424","description":"Stationary compressed gas 02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41116","description":"Excision of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L2221","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2221","description":"HCPCS-L2221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief communication technology-based service_ e.g. virtual check-in_ by a qualified health care professional who cannot report evaluation and management services_ provided to","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2251","description":"Brief communication technology-based service_ e.g. virtual check-in_ by a qualified health care professional who cannot report evaluation and management services_ provided to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK3","description":"HIPPS-3CGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis w/discectomy lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22224","description":"Incis w/discectomy lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL56","description":"HIPPS-RUL56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; initial single probe stain procedure (List separately in addition to code for prima","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0848T","description":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; initial single probe stain procedure (List separately in addition to code for prima","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv sr wire occ/man pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0160","description":"Cerv sr wire occ/man pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy_ flexible; with transendoscopic stent placement (includes predilation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6023","description":"Sigmoidoscopy_ flexible; with transendoscopic stent placement (includes predilation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ olaratumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9485","description":"Injection_ olaratumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth perineal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90476","description":"Anesth perineal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61567","description":"Incision of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back pain was measured by the visual analog scale (VAS) within three months preoperatively and at one year (9 to 15 months) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9944","description":"Back pain was measured by the visual analog scale (VAS) within three months preoperatively and at one year (9 to 15 months) postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFKV","description":"HIPPS-4BFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toe loop/holder_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0952","description":"Toe loop/holder_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24500","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31588","description":"Revision of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27303","description":"Drainage of bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8C","description":"HIPPS-RLA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC154","description":"HIPPS-HC154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHM1","description":"HIPPS-4CHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB105","description":"HIPPS-BB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18B","description":"HIPPS-ES18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate inf turbinate superf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30801","description":"Ablate inf turbinate superf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29821","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pin hand dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26676","description":"Pin hand dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl artific disc addl crvcl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0095T","description":"Rmvl artific disc addl crvcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair stomach-bowel fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43880","description":"Repair stomach-bowel fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rsa lower extr exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0350T","description":"Rsa lower extr exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/stent plcmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44402","description":"Colonoscopy w/stent plcmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx combined","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21387","description":"Opn tx orbit fx combined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB20A","description":"HIPPS-LB20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wilate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7183","description":"Wilate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL13","description":"HIPPS-RVL13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ necitumumab_ 1mg (Portrazza)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9475","description":"Injection_ necitumumab_ 1mg (Portrazza)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect phalanx of toe tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28175","description":"Resect phalanx of toe tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB150","description":"HIPPS-BB150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiocentesis_ Including Imaging Guidance_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33016","description":"Pericardiocentesis_ Including Imaging Guidance_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ cell-free DNA_ analysis of 311 or more genes_ interrogation for sequence variants_ including substitutions_ ins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0239U","description":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ cell-free DNA_ analysis of 311 or more genes_ interrogation for sequence variants_ including substitutions_ ins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC20","description":"HIPPS-RUC20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0505F","description":"Hemodialysis plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove exostosis mandible","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21031","description":"Remove exostosis mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adenoma not detect screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3776F","description":"Adenoma not detect screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLS","description":"HIPPS-4CGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscp rig trnso biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43193","description":"Esophagoscp rig trnso biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB230","description":"HIPPS-BB230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iliac revasc w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37221","description":"Iliac revasc w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK1","description":"HIPPS-5CFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB45","description":"HIPPS-RUB45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L8697","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8697","description":"HCPCS-L8697","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20694","description":"Remove bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meg evoked each addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95967","description":"Meg evoked each addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjust ankle ext/flex device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1815","description":"Adjust ankle ext/flex device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heparin neutralization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85525","description":"Heparin neutralization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Did Not Receive At Least One Td Vaccine Or One Tdap Vaccine Between Nine Years Prior To The Start Of The Measurement Period And The End Of The Measurement Period; Or H","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2156","description":"Patient Did Not Receive At Least One Td Vaccine Or One Tdap Vaccine Between Nine Years Prior To The Start Of The Measurement Period And The End Of The Measurement Period; Or H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alloskin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4115","description":"Alloskin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43124","description":"Removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ atezolizumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9022","description":"Injection_ atezolizumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair pulmonary atresia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33920","description":"Repair pulmonary atresia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX31","description":"HIPPS-RMX31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq card angio/athrect 1 art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92924","description":"Prq card angio/athrect 1 art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay porc 3/more sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2630","description":"Dental onlay porc 3/more sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risperidone_ (Uzedy)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9158","description":"Injection_ risperidone_ (Uzedy)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ diclofenac sodium_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1130","description":"Injection_ diclofenac sodium_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16375","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16375","description":"CPT-16375","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast ductal carcinoma in situ)_ mRNA_ gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping)_ utilizing formalin-fixed paraffin-e","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0045U","description":"Oncology (breast ductal carcinoma in situ)_ mRNA_ gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping)_ utilizing formalin-fixed paraffin-e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monovisc inj per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7327","description":"Monovisc inj per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct abd & pelv 1/> regns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74178","description":"Ct abd & pelv 1/> regns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4414","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4414","description":"HCPCS-Q4414","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Current tobacco smoker","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1034F","description":"Current tobacco smoker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB21A","description":"HIPPS-BB21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1383","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1383","description":"HCPCS-M1383","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9277","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9277","description":"HCPCS-J9277","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK6","description":"HIPPS-3BFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rx tst def 09+ rx/sbsts ur reprt pres/abs ea rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0082U","description":"Rx tst def 09+ rx/sbsts ur reprt pres/abs ea rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHM6","description":"HIPPS-3AHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Yellow fever vaccine subq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90717","description":"Yellow fever vaccine subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ppsv23 vacc 2 yrs+ subq/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90732","description":"Ppsv23 vacc 2 yrs+ subq/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Receiving >5 Mg Daily Prednisone (Or Equivalent) For Longer Than 6 Months_ And Improvement Or No Change In Disease Activity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2113","description":"Patient Receiving >5 Mg Daily Prednisone (Or Equivalent) For Longer Than 6 Months_ And Improvement Or No Change In Disease Activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Renal function panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80069","description":"Renal function panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38G","description":"HIPPS-ES38G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL02","description":"HIPPS-RHL02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advanced life support mileag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0390","description":"Advanced life support mileag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bartonella dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87472","description":"Bartonella dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bath conductivity meter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1550","description":"Bath conductivity meter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive augmentative arrhythmia analysis derived from quantitative computational cardiac arrhythmia simulations_ based on selected intervals of interest from 12-lead elect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0897T","description":"Noninvasive augmentative arrhythmia analysis derived from quantitative computational cardiac arrhythmia simulations_ based on selected intervals of interest from 12-lead elect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0520U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0520U","description":"CPT-0520U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phentolaine mesylate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2760","description":"Phentolaine mesylate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL23","description":"HIPPS-RHL23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL0D","description":"HIPPS-RVL0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No cont ppi or h2ra rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4186F","description":"No cont ppi or h2ra rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8B","description":"HIPPS-RMA8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit immunotherapy diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9338","description":"Hit immunotherapy diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8A","description":"HIPPS-RUA8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLX","description":"HIPPS-3CHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whole blood for transfusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9010","description":"Whole blood for transfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18X","description":"HIPPS-HB18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mohs 1 stage t/a/l","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17313","description":"Mohs 1 stage t/a/l","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM5","description":"HIPPS-4BHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM1","description":"HIPPS-2CFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Io ga n-stim subsq w/reprog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95982","description":"Io ga n-stim subsq w/reprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Voice d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9173","description":"Voice d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE12A","description":"HIPPS-CE12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ detection of 8 autoantibodies (ARF 6_ NKX3-1_ 5_-UTR-B","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0134U","description":"Oncology (prostate)_ detection of 8 autoantibodies (ARF 6_ NKX3-1_ 5_-UTR-B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preop anes or proxy b/4 surg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9497","description":"Preop anes or proxy b/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialys sol fld vol > 4999cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4725","description":"Dialys sol fld vol > 4999cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug outreach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0023","description":"Alcohol and/or drug outreach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE22D","description":"HIPPS-CE22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frozen plasma_ pooled_ sd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9023","description":"Frozen plasma_ pooled_ sd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNS","description":"HIPPS-1BHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28F","description":"HIPPS-CB28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23420","description":"Repair of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hfo w/o joints cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3913","description":"Hfo w/o joints cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA241","description":"HIPPS-CA241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icm device eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93290","description":"Icm device eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ efgartigimod alfa_ 2 mg and hyaluronidase-qvfc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9334","description":"Injection_ efgartigimod alfa_ 2 mg and hyaluronidase-qvfc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB3D","description":"HIPPS-RLB3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 2.1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11643","description":"Exc f/e/e/n/l mal+mrg 2.1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA130","description":"HIPPS-BA130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE146","description":"HIPPS-LE146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumo imm status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1022F","description":"Pneumo imm status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hcg free betachain test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84704","description":"Hcg free betachain test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test for acetone/ketones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82009","description":"Test for acetone/ketones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01937","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01937","description":"CPT-01937","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ calcium gluconate (fresenius kabi)_ per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0612","description":"Injection_ calcium gluconate (fresenius kabi)_ per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arm supp att to wc rancho ty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2627","description":"Arm supp att to wc rancho ty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parathyroid planar imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78070","description":"Parathyroid planar imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92851","description":"Anesth removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wedge resect of lung diag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32507","description":"Wedge resect of lung diag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18H","description":"HIPPS-HD18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert bladder catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51701","description":"Insert bladder catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE250","description":"HIPPS-LE250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL50","description":"HIPPS-RUL50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semen anal strict criteria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89322","description":"Semen anal strict criteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise/drain tear gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68400","description":"Incise/drain tear gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride nail 1-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11720","description":"Debride nail 1-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote monitoring of physiologic parameter(s) (eg_ weight_ blood pressure_ pulse oximetry_ respiratory flow rate)_ initial; set-up and patient education on use of equipment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99453","description":"Remote monitoring of physiologic parameter(s) (eg_ weight_ blood pressure_ pulse oximetry_ respiratory flow rate)_ initial; set-up and patient education on use of equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asympt carot/vrtbrbas sten","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9005F","description":"Asympt carot/vrtbrbas sten","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD111","description":"HIPPS-PD111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gravlee jet washer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4470","description":"Gravlee jet washer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28C","description":"HIPPS-HD28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE136","description":"HIPPS-CE136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC40","description":"HIPPS-RVC40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ankle ligaments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27696","description":"Repair of ankle ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLW","description":"HIPPS-2AGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE22C","description":"HIPPS-PE22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pharynx foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42809","description":"Remove pharynx foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko dbl upright w/air pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1848","description":"Ko dbl upright w/air pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8I","description":"HIPPS-RMA8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26770","description":"Treat finger dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad resect hand tumor < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26117","description":"Rad resect hand tumor < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1607","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1607","description":"HCPCS-C1607","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eld mal scrn pos no plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8735","description":"Eld mal scrn pos no plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroesophageal reflux exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78262","description":"Gastroesophageal reflux exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73590","description":"X-ray exam of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB245","description":"HIPPS-CB245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22226","description":"Revise extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8C","description":"HIPPS-RLX8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thrombolytic therapy stroke","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37195","description":"Thrombolytic therapy stroke","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide cardiocentesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76930","description":"Echo guide cardiocentesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ionm in operatng room 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95940","description":"Ionm in operatng room 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza Virus Vaccine_ Quadrivalent (Aiiv4)_ Inactivated_ Adjuvanted_ Preservative Free_ 0.5 Ml Dosage_ For Intramuscular Use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90694","description":"Influenza Virus Vaccine_ Quadrivalent (Aiiv4)_ Inactivated_ Adjuvanted_ Preservative Free_ 0.5 Ml Dosage_ For Intramuscular Use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood thymol turbidity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P2033","description":"Blood thymol turbidity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef assess planpost dschrge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3019F","description":"Lvef assess planpost dschrge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0499U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0499U","description":"CPT-0499U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Personal care item nos each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5199","description":"Personal care item nos each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57220","description":"Revision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy accessory convex inse","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5093","description":"Ostomy accessory convex inse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cross-over vein graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34520","description":"Cross-over vein graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27640","description":"Partial removal of tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD144","description":"HIPPS-LD144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1010T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1010T","description":"CPT-1010T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bp scrn perf rec interval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8783","description":"Bp scrn perf rec interval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGM2","description":"HIPPS-1AGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of psa complexed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84152","description":"Assay of psa complexed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-rad contrast materialnoc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9698","description":"Non-rad contrast materialnoc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE217","description":"HIPPS-HE217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy (turp)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52601","description":"Prostatectomy (turp)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1362","description":"Patients who died during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33737","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interspinous implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1821","description":"Interspinous implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of breast lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19000","description":"Drainage of breast lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tubing used w suction pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7002","description":"Tubing used w suction pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99232","description":"Subsequent hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFMS","description":"HIPPS-4CFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB134","description":"HIPPS-HB134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coordinated specialty care_ team-based_ for first episode psychosis_ per encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2041","description":"Coordinated specialty care_ team-based_ for first episode psychosis_ per encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92930","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92930","description":"CPT-92930","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0204","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0204","description":"HCPCS-A0204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc plan hybrid/stage proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9640","description":"Doc plan hybrid/stage proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGMV","description":"HIPPS-2BGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic Positional Obstructive Sleep Apnea Treatment_ With Sensor_ Includes All Components And Accessories_ Any Type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1001","description":"Electronic Positional Obstructive Sleep Apnea Treatment_ With Sensor_ Includes All Components And Accessories_ Any Type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures rebase part mandbl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5721","description":"Dentures rebase part mandbl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lipase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83690","description":"Assay of lipase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flexible metal hinge pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6610","description":"Flexible metal hinge pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain flow imaging only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78610","description":"Brain flow imaging only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing loss dup/del analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81431","description":"Hearing loss dup/del analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gingivectomy/plasty per toot","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4211","description":"Gingivectomy/plasty per toot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colorectal ca screen doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3017F","description":"Colorectal ca screen doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28G","description":"HIPPS-CD28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venipuncture home/snf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9529","description":"Venipuncture home/snf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vanomycin dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87500","description":"Vanomycin dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx of cervix w/scope leep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57460","description":"Bx of cervix w/scope leep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4353","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4353","description":"HCPCS-Q4353","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMU","description":"HIPPS-1AGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculoplasty laser surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65855","description":"Trabeculoplasty laser surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydration iv infusion init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96360","description":"Hydration iv infusion init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ CYP2D6-2D7 hybrid gene) (List separately in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0072U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ CYP2D6-2D7 hybrid gene) (List separately in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27712","description":"Realignment of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM2","description":"HIPPS-4BGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4405","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4405","description":"HCPCS-Q4405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative epicardial cardiac ultrasound (ie_ echocardiography) for congenital heart disease_ diagnostic; interpretation and report only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76989","description":"Intraoperative epicardial cardiac ultrasound (ie_ echocardiography) for congenital heart disease_ diagnostic; interpretation and report only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove aorta constriction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33845","description":"Remove aorta constriction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethro w/implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52441","description":"Cystourethro w/implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculotomy by laser_ including optical coherence tomography (OCT) guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0730T","description":"Trabeculotomy by laser_ including optical coherence tomography (OCT) guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC12A","description":"HIPPS-CC12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rep perf anoper/vestib fistu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46716","description":"Rep perf anoper/vestib fistu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA42","description":"HIPPS-RHA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dstrj extensive retinopathy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67227","description":"Dstrj extensive retinopathy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB125","description":"HIPPS-PB125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52305","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk/ak locking mechanism","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5671","description":"Bk/ak locking mechanism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"History aids-defining cond","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3490F","description":"History aids-defining cond","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microscopic exam of urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81015","description":"Microscopic exam of urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-81354","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81354","description":"CPT-81354","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ing hernia baby blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49496","description":"Rpr ing hernia baby blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB25","description":"HIPPS-RHB25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ initial rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9001","description":"Mccd_ initial rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK2","description":"HIPPS-2CHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped compr care pkg_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1025","description":"Ped compr care pkg_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thrombolytic art therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37211","description":"Thrombolytic art therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc order given vte prophylx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4044F","description":"Doc order given vte prophylx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic anoscopy spx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46600","description":"Diagnostic anoscopy spx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1439","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1439","description":"HCPCS-M1439","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval amniotic fluid protein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84112","description":"Eval amniotic fluid protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording and disconnection per patient encounter_ implantable aortic counte","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0463T","description":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording and disconnection per patient encounter_ implantable aortic counte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28740","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightweight det a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1090","description":"Wheelchair lightweight det a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvas vasc dx study proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93998","description":"Noninvas vasc dx study proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ von Willebrand factor (recombinant)_ (Vonvendi)_ 1 IU VWF:RCo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7179","description":"Injection_ von Willebrand factor (recombinant)_ (Vonvendi)_ 1 IU VWF:RCo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fracture assessment via dxa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77086","description":"Fracture assessment via dxa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Buprenorphine (Injectable); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ An","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2069","description":"Medication Assisted Treatment_ Buprenorphine (Injectable); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ An","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 3RD DOSE PFIZER","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0003A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 3RD DOSE PFIZER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA235","description":"HIPPS-PA235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient lift sling or seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0621","description":"Patient lift sling or seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgigraft-dual_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4219","description":"Surgigraft-dual_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC121","description":"HIPPS-LC121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt l/s 3 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64495","description":"Inj paravert f jnt l/s 3 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch urine w barrier/tapv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4431","description":"Ost pch urine w barrier/tapv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Continuous_ Real-Time Monitoring And Maintenance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95707","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Continuous_ Real-Time Monitoring And Maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD131","description":"HIPPS-LD131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prefab porc/ceram crown pri","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2929","description":"Prefab porc/ceram crown pri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abd imag and followup rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9548","description":"Abd imag and followup rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28A","description":"HIPPS-LD28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy & decompress","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45337","description":"Sigmoidoscopy & decompress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1019T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1019T","description":"CPT-1019T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Presc opiates >6 wks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9561","description":"Presc opiates >6 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15832","description":"Excise excessive skin thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sitz bath chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0162","description":"Sitz bath chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Air ambulan nonemerg rotary","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9961","description":"Air ambulan nonemerg rotary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC24","description":"HIPPS-RMC24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26740","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fulvestrant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9395","description":"Injection_ fulvestrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Derm autograft f/n/hf/g add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15136","description":"Derm autograft f/n/hf/g add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the da","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0318","description":"Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD112","description":"HIPPS-LD112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA10B","description":"HIPPS-PA10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of existing tract_ percutaneous_ for an endourologic procedure including imaging guidance (eg_ ultrasound and/or fluoroscopy) and all associated radiological supervis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50437","description":"Dilation of existing tract_ percutaneous_ for an endourologic procedure including imaging guidance (eg_ ultrasound and/or fluoroscopy) and all associated radiological supervis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35661","description":"Art byp femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress fingers/hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26035","description":"Decompress fingers/hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE24D","description":"HIPPS-LE24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace trilateral socket br","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4010","description":"Replace trilateral socket br","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/transpose nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64856","description":"Repair/transpose nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC224","description":"HIPPS-LC224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for maintenance of insulin infusion catheter_ per week","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter_ per week","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moveable patient lift system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0639","description":"Moveable patient lift system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneum full leg splnt pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4370","description":"Pneum full leg splnt pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tmj condyle","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7840","description":"Removal of tmj condyle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycophenolic acid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7518","description":"Mycophenolic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vascular Surgery Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4038","description":"Vascular Surgery Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bowel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44605","description":"Repair of bowel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES124","description":"HIPPS-ES124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0752","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0752","description":"HCPCS-J0752","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Candida dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87480","description":"Candida dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace tricuspid valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33465","description":"Replace tricuspid valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM5","description":"HIPPS-2CFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine chloride","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82436","description":"Assay of urine chloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML34","description":"HIPPS-RML34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC214","description":"HIPPS-CC214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug-Induced Sleep Endoscopy_ With Dynamic Evaluation Of Velum_ Pharynx_ Tongue Base_ And Larynx For Evaluation Of Sleep-Disordered Breathing_ Flexible_ Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42975","description":"Drug-Induced Sleep Endoscopy_ With Dynamic Evaluation Of Velum_ Pharynx_ Tongue Base_ And Larynx For Evaluation Of Sleep-Disordered Breathing_ Flexible_ Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy_ with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9769","description":"Cystourethroscopy_ with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc brstcncr stage 4 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3380F","description":"Ajcc brstcncr stage 4 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ immunohistochemistry_ protein expression profiling of 4 biomarkers (matrix metalloproteinase-1 [MMP-1]_ carcinoembryonic antigen-related cell","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0067U","description":"Oncology (breast)_ immunohistochemistry_ protein expression profiling of 4 biomarkers (matrix metalloproteinase-1 [MMP-1]_ carcinoembryonic antigen-related cell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD22B","description":"HIPPS-CD22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA12D","description":"HIPPS-PA12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair tongue laceration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41252","description":"Repair tongue laceration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26060","description":"Incision of finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on nose and accessory sinuses; radical surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0123U","description":"Anesthesia for procedures on nose and accessory sinuses; radical surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62321","description":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy faceplt/silicone ring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4384","description":"Ostomy faceplt/silicone ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB21C","description":"HIPPS-HB21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extrnl bleaching per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9973","description":"Extrnl bleaching per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iliac bone graft microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20956","description":"Iliac bone graft microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cvd risk assessment not performed or incomplete (e.g._ cvd risk assessment was not documented)_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1257","description":"Cvd risk assessment not performed or incomplete (e.g._ cvd risk assessment was not documented)_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKX","description":"HIPPS-2AGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethra injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53505","description":"Repair of urethra injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25101","description":"Explore/treat wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Provision splnt intracoronal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4320","description":"Provision splnt intracoronal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD12D","description":"HIPPS-CD12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHM5","description":"HIPPS-3CHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Island pedicle flap graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15740","description":"Island pedicle flap graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMX","description":"HIPPS-2AGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGPV","description":"HIPPS-3BGPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bl push transfuse 2 yr/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36440","description":"Bl push transfuse 2 yr/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intake Activities_ Including Initial Medical Examination That Is A Complete_ Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2076","description":"Intake Activities_ Including Initial Medical Examination That Is A Complete_ Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLV","description":"HIPPS-4BHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE106","description":"HIPPS-CE106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB12C","description":"HIPPS-HB12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trach suction cath close sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4605","description":"Trach suction cath close sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE156","description":"HIPPS-CE156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1553","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1553","description":"HCPCS-J1553","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of chin nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64736","description":"Incision of chin nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anticoag clinic per session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9401","description":"Anticoag clinic per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNV","description":"HIPPS-3BFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18A","description":"HIPPS-CC18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Joint device (implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1776","description":"Joint device (implantable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q4h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9504","description":"Hit antibiotic q4h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47620","description":"Removal of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Balloon dilate urtrl strix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50706","description":"Balloon dilate urtrl strix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin (lyumjev) for administration through dme (i.e._ insulin pump) per 50 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1813","description":"Insulin (lyumjev) for administration through dme (i.e._ insulin pump) per 50 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair no. 2 footplates","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0970","description":"Wheelchair no. 2 footplates","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow fair lead cable dir fo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6586","description":"Elbow fair lead cable dir fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rev/remvl crtd sns dev gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0271T","description":"Rev/remvl crtd sns dev gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orbitocranial approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61592","description":"Orbitocranial approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of thigh/knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27499","description":"Decompression of thigh/knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA114","description":"HIPPS-BA114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Cervical Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1082","description":"Radiation Therapy For Cervical Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0561","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0561","description":"HCPCS-G0561","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0601","description":"HCPCS-C0601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replantation foot complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20838","description":"Replantation foot complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec stains for microorganis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0476","description":"Spec stains for microorganis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy & polypectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44392","description":"Colonoscopy & polypectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHKT","description":"HIPPS-3AHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Observ/hosp same date","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99235","description":"Observ/hosp same date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD160","description":"HIPPS-CD160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE22C","description":"HIPPS-CE22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxy suppl heater for nebuliz","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1372","description":"Oxy suppl heater for nebuliz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKV","description":"HIPPS-1AHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE24C","description":"HIPPS-LE24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban_ 1 mg (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0884","description":"Injection_ argatroban_ 1 mg (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/ultrasound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44406","description":"Colonoscopy w/ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score knee < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8648","description":"Fun stat score knee < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGKW","description":"HIPPS-3CGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69550","description":"Remove ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of System Reason(S) For An Interval Of Less Than 3 Years Since The Last Colonoscopy (E.G._ Unable To Locate Previous Colonoscopy Report_ Previous Colonoscopy Rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9999","description":"Documentation Of System Reason(S) For An Interval Of Less Than 3 Years Since The Last Colonoscopy (E.G._ Unable To Locate Previous Colonoscopy Report_ Previous Colonoscopy Rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX46","description":"HIPPS-RMX46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enzyme histochemistry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88319","description":"Enzyme histochemistry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special pump services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99190","description":"Special pump services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo remove w/ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50548","description":"Laparo remove w/ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cabotegravir and rilpivirine_ 2 mg/3 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0741","description":"Injection_ cabotegravir and rilpivirine_ 2 mg/3 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap replace gastr adj device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43773","description":"Lap replace gastr adj device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove esophagus obstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74235","description":"Remove esophagus obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phenylephrine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2370","description":"Phenylephrine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thorax spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22610","description":"Thorax spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low density lipoprotein(ldl)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2120","description":"Low density lipoprotein(ldl)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Detect agnt mult dna ampli","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87801","description":"Detect agnt mult dna ampli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of neck cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42815","description":"Excision of neck cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC236","description":"HIPPS-HC236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venous m-thrombectomy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37188","description":"Venous m-thrombectomy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement_ aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved con","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33440","description":"Replacement_ aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB32","description":"HIPPS-RHB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enlargemnt of eye prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2625","description":"Enlargemnt of eye prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML21","description":"HIPPS-RML21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27511","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhs/hospice of lpn ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0300","description":"Hhs/hospice of lpn ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of retinal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67210","description":"Treatment of retinal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN6","description":"HIPPS-1AFN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1397","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1397","description":"HCPCS-M1397","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36800","description":"Insertion of cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Set up port xray equipment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0092","description":"Set up port xray equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay myeloperoxidase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83876","description":"Assay myeloperoxidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laboratory processing of microbial specimen to include culture and sensitivity studies_ preparation and transmission of written report","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0414","description":"Laboratory processing of microbial specimen to include culture and sensitivity studies_ preparation and transmission of written report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of prealbumin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84134","description":"Assay of prealbumin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1171","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1171","description":"HCPCS-J1171","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of feces porphyrins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84126","description":"Assay of feces porphyrins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81173","description":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0108U","description":"Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary breast cancer-related disorders (eg_ hereditary breast cancer_ hereditary ovarian cancer_ hereditary endometrial cancer)_ genomic sequence analysis panel utilizing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0102U","description":"Hereditary breast cancer-related disorders (eg_ hereditary breast cancer_ hereditary ovarian cancer_ hereditary endometrial cancer)_ genomic sequence analysis panel utilizing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyqvia 100mg immuneglobulin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1575","description":"Hyqvia 100mg immuneglobulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0903","description":"HCPCS-B0903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ehrlichia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86666","description":"Ehrlichia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62223","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remov vert xdrl bdy lmbr/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63303","description":"Remov vert xdrl bdy lmbr/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59855","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX0C","description":"HIPPS-RLX0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj midazolam hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2250","description":"Inj midazolam hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allergen specific IgE; quantitative or semiquantitative_ crude allergen extract_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86003","description":"Allergen specific IgE; quantitative or semiquantitative_ crude allergen extract_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ translumin_ drug-coat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2623","description":"Cath_ translumin_ drug-coat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE11B","description":"HIPPS-LE11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4371","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4371","description":"HCPCS-Q4371","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Womans shoe oxford brace","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3224","description":"Womans shoe oxford brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine porphyrins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84120","description":"Assay of urine porphyrins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise tendon(s) & muscle(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23406","description":"Incise tendon(s) & muscle(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Itch severity assessment score was not reduced by at least 2 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1198","description":"Itch severity assessment score was not reduced by at least 2 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9808","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9808","description":"HCPCS-C9808","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.00d/4.2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2205","description":"Lens sphcy bifocal 4.00d/4.2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daratumumab_ 10mg (Darzalex)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9476","description":"Injection_ daratumumab_ 10mg (Darzalex)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Minocycline hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2265","description":"Minocycline hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pm/icd remote tech serv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93296","description":"Pm/icd remote tech serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML35","description":"HIPPS-RML35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB4A","description":"HIPPS-RLB4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB0A","description":"HIPPS-RUB0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE225","description":"HIPPS-CE225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA2B","description":"HIPPS-RUA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg sacrococ teratoma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2405","description":"Fetal surg sacrococ teratoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33600","description":"Closure of valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE21C","description":"HIPPS-PE21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive Care Management Services For A Single High-Risk Disease_ E.G._ Principal Care Management_ At Least 30 Minutes Of Physician  Or Other Qualified Health Care Profes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2064","description":"Comprehensive Care Management Services For A Single High-Risk Disease_ E.G._ Principal Care Management_ At Least 30 Minutes Of Physician  Or Other Qualified Health Care Profes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo total proctocolectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44212","description":"Laparo total proctocolectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC126","description":"HIPPS-PC126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Atten goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9166","description":"Atten goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0523U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0523U","description":"CPT-0523U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen drsg>16<=48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6022","description":"Collagen drsg>16<=48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl soft interface_ helmet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A8004","description":"Repl soft interface_ helmet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1272","description":"Patients on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC155","description":"HIPPS-CC155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 xhd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0840","description":"Pwc gp2 xhd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of neck artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37605","description":"Ligation of neck artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelets_ pheresis_ pathogen-reduced_ each unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9073","description":"Platelets_ pheresis_ pathogen-reduced_ each unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31080","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/ndl aspir/bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44407","description":"Colonoscopy w/ndl aspir/bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow harvest allogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38230","description":"Bone marrow harvest allogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert mesh/pelvic flr addon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57267","description":"Insert mesh/pelvic flr addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Day habil waiver per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2020","description":"Day habil waiver per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0684","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0684","description":"HCPCS-G0684","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD21B","description":"HIPPS-HD21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symptom&sign symm polyneuro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1500F","description":"Symptom&sign symm polyneuro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1602","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1602","description":"CDT-D1602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHL4","description":"HIPPS-3AHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0605","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0605","description":"HCPCS-J0605","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPX","description":"HIPPS-1CGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abd imag w/us_ ct or MRI","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9455","description":"Abd imag w/us_ ct or MRI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recording of fetal magnetic cardiac signal using at least 3 channels; patient recording and storage_ data scanning with signal extraction_ technical analysis and result","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0475T","description":"Recording of fetal magnetic cardiac signal using at least 3 channels; patient recording and storage_ data scanning with signal extraction_ technical analysis and result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tear gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68500","description":"Removal of tear gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alarm symp assessed-1+ prsnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1071F","description":"Alarm symp assessed-1+ prsnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0690U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0690U","description":"CPT-0690U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diab manage trn ind/group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0109","description":"Diab manage trn ind/group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC144","description":"HIPPS-LC144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ bal dil_ non-vascular","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1726","description":"Cath_ bal dil_ non-vascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/irrigate tear ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68840","description":"Explore/irrigate tear ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preputial stretching","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54450","description":"Preputial stretching","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath abd/l-ext art 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36245","description":"Ins cath abd/l-ext art 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvonorgestrl-Rls Iu Coc Sys 19.5 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9984","description":"Lvonorgestrl-Rls Iu Coc Sys 19.5 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retr bone flap to fix skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62148","description":"Retr bone flap to fix skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver imaging (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78205","description":"Liver imaging (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21082","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM6","description":"HIPPS-3CGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO hip intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an adequa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9729","description":"Patient unable to complete the FOTO hip intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an adequa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove iris and lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66600","description":"Remove iris and lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sio panel custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0624","description":"Sio panel custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual fully reclining back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1226","description":"Manual fully reclining back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA20B","description":"HIPPS-CA20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHM5","description":"HIPPS-2CHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo iv push sngl drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96409","description":"Chemo iv push sngl drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam by pathologist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88307","description":"Tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48152","description":"Pancreatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of anal fissure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46942","description":"Treatment of anal fissure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo poly hip_ pneu/hyd/rot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5961","description":"Endo poly hip_ pneu/hyd/rot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microfluid analy tears","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83861","description":"Microfluid analy tears","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0675","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0675","description":"HCPCS-G0675","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0506","description":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLS","description":"HIPPS-1BHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp spenorenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35636","description":"Art byp spenorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel implant sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7306","description":"Levonorgestrel implant sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ilr device interrogate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93291","description":"Ilr device interrogate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Secondary urethral surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54348","description":"Secondary urethral surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ caplacizumab-yhdp_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9047","description":"Injection_ caplacizumab-yhdp_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Graftjacket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4107","description":"Graftjacket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlorpromazine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3230","description":"Chlorpromazine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP4","description":"HIPPS-3AHP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98007","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98007","description":"CPT-98007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermal filler inj px/suppl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9800","description":"Dermal filler inj px/suppl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ talquetamab-tgvs_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9163","description":"Injection_ talquetamab-tgvs_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC245","description":"HIPPS-PC245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intrvasc us noncoronary addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37253","description":"Intrvasc us noncoronary addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18B","description":"HIPPS-PC18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB217","description":"HIPPS-CB217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psych svcs provided","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4060F","description":"Psych svcs provided","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 2.1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11423","description":"Exc h-f-nk-sp b9+marg 2.1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7565","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7565","description":"HCPCS-C7565","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RARE DS XOM DNA ALYS PROBAND","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0214U","description":"RARE DS XOM DNA ALYS PROBAND","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair tear ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68700","description":"Repair tear ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15944","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ anesthetic agent; carotid sinus (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64508","description":"Injection_ anesthetic agent; carotid sinus (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24566","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frame typ sock interscap-tho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6690","description":"Frame typ sock interscap-tho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp )to prevent human immunodeficiency virus (hiv)_ includes hiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0011","description":"Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp )to prevent human immunodeficiency virus (hiv)_ includes hiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGM5","description":"HIPPS-2BGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release thumb contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26508","description":"Release thumb contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit new age 40-64","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99386","description":"Prev visit new age 40-64","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1802","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1802","description":"CDT-D1802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited dental tx adult","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8040","description":"Limited dental tx adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove implant of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65920","description":"Remove implant of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB30","description":"HIPPS-RMB30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP6","description":"HIPPS-1AFP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies unlisted","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4050","description":"Cast supplies unlisted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0599U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0599U","description":"CPT-0599U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Water circ heat pad w pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0217","description":"Water circ heat pad w pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated rbc count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85041","description":"Automated rbc count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8040","description":"Nasal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart flow reserve measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93571","description":"Heart flow reserve measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21454","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Free omental flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49906","description":"Free omental flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1484","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1484","description":"HCPCS-M1484","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"U1 sealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2365","description":"U1 sealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Habil prevoc waiver_ per d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2014","description":"Habil prevoc waiver_ per d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phenotype dna hiv w/culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87903","description":"Phenotype dna hiv w/culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc esoph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43289","description":"Laparoscope proc esoph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion or replacement of permanent leadless pacemaker_ ventricular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0387T","description":"Transcatheter insertion or replacement of permanent leadless pacemaker_ ventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc nstim apnea compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0424T","description":"Insj/rplc nstim apnea compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bupren/nal up to 3mg bupreno","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0572","description":"Bupren/nal up to 3mg bupreno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25490","description":"Reinforce radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc ref upper gi endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3132F","description":"Doc ref upper gi endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA10D","description":"HIPPS-CA10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lower leg bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27635","description":"Remove lower leg bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB145","description":"HIPPS-PB145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC15D","description":"HIPPS-HC15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of corticosteroids 17","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83491","description":"Assay of corticosteroids 17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures rebase cmplt mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5711","description":"Dentures rebase cmplt mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA3A","description":"HIPPS-RVA3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shorten radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25392","description":"Shorten radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic compression controller with sequential calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0680","description":"Non-pneumatic compression controller with sequential calibrated gradient pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NuDYN DL or NuDYN DL MESH_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4285","description":"NuDYN DL or NuDYN DL MESH_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB46","description":"HIPPS-RHB46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Create passage to kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52334","description":"Create passage to kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration Not Followed By Surgical Repair_ Artery; Upper Extremity (Eg_ Axillary_ Brachial_ Radial_ Ulnar)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35702","description":"Exploration Not Followed By Surgical Repair_ Artery; Upper Extremity (Eg_ Axillary_ Brachial_ Radial_ Ulnar)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cyclophosphamide_ (AuroMedics)_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9071","description":"Injection_ cyclophosphamide_ (AuroMedics)_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pan-cancer)_ analysis of minimal residual disease (MRD) from plasma_ with assays personalized to each patient based on prior next-generation sequencing of the patien","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0340U","description":"Oncology (pan-cancer)_ analysis of minimal residual disease (MRD) from plasma_ with assays personalized to each patient based on prior next-generation sequencing of the patien","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP1A2 (cytochrome P450 family 1_ subfamily A_ member 2)(eg_ drug metabolism) gene analysis_ common variants (ie_ *1F_ *1K_ *6_ *7)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0031U","description":"CYP1A2 (cytochrome P450 family 1_ subfamily A_ member 2)(eg_ drug metabolism) gene analysis_ common variants (ie_ *1F_ *1K_ *6_ *7)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy trifocal 4.0/.12-","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2303","description":"Lens sphcy trifocal 4.0/.12-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean delivery only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59514","description":"Cesarean delivery only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1384","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1384","description":"HCPCS-M1384","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee wood socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5639","description":"Below knee wood socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physical Therapy/Occupational Therapy Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4026","description":"Physical Therapy/Occupational Therapy Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit anti-tnf per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9359","description":"Hit anti-tnf per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lyme dis dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87477","description":"Lyme dis dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caloric vestibular test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92533","description":"Caloric vestibular test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Intermittent Monitoring And Maintenance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95706","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Intermittent Monitoring And Maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Induced abortion 25-28 wks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2265","description":"Induced abortion 25-28 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7514","description":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25907","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepa vaccine adult im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90632","description":"Hepa vaccine adult im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"C motor evoked uppr limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95928","description":"C motor evoked uppr limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB210","description":"HIPPS-BB210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35363","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht care plan doc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4050F","description":"Ht care plan doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99241","description":"Office consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1460","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1460","description":"HCPCS-M1460","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis - bitewing radiographic image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0373","description":"intraoral tomosynthesis - bitewing radiographic image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-H0053","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H0053","description":"HCPCS-H0053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert balloon device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33973","description":"Insert balloon device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Set radiation therapy field","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77285","description":"Set radiation therapy field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"APOL1 (apolipoprotein L1) (eg_ chronic kidney disease)_ risk variants (G1_ G2)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0355U","description":"APOL1 (apolipoprotein L1) (eg_ chronic kidney disease)_ risk variants (G1_ G2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit cont pain per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9326","description":"Hit cont pain per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ aicd_ endo single coil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1777","description":"Lead_ aicd_ endo single coil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24110","description":"Remove humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology tum unknown origin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81540","description":"Oncology tum unknown origin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21245","description":"Reconstruction of jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Combined anteroposterior colporrhaphy_ including cystourethroscopy_ when performed;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57260","description":"Combined anteroposterior colporrhaphy_ including cystourethroscopy_ when performed;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heparin assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85520","description":"Heparin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Etanercept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1438","description":"Etanercept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD23B","description":"HIPPS-HD23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Somatropin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2941","description":"Somatropin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip clevis type 2 posit jnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2570","description":"Hip clevis type 2 posit jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogen test marrow b/4 tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3155F","description":"Cytogen test marrow b/4 tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Food thickener oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4100","description":"Food thickener oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0691U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0691U","description":"CPT-0691U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB101","description":"HIPPS-HB101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tildrakizumab_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3245","description":"Injection_ tildrakizumab_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55700","description":"Biopsy of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"APC (APC regulator of WNT signaling pathway)(EG_familial adenomatosis polyposis [FAP] MRNA sequence analysis (list seperately in addition to code for primary procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0157U","description":"APC (APC regulator of WNT signaling pathway)(EG_familial adenomatosis polyposis [FAP] MRNA sequence analysis (list seperately in addition to code for primary procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiofq trsmtr for implt neu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8683","description":"Radiofq trsmtr for implt neu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99425","description":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31605","description":"Incision of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23330","description":"Remove shoulder foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inlay composite/resin two su","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2651","description":"Inlay composite/resin two su","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-49187","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49187","description":"CPT-49187","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical opening of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42955","description":"Surgical opening of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB113","description":"HIPPS-BB113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialys sol fld vol > 1999cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4722","description":"Dialys sol fld vol > 1999cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mpsv4 vaccine subq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90733","description":"Mpsv4 vaccine subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit hydra over 3l diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9377","description":"Hit hydra over 3l diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Convert nephrostomy catheter to nephroureteral catheter_ percutaneous via pre-existing nephrostomy tract_ with ureteral stricture balloon dialation_ including diagnostic nephr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7547","description":"Convert nephrostomy catheter to nephroureteral catheter_ percutaneous via pre-existing nephrostomy tract_ with ureteral stricture balloon dialation_ including diagnostic nephr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx contour defects >10.0 cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11954","description":"Tx contour defects >10.0 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmoscopy_ Extended; With Drawing Of Optic Nerve Or Macula (Eg_ For Glaucoma_ Macular Pathology_ Tumor) With Interpretation And Report_ Unilateral Or Bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92202","description":"Ophthalmoscopy_ Extended; With Drawing Of Optic Nerve Or Macula (Eg_ For Glaucoma_ Macular Pathology_ Tumor) With Interpretation And Report_ Unilateral Or Bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71550","description":"MRI chest w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP3","description":"HIPPS-3BHP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replcmnt breast pump bottle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4285","description":"Replcmnt breast pump bottle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace skull plate/flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62143","description":"Replace skull plate/flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mold socket ank hgt w/ toe f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5010","description":"Mold socket ank hgt w/ toe f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm adapt/boot couplin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5289","description":"Ald fm/dm adapt/boot couplin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablation_ Benign Thyroid Nodule(S)_ Percutaneous_ Laser_ Including Imaging Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0673T","description":"Ablation_ Benign Thyroid Nodule(S)_ Percutaneous_ Laser_ Including Imaging Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewho erbs palsey design abd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3962","description":"Sewho erbs palsey design abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15931","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate ic vasospasm add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61641","description":"Dilate ic vasospasm add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinus surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31299","description":"Sinus surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL5","description":"HIPPS-2BHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk mold socket sach ft endo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5301","description":"Bk mold socket sach ft endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown full cast high noble m","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2790","description":"Crown full cast high noble m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mecasermin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2170","description":"Mecasermin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"So acro/clav can web pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3670","description":"So acro/clav can web pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair prosthesis per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7520","description":"Repair prosthesis per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66762","description":"Revision of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravasc us heart add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92978","description":"Intravasc us heart add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA22C","description":"HIPPS-BA22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43360","description":"Gastrointestinal repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal mucosal integrity testing by electrical impedance_ transoral (list separately in addition to code for primary procedure)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9777","description":"Esophageal mucosal integrity testing by electrical impedance_ transoral (list separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision constricting tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26596","description":"Excision constricting tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3404","description":"HCPCS-J3404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx mult myeloma stg2 hig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9129","description":"Onc dx mult myeloma stg2 hig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of astigmatism","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65775","description":"Correction of astigmatism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pituit tumor w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62165","description":"Remove pituit tumor w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Axolotl ambient or axolotl cryo_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4215","description":"Axolotl ambient or axolotl cryo_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28H","description":"HIPPS-LE28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral 50% dextrose solu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4164","description":"Parenteral 50% dextrose solu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nasal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30545","description":"Repair nasal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB251","description":"HIPPS-LB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76140","description":"X-ray consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB23","description":"HIPPS-RVB23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21282","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4020","description":"Ophthalmology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull/brain surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61720","description":"Incise skull/brain surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES24B","description":"HIPPS-ES24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57335","description":"Repair vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of finger lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26210","description":"Removal of finger lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient alive as of the last day of the measurement year","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9787","description":"Patient alive as of the last day of the measurement year","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHLW","description":"HIPPS-2AHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove stent via transureth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50386","description":"Remove stent via transureth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair muscles of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26591","description":"Repair muscles of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test nonparaspinal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95870","description":"Muscle test nonparaspinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLX","description":"HIPPS-1BGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mobility goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8979","description":"Mobility goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFN2","description":"HIPPS-1CFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay chondroitin sulfate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82485","description":"Assay chondroitin sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"64 lead ecg w/i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0178T","description":"64 lead ecg w/i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mnt subs tx for change dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0270","description":"Mnt subs tx for change dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Francisella tularensis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86668","description":"Francisella tularensis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory eeg monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95950","description":"Ambulatory eeg monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC52","description":"HIPPS-RUC52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glasses binaural hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5150","description":"Glasses binaural hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl of subq defibrillator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33272","description":"Rmvl of subq defibrillator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl oral cushion combo mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7028","description":"Repl oral cushion combo mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2802","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2802","description":"HCPCS-J2802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHKX","description":"HIPPS-3BHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hyoid bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21495","description":"Treat hyoid bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ plasminogen_ human-tvmh_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9090","description":"Injection_ plasminogen_ human-tvmh_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafix Core and GrafixPL Core_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4132","description":"Grafix Core and GrafixPL Core_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Bone Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1077","description":"Radiation Therapy For Bone Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cltx medial ankle fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27760","description":"Cltx medial ankle fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Water circ cold pad w pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0218","description":"Water circ cold pad w pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ganciclovir sodium (exela) not therapeutically equivalent to j1570_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1574","description":"Injection_ ganciclovir sodium (exela) not therapeutically equivalent to j1570_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy treat blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31641","description":"Bronchoscopy treat blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"A/d halfway house_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2034","description":"A/d halfway house_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1431","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1431","description":"HCPCS-M1431","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31365","description":"Removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX46","description":"HIPPS-RLX46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anticonv thxpy for 6 mos/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4230F","description":"Anticonv thxpy for 6 mos/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX40","description":"HIPPS-RVX40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit picc insert no supp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5522","description":"Hit picc insert no supp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB13","description":"HIPPS-RMB13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vascular biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75970","description":"Vascular biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ other than sing/dual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2621","description":"Pmkr_ other than sing/dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67107","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair arm/leg nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64857","description":"Repair arm/leg nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In111 capromab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9507","description":"In111 capromab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73040","description":"Contrast x-ray of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHNV","description":"HIPPS-3CHNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove anal fist inter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46275","description":"Remove anal fist inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA146","description":"HIPPS-PA146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Estradiol response panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80415","description":"Estradiol response panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronidase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3470","description":"Hyaluronidase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB125","description":"HIPPS-CB125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8E","description":"HIPPS-RUL8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMX","description":"HIPPS-1AGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 85 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0147U","description":"Drug assay_ definitive_ 85 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of paste boot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29580","description":"Application of paste boot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-adjunctive_ non-implanted continuous glucose monitor or receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2103","description":"Non-adjunctive_ non-implanted continuous glucose monitor or receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy_ partial_ exostectomy or condylectomy_ metatarsal head_ each meta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3052F","description":"Ostectomy_ partial_ exostectomy or condylectomy_ metatarsal head_ each meta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corneal trnspl endothelial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65756","description":"Corneal trnspl endothelial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Burr hole for puncture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61120","description":"Burr hole for puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54520","description":"Removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skilled services of a licensed practical nurse (LPN)_ in the training and/or education of a patient or family member_ in the home health or hospice setting_ each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0496","description":"Skilled services of a licensed practical nurse (LPN)_ in the training and/or education of a patient or family member_ in the home health or hospice setting_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair rectum-vagina fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57300","description":"Repair rectum-vagina fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9982","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK4","description":"HIPPS-5CGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace non-molded calf lace","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4055","description":"Replace non-molded calf lace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special eye evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92060","description":"Special eye evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA201","description":"HIPPS-PA201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-Measured Blood Pressure Using A Device Validated For Clinical Accuracy; Patient Education/Training And Device Calibration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99473","description":"Self-Measured Blood Pressure Using A Device Validated For Clinical Accuracy; Patient Education/Training And Device Calibration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin (human)_5%_ 50ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9041","description":"Albumin (human)_5%_ 50ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy remove lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46612","description":"Anoscopy remove lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PSYC GEN ALYS PANEL 14 GENES","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0173U","description":"PSYC GEN ALYS PANEL 14 GENES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous vertebroplasties (bone biopsies included when performed)_ first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies_ unilateral or bila","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7505","description":"Percutaneous vertebroplasties (bone biopsies included when performed)_ first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies_ unilateral or bila","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft leg bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27637","description":"Remove/graft leg bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interprof phone/online 5-10","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99446","description":"Interprof phone/online 5-10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung volume reduction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32491","description":"Lung volume reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN4","description":"HIPPS-3CFN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-covered item or service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9270","description":"Non-covered item or service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ethmoid sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31201","description":"Removal of ethmoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed total elect w/ matt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0296","description":"Hosp bed total elect w/ matt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27240","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0902","description":"HCPCS-A0902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pjp proph ordered cd4 low","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9223","description":"Pjp proph ordered cd4 low","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9732","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 1 std port seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0813","description":"Pwc gp 1 std port seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise hip joint replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27137","description":"Revise hip joint replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit est age 1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99392","description":"Prev visit est age 1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection_ percutaneous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50393","description":"Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection_ percutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC10D","description":"HIPPS-LC10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ metronidazole_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1836","description":"Injection_ metronidazole_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25535","description":"Treat fracture of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration Not Followed By Surgical Repair_ Artery; Lower Extremity (Eg_ Common Femoral_ Deep Femoral_ Superficial Femoral_ Popliteal_ Tibial_ Peroneal)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35703","description":"Exploration Not Followed By Surgical Repair_ Artery; Lower Extremity (Eg_ Common Femoral_ Deep Femoral_ Superficial Femoral_ Popliteal_ Tibial_ Peroneal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tymp memb motion examd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2035F","description":"Tymp memb motion examd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57130","description":"Remove vagina lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29843","description":"Wrist arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adj skin pro w/c cus wd<22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2622","description":"Adj skin pro w/c cus wd<22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion Of Left Atrial Appendage_ Thoracoscopic_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_ Ligation_ Plication_ Clip)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33269","description":"Exclusion Of Left Atrial Appendage_ Thoracoscopic_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_ Ligation_ Plication_ Clip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27472","description":"Repair/graft of thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8I","description":"HIPPS-RMC8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup long arm adult fbrg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4006","description":"Cast sup long arm adult fbrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM4","description":"HIPPS-2CGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal)_ microRNA_ RT-PCR expression profiling of miR-31-3p_ formalin-fixed paraffin-embedded tissue_ algorithm reported as an expression score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0069U","description":"Oncology (colorectal)_ microRNA_ RT-PCR expression profiling of miR-31-3p_ formalin-fixed paraffin-embedded tissue_ algorithm reported as an expression score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oximeter device for measuring bloodk osygen levels noninvasively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0445","description":"Oximeter device for measuring bloodk osygen levels noninvasively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft arm/leg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64893","description":"Nerve graft arm/leg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recement space maintainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1550","description":"Recement space maintainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFM5","description":"HIPPS-4BFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB15A","description":"HIPPS-CB15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photo patch test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95052","description":"Photo patch test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immed max part denture resin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5221","description":"Immed max part denture resin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31084","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFMU","description":"HIPPS-2BFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ovine_ 1000 usp units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3472","description":"Ovine_ 1000 usp units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add proc construct new crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2971","description":"Add proc construct new crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair & revise nerve add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64874","description":"Repair & revise nerve add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/family 45 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90834","description":"Psytx pt&/family 45 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic donning sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7600","description":"Prosthetic donning sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote dx retinal imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92227","description":"Remote dx retinal imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD220","description":"HIPPS-HD220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGNX","description":"HIPPS-3CGNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC14D","description":"HIPPS-HC14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28X","description":"HIPPS-PB28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nash fibrosure(tm)_ labcorp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0003M","description":"Nash fibrosure(tm)_ labcorp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlh uterus 250 g or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58570","description":"Tlh uterus 250 g or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ copanlisib_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9030","description":"Injection_ copanlisib_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen-specific nucleic acid (DNA or RNA)_ 22 targets including severe acute respiratory syndrome corona","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0223U","description":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen-specific nucleic acid (DNA or RNA)_ 22 targets including severe acute respiratory syndrome corona","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33697","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In-line cartridge containing digestive enzyme(s) for enteral feeding_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9994","description":"In-line cartridge containing digestive enzyme(s) for enteral feeding_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMV","description":"HIPPS-1AHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD12B","description":"HIPPS-LD12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth spine cord surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60051","description":"Anesth spine cord surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01840","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01840","description":"CPT-01840","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01150","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01150","description":"CPT-01150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Endoscopic Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0616","description":"Hospital Special Treatment Room Support Component (Hstrsc) Endoscopic Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunohisto antb addl slide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88341","description":"Immunohisto antb addl slide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGP3","description":"HIPPS-1AGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX03","description":"HIPPS-RVX03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lining lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68130","description":"Remove eyelid lining lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin d 25 hydroxy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82306","description":"Vitamin d 25 hydroxy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph scope w/sclerosis inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43204","description":"Esoph scope w/sclerosis inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67923","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart damage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33545","description":"Repair of heart damage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB34","description":"HIPPS-RHB34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pin finger dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26776","description":"Pin finger dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost skn barrier sld ext wear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4385","description":"Ost skn barrier sld ext wear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1089T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1089T","description":"CPT-1089T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrst mld sck flx hng tri pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6050","description":"Wrst mld sck flx hng tri pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMT","description":"HIPPS-2AHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No 1dose meni vac btwn 11&13","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9415","description":"No 1dose meni vac btwn 11&13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKU","description":"HIPPS-1CFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGKX","description":"HIPPS-3BGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00862","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00862","description":"CPT-00862","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibiot not rxd/given","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4124F","description":"Antibiot not rxd/given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgimend_ fetal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9358","description":"Surgimend_ fetal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct interprete tmj","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0368","description":"Cone beam ct interprete tmj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family homecare train/sessio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5111","description":"Family homecare train/sessio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKT","description":"HIPPS-1CGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2206","description":"Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA40","description":"HIPPS-RHA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1high risk no ord","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9366","description":"1high risk no ord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC24B","description":"HIPPS-CC24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx esophageal unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9099","description":"Onc dx esophageal unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL13","description":"HIPPS-RHL13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise inferior turbinate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30130","description":"Excise inferior turbinate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tumor imaging whole body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78804","description":"Tumor imaging whole body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 30MCG/0.3 ML BST","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0004A","description":"ADM SARSCOV2 30MCG/0.3 ML BST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostoma stent/stud/bttn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7524","description":"Tracheostoma stent/stud/bttn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ossicular implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8613","description":"Ossicular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rezafungin_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0349","description":"Injection_ rezafungin_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ circulating tumor cell selection_ identification_ morphological characterization_ detection and enumeration based on differential EpCAM_ cytokeratins 8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0338U","description":"Oncology (solid tumor)_ circulating tumor cell selection_ identification_ morphological characterization_ detection and enumeration based on differential EpCAM_ cytokeratins 8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mis sup/acc imp vad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0508","description":"Mis sup/acc imp vad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ dostarlimab-gxly_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9272","description":"Injection_ dostarlimab-gxly_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood glucose monitor home","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0607","description":"Blood glucose monitor home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery chrgr 12 volt utah/e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7366","description":"Battery chrgr 12 volt utah/e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hgb quant transcutaneous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88738","description":"Hgb quant transcutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disk/foam pad +or- adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5126","description":"Disk/foam pad +or- adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant radiation dosimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4650","description":"Implant radiation dosimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score shdl >=0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8663","description":"Fun stat score shdl >=0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth blepharoplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10351","description":"Anesth blepharoplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24640","description":"Treat elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fancc gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81242","description":"Fancc gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auditory Evoked Potentials; For Hearing Status Determination_ Broadband Stimuli_ With Interpretation And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92651","description":"Auditory Evoked Potentials; For Hearing Status Determination_ Broadband Stimuli_ With Interpretation And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA4B","description":"HIPPS-AAA4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE226","description":"HIPPS-PE226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Hpc 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9986","description":"Injection Hpc 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytotoxic antibody screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86807","description":"Cytotoxic antibody screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap enterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44202","description":"Lap enterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with the power source and control electronics unit_ controlled by phon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1029","description":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with the power source and control electronics unit_ controlled by phon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18I","description":"HIPPS-HC18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laminotomy single cervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63040","description":"Laminotomy single cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC23","description":"HIPPS-RHC23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconst lwr jaw w/o graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21193","description":"Reconst lwr jaw w/o graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK2","description":"HIPPS-2BGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alkalin batt for glucose mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4233","description":"Alkalin batt for glucose mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood volume","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78122","description":"Blood volume","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery blockage each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75964","description":"Repair artery blockage each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative epicardial cardiac ultrasound (ie_ echocardiography) for congenital heart disease_ diagnostic; placement_ manipulation of transducer_ and image acquisition only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76988","description":"Intraoperative epicardial cardiac ultrasound (ie_ echocardiography) for congenital heart disease_ diagnostic; placement_ manipulation of transducer_ and image acquisition only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25520","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28737","description":"Revision of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without open decompression or fusion_ including image guidance when performed_ lumbar; single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22869","description":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without open decompression or fusion_ including image guidance when performed_ lumbar; single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrical bone stimulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20974","description":"Electrical bone stimulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1332","description":"Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl semi/precision attach","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6091","description":"Repl semi/precision attach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE22B","description":"HIPPS-LE22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (Stress Disorders)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 72 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0292U","description":"Psychiatry (Stress Disorders)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 72 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55882","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55882","description":"CPT-55882","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip clevis/thrust bearing fr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2600","description":"Hip clevis/thrust bearing fr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay acid phosphatase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84060","description":"Assay acid phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1501","description":"HCPCS-M1501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Team conf w/o pat by phys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99367","description":"Team conf w/o pat by phys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0545U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0545U","description":"CPT-0545U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy for bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44391","description":"Colonoscopy for bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA0C","description":"HIPPS-RMA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pm device progr eval dual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93280","description":"Pm device progr eval dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth testis exploration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92451","description":"Anesth testis exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion palate prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42281","description":"Insertion palate prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sig w/tndsc balloon dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45340","description":"Sig w/tndsc balloon dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0583U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0583U","description":"CPT-0583U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain cavity shunt w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62201","description":"Brain cavity shunt w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tilt table locking hip sing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5270","description":"Tilt table locking hip sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nk cells total count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86357","description":"Nk cells total count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flu immunize order/admin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8482","description":"Flu immunize order/admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE145","description":"HIPPS-PE145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28C","description":"HIPPS-PE28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect femur/knee tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27365","description":"Resect femur/knee tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD12C","description":"HIPPS-HD12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cellular therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0075","description":"Cellular therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLS","description":"HIPPS-4BFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0940T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0940T","description":"CPT-0940T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt lft inpt fac w/in 60 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1110F","description":"Pt lft inpt fac w/in 60 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1118","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA5D","description":"HIPPS-RLA5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-93146","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93146","description":"CPT-93146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace implantable hrt syst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0053T","description":"Replace implantable hrt syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28062","description":"Removal of foot fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasm)_ optical genome mapping for copy number alterations_ aneuploidy_ and balanced/complex structural rearrangements_ DNA from blood or bone marr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0413U","description":"Oncology (hematolymphoid neoplasm)_ optical genome mapping for copy number alterations_ aneuploidy_ and balanced/complex structural rearrangements_ DNA from blood or bone marr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Head control interface mech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2327","description":"Head control interface mech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apicoect/perirad surg anter","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3410","description":"Apicoect/perirad surg anter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHM2","description":"HIPPS-3BHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Av fistula revision open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36832","description":"Av fistula revision open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ diagnostic algorithm reported as a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0367U","description":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ diagnostic algorithm reported as a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Had Prior Pneumococcal Vaccine Adverse Reaction Any Time During Or Before The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2158","description":"Patient Had Prior Pneumococcal Vaccine Adverse Reaction Any Time During Or Before The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81284","description":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trapeze bar attached to bed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0910","description":"Trapeze bar attached to bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ep & ablate supravent arrhyt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93653","description":"Ep & ablate supravent arrhyt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Term dev_ sport/rec/work att","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6704","description":"Term dev_ sport/rec/work att","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23145","description":"Removal of bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nail plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11730","description":"Removal of nail plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC104","description":"HIPPS-HC104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD23C","description":"HIPPS-LD23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2116","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL60","description":"HIPPS-RUL60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thoracic lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38746","description":"Remove thoracic lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE121","description":"HIPPS-HE121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML40","description":"HIPPS-RML40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo result com to pt 5 day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5062F","description":"Mammo result com to pt 5 day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01200","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01200","description":"CPT-01200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct head/brain w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70450","description":"Ct head/brain w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ brachytx seed adm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1728","description":"Cath_ brachytx seed adm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Type location activityassess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1052F","description":"Type location activityassess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat pelvic ring fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27216","description":"Treat pelvic ring fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj secretin synthetic human","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2850","description":"Inj secretin synthetic human","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hfe gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81256","description":"Hfe gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD10B","description":"HIPPS-CD10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test urine urobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84578","description":"Test urine urobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperi needle place pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55875","description":"Transperi needle place pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Range of motion measurements","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95851","description":"Range of motion measurements","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKT","description":"HIPPS-5BFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of tongue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41120","description":"Partial removal of tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine & cord thoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63195","description":"Incise spine & cord thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunotherapy one injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95115","description":"Immunotherapy one injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE14D","description":"HIPPS-HE14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contracept iud","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4989","description":"Contracept iud","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Store prev froz embryos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4027","description":"Store prev froz embryos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1379","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1379","description":"HCPCS-M1379","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB20D","description":"HIPPS-CB20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96567","description":"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hist type doc on report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9283","description":"Hist type doc on report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace quadlat socket brim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4020","description":"Replace quadlat socket brim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tail bone ulcer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15920","description":"Removal of tail bone ulcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy premal lesions 15/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17004","description":"Destroy premal lesions 15/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal t1-3_n1-2noprg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9092","description":"Onc dx rectal t1-3_n1-2noprg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Couns potent glauc impct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4174F","description":"Couns potent glauc impct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skilled services of a licensed practical nurse (LPN) for the observation and assessment of the patient_s condition_ each 15 minutes (the change in the patient_s condition requ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0494","description":"Skilled services of a licensed practical nurse (LPN) for the observation and assessment of the patient_s condition_ each 15 minutes (the change in the patient_s condition requ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27440","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88014","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76604","description":"Us exam chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening of palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42226","description":"Lengthening of palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop cyto path consult 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88334","description":"Intraop cyto path consult 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"New episode for condition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1127F","description":"New episode for condition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E2403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2403","description":"HCPCS-E2403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27146","description":"Incision of hip bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ bamlanivimab and etesevimab_ includes infusion and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0245","description":"Intravenous infusion_ bamlanivimab and etesevimab_ includes infusion and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB110","description":"HIPPS-HB110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1336","description":"Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality cognitive behavioral therapy device (cbt)_ including pre-programmed therapy software","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1905","description":"Virtual reality cognitive behavioral therapy device (cbt)_ including pre-programmed therapy software","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a suicide safety plan initiated_ reviewed_ or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or wit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1354","description":"Patients who did not have a suicide safety plan initiated_ reviewed_ or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg 0.6-1 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11401","description":"Exc tr-ext b9+marg 0.6-1 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcholine receptor (AChR); binding antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86041","description":"Acetylcholine receptor (AChR); binding antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE25B","description":"HIPPS-LE25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tandem cuff","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53444","description":"Insert tandem cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67914","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open coronary endarterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33572","description":"Open coronary endarterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for bladder x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51610","description":"Injection for bladder x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18E","description":"HIPPS-PD18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8X","description":"HIPPS-RVB8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPT","description":"HIPPS-1CGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"XWRAP_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4204","description":"XWRAP_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30430","description":"Revision of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1072T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1072T","description":"CPT-1072T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ctrl dose inh drug deliv sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0730","description":"Ctrl dose inh drug deliv sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/implant finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26536","description":"Revise/implant finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pappa serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84163","description":"Pappa serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1-Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66987","description":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1-Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not have the retina attached after 6 months following only one surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9377","description":"Patient did not have the retina attached after 6 months following only one surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/long tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34805","description":"Endovas aaa repr w/long tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50600","description":"Exploration of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD146","description":"HIPPS-CD146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressants class 3-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80333","description":"Antidepressants class 3-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strep a dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87651","description":"Strep a dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl & rplcmt dfb gen mlt ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33264","description":"Rmvl & rplcmt dfb gen mlt ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE14B","description":"HIPPS-HE14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling trach insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8511","description":"Indwelling trach insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief emotional/behav assmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96127","description":"Brief emotional/behav assmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Docking station for use with oral device/appliance used to reduce upper airway collapsibility","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1037","description":"Docking station for use with oral device/appliance used to reduce upper airway collapsibility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not eligible due to active diagnosis of hypertension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9744","description":"Patient not eligible due to active diagnosis of hypertension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54440","description":"Repair of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00560","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00560","description":"CPT-00560","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph bx rprt w/dyspl info","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3126F","description":"Esoph bx rprt w/dyspl info","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis or past history of total colectomy or colorectal cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1295","description":"Patients with a diagnosis or past history of total colectomy or colorectal cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pcp prophylaxis rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4279F","description":"Pcp prophylaxis rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2005","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2005","description":"HCPCS-A2005","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza b ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87275","description":"Influenza b ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB01","description":"HIPPS-RLB01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLW","description":"HIPPS-4CGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 22 And Functional Status Measure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2145","description":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 22 And Functional Status Measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray and fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71023","description":"Chest x-ray and fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home std case rate 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0270","description":"Home std case rate 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ (Afstyla)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7210","description":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ (Afstyla)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee ext/flex w act res ctrl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1812","description":"Knee ext/flex w act res ctrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat elevation sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2300","description":"Pwr seat elevation sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine eltrd perq aray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63661","description":"Remove spine eltrd perq aray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmi is documented as being outside of normal parameters_ follow-up plan is not completed for documented medical reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1286","description":"Bmi is documented as being outside of normal parameters_ follow-up plan is not completed for documented medical reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laminate labial veneer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2960","description":"Laminate labial veneer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dtap-ipv vaccine 4-6 yrs im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90696","description":"Dtap-ipv vaccine 4-6 yrs im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal t3 n0 no prog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9091","description":"Onc dx rectal t3 n0 no prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29837","description":"Elbow arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9171","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9171","description":"HCPCS-C9171","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6518","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6518","description":"HCPCS-A6518","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pralatrexate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9307","description":"Pralatrexate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx planar_ p-103","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2645","description":"Brachytx planar_ p-103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory setting substance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9475","description":"Ambulatory setting substance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef hydrolyzed/amino acids","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4153","description":"Ef hydrolyzed/amino acids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung ventilation imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78579","description":"Lung ventilation imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Single vitamin nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9152","description":"Single vitamin nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cabotegravir and rilpivirine_ 2mg/3mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9077","description":"Injection_ cabotegravir and rilpivirine_ 2mg/3mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB42","description":"HIPPS-RLB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test socket above knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5624","description":"Test socket above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No improve visual funct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0915","description":"No improve visual funct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspa gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81200","description":"Aspa gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthesis_ breast_ imp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1789","description":"Prosthesis_ breast_ imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt c/t 3 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64492","description":"Inj paravert f jnt c/t 3 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Early ind/delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9356","description":"Early ind/delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initiation of medication for the treatment of opioid use disorder in the emergency department setting_ including assessment_ referral to ongoing care_ and arranging access to","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2213","description":"Initiation of medication for the treatment of opioid use disorder in the emergency department setting_ including assessment_ referral to ongoing care_ and arranging access to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Umbilical artery echo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76820","description":"Umbilical artery echo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt education noc individ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9445","description":"Pt education noc individ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antihemophilic viii/vwf comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7186","description":"Antihemophilic viii/vwf comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Technetium tc-99m aerosol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9567","description":"Technetium tc-99m aerosol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cervix/repair vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57555","description":"Remove cervix/repair vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB3D","description":"HIPPS-RVB3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34151","description":"Removal of artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX10","description":"HIPPS-RUX10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patients with diabetes who have a most recent fasting or direct LDL- C laboratory test result < 70 mg/dl and are not taking statin therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9783","description":"Documentation of patients with diabetes who have a most recent fasting or direct LDL- C laboratory test result < 70 mg/dl and are not taking statin therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4228","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4228","description":"HCPCS-A4228","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC10","description":"HIPPS-RMC10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty; for laryngeal stenosis_ with graft_ with indwelling stent placement_ age 12 years or older","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31554","description":"Laryngoplasty; for laryngeal stenosis_ with graft_ with indwelling stent placement_ age 12 years or older","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure_ including separate incision(s) and closure_ when performed; first 60 minutes (List separately in ad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96547","description":"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure_ including separate incision(s) and closure_ when performed; first 60 minutes (List separately in ad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL3","description":"HIPPS-4AGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis_ dialysis circuit_ any method_ including all imaging and radiological supervision and interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36904","description":"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis_ dialysis circuit_ any method_ including all imaging and radiological supervision and interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endometrial sampling or hysteroscopy with biopsy and results not documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9824","description":"Endometrial sampling or hysteroscopy with biopsy and results not documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gemcitabine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9201","description":"Gemcitabine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8977","description":"Oncology measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0668","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0668","description":"HCPCS-G0668","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of eye prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2626","description":"Reduction of eye prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tumor imaging mult areas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78801","description":"Tumor imaging mult areas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ single dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90480","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ single dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absolute quantitation of myocardial blood flow (AQMBF)_ single-photon emission computed tomography (SPECT)_ with exercise or pharmacologic stress_ and at rest_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0742T","description":"Absolute quantitation of myocardial blood flow (AQMBF)_ single-photon emission computed tomography (SPECT)_ with exercise or pharmacologic stress_ and at rest_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam infant hips dynamic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76885","description":"Us exam infant hips dynamic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of spine 1 view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72020","description":"X-ray exam of spine 1 view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tacrolimus injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7525","description":"Tacrolimus injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3502","description":"Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dress/debrid p-thick burn m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16025","description":"Dress/debrid p-thick burn m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine hydrochloride_ (Belrapzo)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9036","description":"Injection_ bendamustine hydrochloride_ (Belrapzo)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES331","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES331","description":"HIPPS-ES331","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0803","description":"HCPCS-C0803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skel musc relaxant 3 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80370","description":"Skel musc relaxant 3 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylindr 4.00d/2.12-4d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2104","description":"Spherocylindr 4.00d/2.12-4d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Near-infrared dual imaging (ie_ simultaneous reflective and trans-illuminated light) of meibomian glands_ unilateral or bilateral_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0507T","description":"Near-infrared dual imaging (ie_ simultaneous reflective and trans-illuminated light) of meibomian glands_ unilateral or bilateral_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Htlv/hiv confirmj antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86689","description":"Htlv/hiv confirmj antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1101","description":"HCPCS-A1101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic submucosal dissection (ESD)_ including endoscopyor colonoscopy_ mucosal closure_ when performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9779","description":"Endoscopic submucosal dissection (ESD)_ including endoscopyor colonoscopy_ mucosal closure_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0645U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0645U","description":"CPT-0645U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB141","description":"HIPPS-HB141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Family (Without The Patient Present)_ Face-To-Face; Initial 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96170","description":"Health Behavior Intervention_ Family (Without The Patient Present)_ Face-To-Face; Initial 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1834","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1834","description":"HCPCS-J1834","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_hemodialysis_short-term","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1752","description":"Cath_hemodialysis_short-term","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc >1 sinus ct w 90d dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9351","description":"Doc >1 sinus ct w 90d dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA211","description":"HIPPS-PA211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8G","description":"HIPPS-RHC8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heat & moisture exchange sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7509","description":"Heat & moisture exchange sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cr51 chromate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9553","description":"Cr51 chromate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder ASD) RNA next-generation sequencing saliva algorithmic analysis and results reported as predictive probability of ASD diagnosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0170U","description":"Neurology (autism spectrum disorder ASD) RNA next-generation sequencing saliva algorithmic analysis and results reported as predictive probability of ASD diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37200","description":"Transcatheter biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fit aphakia spectcl multifoc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92353","description":"Fit aphakia spectcl multifoc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Community Transition Svcs (Moving Expenses)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7333","description":"Community Transition Svcs (Moving Expenses)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryotherapy of the oral cavity using temperature regulated fluid cooling system_ including placement of an oral device_ monitoring of patient tolerance to treatment_ and remov","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0881T","description":"Cryotherapy of the oral cavity using temperature regulated fluid cooling system_ including placement of an oral device_ monitoring of patient tolerance to treatment_ and remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHL2","description":"HIPPS-3AHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermacyte Amniotic Membrane Allograft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4248","description":"Dermacyte Amniotic Membrane Allograft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open bowel to skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44300","description":"Open bowel to skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"removal of non-resorbable barrier","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4286","description":"removal of non-resorbable barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of palm bursas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26030","description":"Drainage of palm bursas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK2","description":"HIPPS-3AGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00164","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00164","description":"CPT-00164","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES32D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES32D","description":"HIPPS-ES32D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lab pathology consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80502","description":"Lab pathology consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid caster integrated whl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2222","description":"Solid caster integrated whl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part removal of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28111","description":"Part removal of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Init pm e/m new pat infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99381","description":"Init pm e/m new pat infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC251","description":"HIPPS-LC251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPU","description":"HIPPS-1BGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult size pull-on xl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4528","description":"Adult size pull-on xl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper ext fx orthosis rad/ul","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3982","description":"Upper ext fx orthosis rad/ul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digoxin thxpy for 6 mos/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4220F","description":"Digoxin thxpy for 6 mos/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IV Injection_ bebtelovimab_ includes injection and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0222","description":"IV Injection_ bebtelovimab_ includes injection and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Organic acids total quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83918","description":"Organic acids total quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50980","description":"Ureter endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc elder mal scrn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8536","description":"No doc elder mal scrn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of external ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69105","description":"Biopsy of external ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug_ generic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5000","description":"Prescription drug_ generic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01490","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01490","description":"CPT-01490","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE13B","description":"HIPPS-PE13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Ct Guidance_ Lumbar; Each Additional Le","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0630T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Ct Guidance_ Lumbar; Each Additional Le","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sutimlimab-jome_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1302","description":"Injection_ sutimlimab-jome_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE15C","description":"HIPPS-PE15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21079","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Signature APatch_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4260","description":"Signature APatch_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of external ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69100","description":"Biopsy of external ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dissolve clot heart vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92977","description":"Dissolve clot heart vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB33","description":"HIPPS-RUB33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC254","description":"HIPPS-LC254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress small bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44021","description":"Decompress small bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral con def inter plt","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5958","description":"Intraoral con def inter plt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28E","description":"HIPPS-BB28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac MRI for morph w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75561","description":"Cardiac MRI for morph w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chylmd pneum dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87486","description":"Chylmd pneum dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8H","description":"HIPPS-RUB8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam by pathologist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88305","description":"Tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analys placenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88267","description":"Chromosome analys placenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic lightbox tabletp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0203","description":"Therapeutic lightbox tabletp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not on a statin (e.g._ pregnancy_ in vitro fertilization_ clomiphene Rx_ ESRD_ cirrhosis_ muscular pain and disease during the measureme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9940","description":"Documentation of medical reason(s) for not on a statin (e.g._ pregnancy_ in vitro fertilization_ clomiphene Rx_ ESRD_ cirrhosis_ muscular pain and disease during the measureme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy with injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9742","description":"Laryngoscopy with injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLT","description":"HIPPS-2BGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE125","description":"HIPPS-PE125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"D&c of cervical stump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57558","description":"D&c of cervical stump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ring flange plas/leather mol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1110","description":"Ring flange plas/leather mol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-61715","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61715","description":"CPT-61715","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK3","description":"HIPPS-1AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB15A","description":"HIPPS-LB15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX3A","description":"HIPPS-RMX3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58180","description":"Partial hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Soft protect helmet prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A8000","description":"Soft protect helmet prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX51","description":"HIPPS-RVX51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m gluceptate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9550","description":"Tc99m gluceptate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft splenorenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35536","description":"Art byp grft splenorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther fostercare child /month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5146","description":"Ther fostercare child /month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce radius and ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25492","description":"Reinforce radius and ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak univ multiplex sys frict","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5616","description":"Ak univ multiplex sys frict","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1389","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1389","description":"HCPCS-M1389","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compl gift case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4013","description":"Compl gift case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thorax spine fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22327","description":"Treat thorax spine fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00830","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00830","description":"CPT-00830","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK6","description":"HIPPS-3CGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bartonella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86611","description":"Bartonella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50290","description":"Removal of kidney lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anticoagulant mgmt initial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99363","description":"Anticoagulant mgmt initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluorouracil injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9190","description":"Fluorouracil injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy c/th facet jnt addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64634","description":"Destroy c/th facet jnt addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc advncd dis comfort 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1152F","description":"Doc advncd dis comfort 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test socket hemipelvectomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5628","description":"Test socket hemipelvectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD136","description":"HIPPS-CD136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28A","description":"HIPPS-PD28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine sulfate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84392","description":"Assay of urine sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA12D","description":"HIPPS-CA12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGM4","description":"HIPPS-2BGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ hexaminolevulinate HCl_ 100 mg_ per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9275","description":"Injection_ hexaminolevulinate HCl_ 100 mg_ per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2101","description":"HCPCS-B2101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB21","description":"HIPPS-RVB21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33602","description":"Closure of valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive remover_ wipes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4456","description":"Adhesive remover_ wipes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98005","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98005","description":"CPT-98005","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Not all data norsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9324","description":"Not all data norsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of intrinsic factor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83528","description":"Assay of intrinsic factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00222","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00222","description":"CPT-00222","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flex foot system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5980","description":"Flex foot system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg Pain Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Greater Than 3.0 And Leg Pain Measured By The Visual Analog Scale (Vas) Wit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2147","description":"Leg Pain Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Greater Than 3.0 And Leg Pain Measured By The Visual Analog Scale (Vas) Wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Borrelia burgdorferi_ antibody detection of 5 recombinant protein groups_ by immunoblot_ IgM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0041U","description":"Borrelia burgdorferi_ antibody detection of 5 recombinant protein groups_ by immunoblot_ IgM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Thorax_ Low Dose For Lung Cancer Screening_ Without Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71271","description":"Computed Tomography_ Thorax_ Low Dose For Lung Cancer Screening_ Without Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of arm foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24201","description":"Removal of arm foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo transthoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93304","description":"Echo transthoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ methylprednisolone sodium succinate_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2919","description":"Injection_ methylprednisolone sodium succinate_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cholinesterase challenge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95857","description":"Cholinesterase challenge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko double upright pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1845","description":"Ko double upright pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (congenital coagulation disorders)_ genomic sequence analysis of 20 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Coagulation Disorder Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0270U","description":"Hematology (congenital coagulation disorders)_ genomic sequence analysis of 20 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Coagulation Disorder Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glycosylated hemoglobin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83036","description":"Glycosylated hemoglobin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compres burngarment chinstrp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6502","description":"Compres burngarment chinstrp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monthly supplies for use of device coded at e0733","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4541","description":"Monthly supplies for use of device coded at e0733","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attach ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65140","description":"Attach ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eia hiv-1/hiv-2 screen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0432","description":"Eia hiv-1/hiv-2 screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implnt/abut fixed dent max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6114","description":"Implnt/abut fixed dent max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmi not documented due to medical reason or patient refusal of height or weight measurement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2181","description":"Bmi not documented due to medical reason or patient refusal of height or weight measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig osteo screen measu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8401","description":"Pt inelig osteo screen measu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth head nerve surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22251","description":"Anesth head nerve surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0675","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0675","description":"HCPCS-J0675","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy soft tissue of back","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21920","description":"Biopsy soft tissue of back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Systemic antimicrobials not prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9959","description":"Systemic antimicrobials not prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98970","description":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefazolin sodium (WG Critical Care)_ not therapeutically equivalent to J0690_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0687","description":"Injection_ cefazolin sodium (WG Critical Care)_ not therapeutically equivalent to J0690_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep ak ischial open end","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5585","description":"Prep ak ischial open end","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc w burn prior to d/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8908","description":"Pt doc w burn prior to d/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye implant material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67120","description":"Remove eye implant material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt rsk death w/in 1yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1150F","description":"Doc pt rsk death w/in 1yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Current cig smoker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9642","description":"Current cig smoker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA21C","description":"HIPPS-PA21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair heavy duty fixed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1285","description":"Wheelchair heavy duty fixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1373","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1373","description":"HCPCS-M1373","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX44","description":"HIPPS-RLX44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43045","description":"Incision of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00561","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00561","description":"CPT-00561","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toilet seat raised","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0244","description":"Toilet seat raised","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intro gastrointestinal tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44500","description":"Intro gastrointestinal tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair Of Fixed Retainer_ Includes Reattachment - Maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8701","description":"Repair Of Fixed Retainer_ Includes Reattachment - Maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attempted vbac delivery only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59620","description":"Attempted vbac delivery only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain bag/bottle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4911","description":"Drain bag/bottle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For An Interval Of Less Than 3 Years Since The Last Colonoscopy (E.G._ Last Colonoscopy Incomplete_ Last Colonoscopy Had Inadequate Prep_ Pi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9998","description":"Documentation Of Medical Reason(S) For An Interval Of Less Than 3 Years Since The Last Colonoscopy (E.G._ Last Colonoscopy Incomplete_ Last Colonoscopy Had Inadequate Prep_ Pi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq tcat intratrl septl sht","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0613T","description":"Perq tcat intratrl septl sht","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft axill-brachial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35522","description":"Art byp grft axill-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK2","description":"HIPPS-5CFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"64 lead ecg w/i&r only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0180T","description":"64 lead ecg w/i&r only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24516","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHKW","description":"HIPPS-5AHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise spine cord vsl thrlmb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63252","description":"Revise spine cord vsl thrlmb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec osteogen stim spinal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0748","description":"Elec osteogen stim spinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had a bone mineral density test in the past two years or received osteoporosis medication or therapy in the past 12 months","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9769","description":"Patient had a bone mineral density test in the past two years or received osteoporosis medication or therapy in the past 12 months","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB23C","description":"HIPPS-LB23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL4","description":"HIPPS-4BHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18X","description":"HIPPS-PD18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Etoposide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9181","description":"Etoposide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artacent cord_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4216","description":"Artacent cord_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA50","description":"HIPPS-RLA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0008","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had cancer_ fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1051","description":"Patient had cancer_ fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko double upright pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0902","description":"Ko double upright pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHN2","description":"HIPPS-3BHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23550","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFLW","description":"HIPPS-4AFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE124","description":"HIPPS-LE124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical repair of root resorption - anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3471","description":"Surgical repair of root resorption - anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie_ ELISA)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0085U","description":"Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie_ ELISA)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMU","description":"HIPPS-2AGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKW","description":"HIPPS-5BHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL26","description":"HIPPS-RVL26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67340","description":"Revise eye muscle add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGM5","description":"HIPPS-1AGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dtap-ipv-hib-hepb vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90697","description":"Dtap-ipv-hib-hepb vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6519","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6519","description":"HCPCS-A6519","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plastic eye prosth custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2623","description":"Plastic eye prosth custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inter active grp psych parti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0411","description":"Inter active grp psych parti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPX","description":"HIPPS-3BHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ monaural_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5243","description":"Hearing aid_ monaural_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antiemetic rectal/supp nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8498","description":"Antiemetic rectal/supp nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ durvalumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9492","description":"Injection_ durvalumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intraoperative blood vessel microinfusion(s) (e.g._ intraluminal_ vascular wall and/or perivascular) ther","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9759","description":"Transcatheter intraoperative blood vessel microinfusion(s) (e.g._ intraluminal_ vascular wall and/or perivascular) ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow-up angiography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75898","description":"Follow-up angiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic image jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70336","description":"Magnetic image jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ippb all types","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0500","description":"Ippb all types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lat thor/lumb addl seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22534","description":"Lat thor/lumb addl seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent prenatal care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0502F","description":"Subsequent prenatal care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Navigational bronchoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31627","description":"Navigational bronchoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocytotoxicity assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86805","description":"Lymphocytotoxicity assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth bladder surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91051","description":"Anesth bladder surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electron elbow adolescent sw","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7185","description":"Electron elbow adolescent sw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0603","description":"HCPCS-B0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin pinch graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15050","description":"Skin pinch graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64728","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64728","description":"CPT-64728","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFK1","description":"HIPPS-3CFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of protein any source","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84160","description":"Assay of protein any source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock multi ply ak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8430","description":"Prosthetic sock multi ply ak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC34","description":"HIPPS-RVC34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28055","description":"Neurectomy foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gluc monitor purchase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1030","description":"Gluc monitor purchase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42400","description":"Biopsy of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA30","description":"HIPPS-RLA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8A","description":"HIPPS-RLA8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adenovirus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86603","description":"Adenovirus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0579U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0579U","description":"CPT-0579U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Employment Career Assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1732","description":"Employment Career Assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg pain was measured by the Visual Analog Scale (VAS) within three months preoperatively and at one year (9 to 15 months) post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1053","description":"Leg pain was measured by the Visual Analog Scale (VAS) within three months preoperatively and at one year (9 to 15 months) post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKT","description":"HIPPS-1BHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove middle ear nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69676","description":"Remove middle ear nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE155","description":"HIPPS-CE155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/bx med space","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32606","description":"Thoracoscopy w/bx med space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg digital analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95957","description":"Eeg digital analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23455","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial Plmt Drug Eluting Ocular Insert Uni/Bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0444T","description":"Initial Plmt Drug Eluting Ocular Insert Uni/Bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NUDT15 (nudix hydrolase 15) (eg_ drug metabolism) gene analysis_ common variant(s) (eg_ *2_ *3_ *4_ *5_ *6)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81306","description":"NUDT15 (nudix hydrolase 15) (eg_ drug metabolism) gene analysis_ common variant(s) (eg_ *2_ *3_ *4_ *5_ *6)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unpln rup post cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9389","description":"Unpln rup post cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84586","description":"Assay of vip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of rectal abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46040","description":"Incision of rectal abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery-vein nonautograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36830","description":"Artery-vein nonautograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24530","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual Preparation And Insertion Of Drug-Delivery Device(S)_ Deep (Eg_ Subfascial) (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20700","description":"Manual Preparation And Insertion Of Drug-Delivery Device(S)_ Deep (Eg_ Subfascial) (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no ahi or rdi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8843","description":"Doc reas no ahi or rdi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand tendon reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26500","description":"Hand tendon reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC35","description":"HIPPS-RMC35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vent mgmt nf per day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94004","description":"Vent mgmt nf per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK5","description":"HIPPS-3AGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8C","description":"HIPPS-RVX8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parathyrd planar w/spect&ct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78072","description":"Parathyrd planar w/spect&ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood osmolality","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83930","description":"Assay of blood osmolality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Md doc_ door to punc tm >2hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9581","description":"Md doc_ door to punc tm >2hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sesamoid bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28315","description":"Removal of sesamoid bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocytotoxicity assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86806","description":"Lymphocytotoxicity assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antihist/decong rx/recom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4133F","description":"Antihist/decong rx/recom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53235","description":"Removal of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27331","description":"Explore/treat knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB24","description":"HIPPS-RUB24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adoptive immunotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2107","description":"Adoptive immunotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kyphosis pad floating","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1025","description":"Kyphosis pad floating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cervical head harness/halter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0942","description":"Cervical head harness/halter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ortho shoe add march bar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3595","description":"Ortho shoe add march bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metacarpophalangeal implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8630","description":"Metacarpophalangeal implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy cadaver donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44132","description":"Enterectomy cadaver donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motion analysis video/3d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96000","description":"Motion analysis video/3d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Janssen Covid-19 Vaccine Administration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0031A","description":"Janssen Covid-19 Vaccine Administration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AmnioCyte Plus_ per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4242","description":"AmnioCyte Plus_ per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35372","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asth not controlled","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9434","description":"Asth not controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibody_ severe acute respiratory system coronavirus 2 (SARS CoV-2) (Coronavirus disease [COVID-19])","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86769","description":"Antibody_ severe acute respiratory system coronavirus 2 (SARS CoV-2) (Coronavirus disease [COVID-19])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sheath above knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8410","description":"Sheath above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Candida dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87481","description":"Candida dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intro/sheath_fixed_peel-away","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1892","description":"Intro/sheath_fixed_peel-away","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL4","description":"HIPPS-1BFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise reconst elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24371","description":"Revise reconst elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50075","description":"Removal of kidney stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHK5","description":"HIPPS-3BHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor ix non-recombinant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7193","description":"Factor ix non-recombinant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFKX","description":"HIPPS-3AFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria x10sv endo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33266","description":"Ablate atria x10sv endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg 41-60 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95812","description":"Eeg 41-60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA226","description":"HIPPS-PA226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap impl electrode antrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43647","description":"Lap impl electrode antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No unplnd hosp readm in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9309","description":"No unplnd hosp readm in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB25D","description":"HIPPS-BB25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"REvenfenacin inhalation solution_ FDA-approved final product_ noncompounded_administered through DME_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7677","description":"REvenfenacin inhalation solution_ FDA-approved final product_ noncompounded_administered through DME_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visc & infraren abd 2 prosth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34846","description":"Visc & infraren abd 2 prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) (list separately in addition to code for primary procedure(s))","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31620","description":"Endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) (list separately in addition to code for primary procedure(s))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert epicard eltrd open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33202","description":"Insert epicard eltrd open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; each additional hour_ including physiological and laboratory assessments (eg_ perfu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0896T","description":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; each additional hour_ including physiological and laboratory assessments (eg_ perfu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFK2","description":"HIPPS-2CFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc brst cncr stage 1 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3374F","description":"Ajcc brst cncr stage 1 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGNX","description":"HIPPS-1BGNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nutritional support offered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4551F","description":"Nutritional support offered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0680U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0680U","description":"CPT-0680U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conization of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57520","description":"Conization of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNX","description":"HIPPS-1CFNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC221","description":"HIPPS-CC221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test hemidiaphragm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95866","description":"Muscle test hemidiaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75251","description":"Anesth repair of hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit sympathomim diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9348","description":"Hit sympathomim diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgraft tl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4263","description":"Surgraft tl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy w/exc of tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31540","description":"Laryngoscopy w/exc of tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nusinersen_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2326","description":"Injection_ nusinersen_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGKU","description":"HIPPS-4CGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC217","description":"HIPPS-PC217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37296","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37296","description":"CPT-37296","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo torsion cable hip pelv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2050","description":"Hkafo torsion cable hip pelv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1303","description":"HCPCS-B1303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adj skin pro/pos cus<22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2624","description":"Adj skin pro/pos cus<22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med ind for induction","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9361","description":"Med ind for induction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Anifrolumab-Fnia_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9086","description":"Injection_ Anifrolumab-Fnia_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Critical care addl 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99292","description":"Critical care addl 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ neurostimulator (implantable)_ includes closed feedback loop leads and all implantable components_ with rechargeable battery and charging system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1826","description":"Generator_ neurostimulator (implantable)_ includes closed feedback loop leads and all implantable components_ with rechargeable battery and charging system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body adbomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49402","description":"Remove foreign body adbomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CoreText or ProText_ per cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4246","description":"CoreText or ProText_ per cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Netupitant palonosetron oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8655","description":"Netupitant palonosetron oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye allergy tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95060","description":"Eye allergy tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (thyroid)_ microRNA profiling by RT-PCR of 10 microRNA sequences_ utilizing fine needle aspirate_ algorithm reported as a positive or negative result for moderate to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0018U","description":"Oncology (thyroid)_ microRNA profiling by RT-PCR of 10 microRNA sequences_ utilizing fine needle aspirate_ algorithm reported as a positive or negative result for moderate to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"New eye exam & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92018","description":"New eye exam & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of chin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21122","description":"Reconstruction of chin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic duct procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38380","description":"Thoracic duct procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal)_ quantitative assessment of three urine metabolites","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0107U","description":"Oncology (colorectal)_ quantitative assessment of three urine metabolites","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap paraesophag hern repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43281","description":"Lap paraesophag hern repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0947T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0947T","description":"CPT-0947T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemipelvectomy canadian sach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5341","description":"Hemipelvectomy canadian sach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC17","description":"HIPPS-RMC17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bia whole body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0358T","description":"Bia whole body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK5","description":"HIPPS-5CHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE151","description":"HIPPS-PE151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15016","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15016","description":"CPT-15016","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare embryo for transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89255","description":"Prepare embryo for transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0587U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0587U","description":"CPT-0587U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syringe w/wo needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4657","description":"Syringe w/wo needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9487","description":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0797T","description":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electromyograph biofeedback","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0746","description":"Electromyograph biofeedback","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autochondrocyte implant knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27412","description":"Autochondrocyte implant knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA56","description":"HIPPS-RVA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFKS","description":"HIPPS-3CFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional Status Was Not Measured By The Oxford Knee Score (Oks) At One Year (9 To 15 Months) Postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1141","description":"Functional Status Was Not Measured By The Oxford Knee Score (Oks) At One Year (9 To 15 Months) Postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan (sodium hyaluronate) or derivative_ durolane_ intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7318","description":"Hyaluronan (sodium hyaluronate) or derivative_ durolane_ intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Division of fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58600","description":"Division of fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty (except dialysis circuit)_ open or percutaneous_ including all imaging and radiological supervision and interpretation necessary to perform th","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37249","description":"Transluminal balloon angioplasty (except dialysis circuit)_ open or percutaneous_ including all imaging and radiological supervision and interpretation necessary to perform th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig med check","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8430","description":"Pt inelig med check","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01502","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01502","description":"CPT-01502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant spine infusion pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62362","description":"Implant spine infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Igh gene rearrange amp meth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81261","description":"Igh gene rearrange amp meth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHKW","description":"HIPPS-2CHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation toe & metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28810","description":"Amputation toe & metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep b core antibody igm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86705","description":"Hep b core antibody igm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meg evoked single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95966","description":"Meg evoked single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD230","description":"HIPPS-LD230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18X","description":"HIPPS-PE18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove part of temporal bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69535","description":"Remove part of temporal bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35180","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surg lower abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84051","description":"Anesth surg lower abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise parotid gland/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42415","description":"Excise parotid gland/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone 20 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1020","description":"Methylprednisolone 20 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cool quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0108T","description":"Cool quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay for calprotectin fecal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83993","description":"Assay for calprotectin fecal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18A","description":"HIPPS-LD18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLT","description":"HIPPS-4BGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of toe lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28092","description":"Removal of toe lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01942","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01942","description":"CPT-01942","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFP4","description":"HIPPS-3BFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contour back for ped size wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2293","description":"Contour back for ped size wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPU","description":"HIPPS-3AHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL2","description":"HIPPS-4AGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Substernal Implantable Defibrillator Pulse Generator Only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0580T","description":"Removal Of Substernal Implantable Defibrillator Pulse Generator Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28140","description":"Removal of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap inc hernia repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49654","description":"Lap inc hernia repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of breast open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19101","description":"Biopsy of breast open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscp rig trnso inject","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43192","description":"Esophagoscp rig trnso inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2930","description":"Methylprednisolone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ca screen;pelvic/breast exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0101","description":"Ca screen;pelvic/breast exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient is not currently on a daily aspirin or other antiplatelet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9795","description":"Patient is not currently on a daily aspirin or other antiplatelet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC13B","description":"HIPPS-CC13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clear outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69205","description":"Clear outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK3","description":"HIPPS-3BGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sperm washing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58323","description":"Sperm washing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMW","description":"HIPPS-4AFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening performed and negative","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9920","description":"Screening performed and negative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resin three surfaces-anterio","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2332","description":"Resin three surfaces-anterio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL6","description":"HIPPS-1AGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Medcurrent_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1002","description":"Clinical Decision Support Mechanism Medcurrent_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implnt_bon void filler-strip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9362","description":"Implnt_bon void filler-strip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-3/> piece w/ graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21147","description":"Lefort i-3/> piece w/ graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB23A","description":"HIPPS-LB23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28A","description":"HIPPS-CD28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMT","description":"HIPPS-3CHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX51","description":"HIPPS-RLX51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of foot tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28226","description":"Release of foot tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20692","description":"Apply bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55831","description":"Removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam entire spi 4/5 vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72083","description":"X-ray exam entire spi 4/5 vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein_ extremity_ by transcatheter delivery of a chemical adhesive (eg_ cyanoacrylate) remote from the access site_ inclusive of all","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36483","description":"Endovenous ablation therapy of incompetent vein_ extremity_ by transcatheter delivery of a chemical adhesive (eg_ cyanoacrylate) remote from the access site_ inclusive of all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37277","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37277","description":"CPT-37277","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28600","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Death did not occur after discharge from the hospital within 30 days post procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9817","description":"Death did not occur after discharge from the hospital within 30 days post procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB12D","description":"HIPPS-PB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpowered pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0373","description":"Nonpowered pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP3","description":"HIPPS-1BHP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periodic oral evaluation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0120","description":"Periodic oral evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Death_ permanent nursing home resident or receiving hospice or palliative care any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9433","description":"Death_ permanent nursing home resident or receiving hospice or palliative care any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/90d mrs >2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9648","description":"Pt w/90d mrs >2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg_ thoracotomy_ transapical)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0484T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg_ thoracotomy_ transapical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score hip not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8654","description":"Fun stat score hip not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFLS","description":"HIPPS-4AFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy/needle bx each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31629","description":"Bronchoscopy/needle bx each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina wall complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57110","description":"Remove vagina wall complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41000","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for amniocentesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76946","description":"Echo guide for amniocentesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg congen hernia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2400","description":"Fetal surg congen hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treprostinil injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3285","description":"Treprostinil injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ mon_ ite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5246","description":"Hearing aid_ prog_ mon_ ite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPT","description":"HIPPS-3CHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65210","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafix Prime and GrafixPL Prime_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4133","description":"Grafix Prime and GrafixPL Prime_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Haloperidol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1630","description":"Haloperidol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Membrane wrap-hydro_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4290","description":"Membrane wrap-hydro_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch drain/barr lk flng/f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4427","description":"Ost pch drain/barr lk flng/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX50","description":"HIPPS-RUX50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decitabine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0894","description":"Decitabine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/o preop order iv ab pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8918","description":"Pt w/o preop order iv ab pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5942","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5942","description":"CDT-D5942","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMV","description":"HIPPS-4AHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unclassified drug or biological used for ESRD on dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3591","description":"Unclassified drug or biological used for ESRD on dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28X","description":"HIPPS-CB28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"L hrt cath trnsptl puncture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93462","description":"L hrt cath trnsptl puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dt vaccine under 7 yrs im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90702","description":"Dt vaccine under 7 yrs im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ash fibrosure (tm)_ labcorp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0002M","description":"Ash fibrosure (tm)_ labcorp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablation Of Malignant Prostate Tissue_ Transrectal_ With High Intensity-Focused Ultrasound (Hifu)_ Including Ultrasound Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55880","description":"Ablation Of Malignant Prostate Tissue_ Transrectal_ With High Intensity-Focused Ultrasound (Hifu)_ Including Ultrasound Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD140","description":"HIPPS-PD140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray upper gi&small intest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74245","description":"X-ray upper gi&small intest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Omental flap extra-abdom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49904","description":"Omental flap extra-abdom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1486","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1486","description":"HCPCS-M1486","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMT","description":"HIPPS-4AHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chylmd trach dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87490","description":"Chylmd trach dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photopheresis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36522","description":"Photopheresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44143","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ ITE/BTE","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5213","description":"Hearing aid_ contralateral routing system_ binaural_ ITE/BTE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable corrugated tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7010","description":"Disposable corrugated tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP4","description":"HIPPS-1CGP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients With A Catheter That Have Limited Life Expectancy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0050","description":"Patients With A Catheter That Have Limited Life Expectancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited autopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88037","description":"Limited autopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93615","description":"Esophageal recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pten gene dup/delet variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81323","description":"Pten gene dup/delet variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Triptorelin pamoate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3315","description":"Triptorelin pamoate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61608","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote evaluation of recorded video and/or images submitted by an established patient (e.g._ store and forward)_ including inte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2010","description":"Remote evaluation of recorded video and/or images submitted by an established patient (e.g._ store and forward)_ including inte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert pleural cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32550","description":"Insert pleural cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev resin rest_ perm tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1352","description":"Prev resin rest_ perm tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD256","description":"HIPPS-PD256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML44","description":"HIPPS-RML44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinnervate larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31590","description":"Reinnervate larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hinge extension/flex wrist/f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3900","description":"Hinge extension/flex wrist/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB234","description":"HIPPS-HB234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Head control proximity switc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2330","description":"Head control proximity switc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance (eg_ vibration) elastography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76391","description":"Magnetic resonance (eg_ vibration) elastography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHPW","description":"HIPPS-1CHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Planar seat for ped size wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2292","description":"Planar seat for ped size wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC11A","description":"HIPPS-HC11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59140","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFK5","description":"HIPPS-3CFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"A finding of an incidental pulmonary nodule","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9754","description":"A finding of an incidental pulmonary nodule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng anti r-viral thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4270F","description":"Pt rcvng anti r-viral thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Borrelia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86619","description":"Borrelia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of upper jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31230","description":"Removal of upper jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; 25 Cc Or Less Injectate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15773","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; 25 Cc Or Less Injectate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of salivary fistula","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7983","description":"Closure of salivary fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0010","description":"Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy w/us needle bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43232","description":"Esophagoscopy w/us needle bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC12D","description":"HIPPS-CC12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6090","description":"Repair implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inc thyr node <1.0 in rpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9552","description":"Inc thyr node <1.0 in rpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26535","description":"Revise finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calcium glycer & lact/10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0620","description":"Calcium glycer & lact/10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare sperm duct x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55300","description":"Prepare sperm duct x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx gastric no recurrence","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9100","description":"Onc dx gastric no recurrence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric wheelchair nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1229","description":"Pediatric wheelchair nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES20B","description":"HIPPS-ES20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mucus trap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8210","description":"Mucus trap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin substitute_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4100","description":"Skin substitute_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE14A","description":"HIPPS-LE14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNU","description":"HIPPS-3CFNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGKS","description":"HIPPS-3BGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1_ BRCA2 (breast cancer 1 and 2) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants in BRCA1 (ie_ ex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81211","description":"BRCA1_ BRCA2 (breast cancer 1 and 2) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants in BRCA1 (ie_ ex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28A","description":"HIPPS-CB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6614","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6614","description":"HCPCS-A6614","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove & graft wrist lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25135","description":"Remove & graft wrist lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m tetrofosmin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9502","description":"Tc99m tetrofosmin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine potassium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84133","description":"Assay of urine potassium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological or neuropsychological test administration_ with single automated_ standardized instrument via electronic platform_ with automated result only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96146","description":"Psychological or neuropsychological test administration_ with single automated_ standardized instrument via electronic platform_ with automated result only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Npo (nothing-mouth) ordered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6020F","description":"Npo (nothing-mouth) ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenting class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9444","description":"Parenting class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD20B","description":"HIPPS-CD20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHN2","description":"HIPPS-3AHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKS","description":"HIPPS-4BHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB146","description":"HIPPS-BB146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penis study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54250","description":"Penis study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB14","description":"HIPPS-RLB14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg monitoring/videorecord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95951","description":"Eeg monitoring/videorecord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4385","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4385","description":"HCPCS-Q4385","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ with endoluminal imaging of initial coronar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7516","description":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ with endoluminal imaging of initial coronar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA2B","description":"HIPPS-AAA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA20D","description":"HIPPS-BA20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy w/fb & op scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31531","description":"Laryngoscopy w/fb & op scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair maxillofacial defects","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7955","description":"Repair maxillofacial defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1060","description":"Thoracic pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Probe_ Image-Guided_ Robotic_ Waterjet Ablation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2596","description":"Probe_ Image-Guided_ Robotic_ Waterjet Ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphere trifocal 7.12-20","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2302","description":"Lens sphere trifocal 7.12-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport case worker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0160","description":"Noner transport case worker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5008","description":"Hearing screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High activity knee frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5930","description":"High activity knee frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB3B","description":"HIPPS-RHB3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18E","description":"HIPPS-ES18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tot contact ak/knee disart s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5650","description":"Tot contact ak/knee disart s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8X","description":"HIPPS-RMB8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srsf2 (Serine And Arginine-Rich Splicing Factor 2) (Eg_ Myelodysplastic Syndrome_ Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ P95H_ P95L)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81348","description":"Srsf2 (Serine And Arginine-Rich Splicing Factor 2) (Eg_ Myelodysplastic Syndrome_ Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ P95H_ P95L)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64561","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharm ther osteo rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8633","description":"Pharm ther osteo rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mirikizumab-mrkz_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9168","description":"Injection_ mirikizumab-mrkz_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL22","description":"HIPPS-RVL22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lightweight wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0003","description":"Lightweight wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28297","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 5-6 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98927","description":"Osteopath manj 5-6 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX56","description":"HIPPS-RLX56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0462","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0462","description":"HCPCS-J0462","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; First Le","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0627T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; First Le","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beta not given no reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9188","description":"Beta not given no reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glucagon hydrochloride (fresenius kabi)_ not therapeutically equivalent to j1610_ per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1611","description":"Injection_ glucagon hydrochloride (fresenius kabi)_ not therapeutically equivalent to j1610_ per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9483","description":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0527U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0527U","description":"CPT-0527U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21431","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26785","description":"Treat finger dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93313","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4347","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4347","description":"HCPCS-Q4347","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology report for tissue specimens produced from wide local excisions or re-excisions","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1166","description":"Pathology report for tissue specimens produced from wide local excisions or re-excisions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial or subsequent psychiatric collaborative care management_ each additional 30 minutes in a calendar month of behavioral health care manager activities_ in consultation w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0504","description":"Initial or subsequent psychiatric collaborative care management_ each additional 30 minutes in a calendar month of behavioral health care manager activities_ in consultation w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Belt/harness extremity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0945","description":"Belt/harness extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hypothermia ill neonate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99184","description":"Hypothermia ill neonate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8010","description":"Mastectomy sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maxillary part denture flex","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5225","description":"Maxillary part denture flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trimethobenzamide hcl 250mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0173","description":"Trimethobenzamide hcl 250mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15017","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15017","description":"CPT-15017","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frenulectomy/frenulotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7960","description":"Frenulectomy/frenulotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth major vein ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88251","description":"Anesth major vein ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ck (cpk)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82550","description":"Assay of ck (cpk)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy dx sep proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58555","description":"Hysteroscopy dx sep proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFL6","description":"HIPPS-2BFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD221","description":"HIPPS-CD221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb bone 20 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11044","description":"Deb bone 20 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ padded textile_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6606","description":"Gradient compression bandaging supply_ padded textile_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental bitewings four films","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0274","description":"Dental bitewings four films","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE130","description":"HIPPS-CE130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for OUD without a gap of m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1036","description":"Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for OUD without a gap of m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/w resect addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32667","description":"Thoracoscopy w/w resect addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28X","description":"HIPPS-PD28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occlusal guard - hard appliance_ full arch","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9944","description":"Occlusal guard - hard appliance_ full arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB22","description":"HIPPS-RVB22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE111","description":"HIPPS-LE111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL2C","description":"HIPPS-RUL2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore scrotum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55110","description":"Explore scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mrs discogenic pain i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0612T","description":"Mrs discogenic pain i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB146","description":"HIPPS-CB146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Receiving Palliative Care During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0034","description":"Patients Receiving Palliative Care During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth eye exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14851","description":"Anesth eye exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway press prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8845","description":"Pos airway press prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of immune checkpoint inhibitor therapy held and corticosteroids or immunosuppressants prescribed or administered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1183","description":"Documentation of immune checkpoint inhibitor therapy held and corticosteroids or immunosuppressants prescribed or administered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg_ drug metabolism)_ gene analysis_ common variant(s) (eg_ *2_ *22)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81230","description":"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg_ drug metabolism)_ gene analysis_ common variant(s) (eg_ *2_ *22)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25126","description":"Remove/graft forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18C","description":"HIPPS-HC18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27786","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrog device eval heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93289","description":"Interrog device eval heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indiv pdc > 0.8","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9512","description":"Indiv pdc > 0.8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB41","description":"HIPPS-RLB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medicaid certified community behavioral health clinic services_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1040","description":"Medicaid certified community behavioral health clinic services_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0975T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0975T","description":"CPT-0975T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surg on vag/urethral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94251","description":"Anesth surg on vag/urethral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ inclisiran_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1306","description":"Injection_ inclisiran_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL2","description":"HIPPS-2CGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00214","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00214","description":"CPT-00214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0173A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ hydroxyprogesterone caproate_ (Makena)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1726","description":"Injection_ hydroxyprogesterone caproate_ (Makena)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00848","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00848","description":"CPT-00848","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo cholecystoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47570","description":"Laparo cholecystoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit enteral bolus nurs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9343","description":"Hit enteral bolus nurs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer care checklist used","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0583F","description":"Transfer care checklist used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap jejunostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44186","description":"Lap jejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin (human)_ 5%_ 250 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9045","description":"Albumin (human)_ 5%_ 250 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL6","description":"HIPPS-4AGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33750","description":"Major vessel shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transition service coordination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7337","description":"Transition service coordination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1017T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1017T","description":"CPT-1017T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision secondary cataract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66820","description":"Incision secondary cataract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL1B","description":"HIPPS-RHL1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemolysins/agglutinins auto","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86940","description":"Hemolysins/agglutinins auto","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath impl vasc access portal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4300","description":"Cath impl vasc access portal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD24B","description":"HIPPS-LD24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 14 acyl carnitines and microbiome-derived metabolites_ liquid chromatography with tandem mass spectrom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0322U","description":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 14 acyl carnitines and microbiome-derived metabolites_ liquid chromatography with tandem mass spectrom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL5D","description":"HIPPS-RHL5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB21B","description":"HIPPS-HB21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB4B","description":"HIPPS-RUB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Renal scope w/tumor resect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50562","description":"Renal scope w/tumor resect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body fluid cell count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89050","description":"Body fluid cell count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22852","description":"Remove spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28A","description":"HIPPS-HD28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX03","description":"HIPPS-RUX03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31237","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trim skin lesions over 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11057","description":"Trim skin lesions over 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0234","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0234","description":"HCPCS-M0234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLT","description":"HIPPS-3BFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc_ l/r_ cmv-neg_ irrad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9058","description":"Rbc_ l/r_ cmv-neg_ irrad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ivig non-lyophilized_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1599","description":"Ivig non-lyophilized_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair narrowing device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0969","description":"Wheelchair narrowing device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43300","description":"Repair of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0525","description":"Management of established patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bso omentectomy w/tah","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58956","description":"Bso omentectomy w/tah","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"teledentistry synchronous real time encounter","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9995","description":"teledentistry synchronous real time encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD12D","description":"HIPPS-HD12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor <23.75._without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0506","description":"Non-traumatic spinal cord injury with Motor <23.75._without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hot/cold h2obot/cap/col/wrap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9273","description":"Hot/cold h2obot/cap/col/wrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23800","description":"Fusion of shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX17","description":"HIPPS-RUX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant_ including fluoroscopy_ transseptal puncture_ catheter placement(s)_ left atrial angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33340","description":"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant_ including fluoroscopy_ transseptal puncture_ catheter placement(s)_ left atrial angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4368","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4368","description":"HCPCS-Q4368","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test for chlorohydrocarbons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82441","description":"Test for chlorohydrocarbons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gi wireless capsule measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91112","description":"Gi wireless capsule measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-86581","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86581","description":"CPT-86581","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultra High Rehab _ ADL Index 11-16/Stand-alone OBRA SCSA OR SCPA OR CCA.","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"RUC01","description":"Ultra High Rehab _ ADL Index 11-16/Stand-alone OBRA SCSA OR SCPA OR CCA.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag r an/pos pnl pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0631","description":"Lso sag r an/pos pnl pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce shoulder bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23491","description":"Reinforce shoulder bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neostim tl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4265","description":"Neostim tl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB24D","description":"HIPPS-LB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-invasive vagus nerve stimulator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0735","description":"Non-invasive vagus nerve stimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5949","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5949","description":"CDT-D5949","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0646U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0646U","description":"CPT-0646U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngography_ contrast_ radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70373","description":"Laryngography_ contrast_ radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 std cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0849","description":"Pwc gp 3 std cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1343","description":"Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise abdomen-venous shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49426","description":"Revise abdomen-venous shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC13D","description":"HIPPS-LC13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hair removal by electrolysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17380","description":"Hair removal by electrolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpneumatic compression controller without calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1031","description":"Nonpneumatic compression controller without calibrated gradient pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK6","description":"HIPPS-5BFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Somatosensory testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95926","description":"Somatosensory testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frozen blood prep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86930","description":"Frozen blood prep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ruconest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0596","description":"Injection_ ruconest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vbac delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59610","description":"Vbac delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES13D","description":"HIPPS-ES13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove tear gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68550","description":"Remove tear gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLW","description":"HIPPS-2AFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHMX","description":"HIPPS-4BHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA254","description":"HIPPS-BA254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd injection varices","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43243","description":"Egd injection varices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens extended wear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2513","description":"Contact lens extended wear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No pharm ther osteo rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8635","description":"No pharm ther osteo rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPU","description":"HIPPS-3BHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0580U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0580U","description":"CPT-0580U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA136","description":"HIPPS-PA136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23146","description":"Removal of bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18I","description":"HIPPS-PA18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cataract surg w/iol 1 stage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66983","description":"Cataract surg w/iol 1 stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of midfoot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28304","description":"Incision of midfoot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professiona","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93792","description":"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professiona","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal cancer)_ evaluation for mutations of APC_ BRAF_ CTNNB1_ KRAS_ NRAS_ PIK3CA_ SMAD4_ and TP53_ and methylation markers (MYO1G_ KCNQ5_ C9ORF50_ FLI1_ CLIP4_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0368U","description":"Oncology (colorectal cancer)_ evaluation for mutations of APC_ BRAF_ CTNNB1_ KRAS_ NRAS_ PIK3CA_ SMAD4_ and TP53_ and methylation markers (MYO1G_ KCNQ5_ C9ORF50_ FLI1_ CLIP4_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Composite byp grft 3/> segmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35683","description":"Composite byp grft 3/> segmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast adjuvant chemotherapy administered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9829","description":"Breast adjuvant chemotherapy administered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topical ox deliver sys_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0446","description":"Topical ox deliver sys_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay nonantibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83516","description":"Immunoassay nonantibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1273","description":"Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8X","description":"HIPPS-RHL8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0679U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0679U","description":"CPT-0679U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Testosterone response","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80414","description":"Testosterone response","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No recd cortico>=10mg/d >60d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9468","description":"No recd cortico>=10mg/d >60d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair art intramural","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33507","description":"Repair art intramural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA210","description":"HIPPS-CA210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cogenex Amniotic Membrane_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4229","description":"Cogenex Amniotic Membrane_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92652","description":"Anesth removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental inlay metl 3/more sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2530","description":"Dental inlay metl 3/more sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvis/hip joint surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27299","description":"Pelvis/hip joint surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE21C","description":"HIPPS-CE21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid check both ears","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92593","description":"Hearing aid check both ears","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Group (2 Or More Patients)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96165","description":"Health Behavior Intervention_ Group (2 Or More Patients)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna)_ Bartonella Henselae And Bartonella Quintana_ Droplet Digital Pcr (Ddpcr); Following Liquid Enrichment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0302U","description":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna)_ Bartonella Henselae And Bartonella Quintana_ Droplet Digital Pcr (Ddpcr); Following Liquid Enrichment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oropharyngeal suction catheter_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4628","description":"Oropharyngeal suction catheter_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair bearings","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2210","description":"Wheelchair bearings","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ mon_ ite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5256","description":"Hearing aid_ digit_ mon_ ite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Habil sup empl waiver/diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2018","description":"Habil sup empl waiver/diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX0A","description":"HIPPS-RLX0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair liver wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47350","description":"Repair liver wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient has mitral stenosis or prosthetic heart valves or patient has transient or reversible cause of AF (e.g._ pneumonia_ hyperthyroidism_ pregnancy_ cardiac surgery)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9746","description":"Patient has mitral stenosis or prosthetic heart valves or patient has transient or reversible cause of AF (e.g._ pneumonia_ hyperthyroidism_ pregnancy_ cardiac surgery)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct chest spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72130","description":"Ct chest spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-speech device service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92606","description":"Non-speech device service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long chain fatty acids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82726","description":"Long chain fatty acids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj tst 3-4 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95908","description":"Nrv cndj tst 3-4 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy w/bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45305","description":"Proctosigmoidoscopy w/bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytarabine hcl 100 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9100","description":"Cytarabine hcl 100 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33927","description":"Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elev bp plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0513F","description":"Elev bp plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT AGT HIV GNRJ SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0219U","description":"NFCT AGT HIV GNRJ SEQ ALYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Loxapine for inhalation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2062","description":"Loxapine for inhalation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC17","description":"HIPPS-RHC17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL3","description":"HIPPS-4CGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue not image intraop","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8874","description":"Tissue not image intraop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rh-immunoglobulin order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8809","description":"Rh-immunoglobulin order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecg monit/reprt up to 48 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93227","description":"Ecg monit/reprt up to 48 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External patient-activated_ physician- or other qualified health care professional-prescribed_ electrocardiographic rhythm derived event recording without 24 hour attended mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0498T","description":"External patient-activated_ physician- or other qualified health care professional-prescribed_ electrocardiographic rhythm derived event recording without 24 hour attended mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen one/mult class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80304","description":"Drug screen one/mult class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec lock on manual pw elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6638","description":"Elec lock on manual pw elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hh aide or cn aide per visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1021","description":"Hh aide or cn aide per visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antidepres rxthxpy not rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4063F","description":"Antidepres rxthxpy not rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp subclav-subclavian","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35612","description":"Art byp subclav-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy nerve face muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64612","description":"Destroy nerve face muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt hx act drain prev 90 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8560","description":"Pt hx act drain prev 90 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL4C","description":"HIPPS-RHL4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intraoral procedures_ including biopsy; radical surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0126U","description":"Anesthesia for intraoral procedures_ including biopsy; radical surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC11","description":"HIPPS-RUC11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35647","description":"Art byp aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mitochondrial gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81440","description":"Mitochondrial gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM4","description":"HIPPS-2AHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aoe comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9466","description":"Aoe comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37262","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37262","description":"CPT-37262","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD15A","description":"HIPPS-HD15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic procd strg endur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0237","description":"Therapeutic procd strg endur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27552","description":"Treat knee dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intra-atrial pacing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93610","description":"Intra-atrial pacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin substitute_ FDA-cleared as a device_ not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4100","description":"Skin substitute_ FDA-cleared as a device_ not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLS","description":"HIPPS-4CHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cabg w/pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56751","description":"Anesth cabg w/pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Legion pneumo dna dir prob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87540","description":"Legion pneumo dna dir prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA116","description":"HIPPS-BA116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anchor/screw bn/bn_tis/bn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1713","description":"Anchor/screw bn/bn_tis/bn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray urinary tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74400","description":"Contrst x-ray urinary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of vulva/perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56606","description":"Biopsy of vulva/perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL5B","description":"HIPPS-RUL5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit inj interferon diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9559","description":"Hit inj interferon diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB13A","description":"HIPPS-LB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX51","description":"HIPPS-RMX51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vaginal procedures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94051","description":"Anesth vaginal procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermapure 1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4152","description":"Dermapure 1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transport portable x-ray","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"R0070","description":"Transport portable x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA4A","description":"HIPPS-RUA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB22","description":"HIPPS-RMB22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHM1","description":"HIPPS-1AHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLT","description":"HIPPS-4CGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB11B","description":"HIPPS-HB11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body pos d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8983","description":"Body pos d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntrng prgrm eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0305T","description":"Icar ischm mntrng prgrm eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1022T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1022T","description":"CPT-1022T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom glove for term device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6895","description":"Custom glove for term device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Visco-3_ for intra-articular injection_ per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7333","description":"Hyaluronan or derivative_ Visco-3_ for intra-articular injection_ per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1304","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1304","description":"CDT-D1304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37271","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37271","description":"CPT-37271","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noonan spectrum disorders","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81442","description":"Noonan spectrum disorders","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist tendon lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25111","description":"Remove wrist tendon lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No rec cortico>60d 1rx 600mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9470","description":"No rec cortico>60d 1rx 600mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mech amb infusion pump <8hrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0780","description":"Mech amb infusion pump <8hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28D","description":"HIPPS-BA28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII_ antihemophilic factor (recombinant)_ (Esperoct)_ glycopegylated-exei_ per IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7204","description":"Injection_ Factor VIII_ antihemophilic factor (recombinant)_ (Esperoct)_ glycopegylated-exei_ per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0565","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0565","description":"HCPCS-G0565","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small disposable underpad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4542","description":"Small disposable underpad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0983T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0983T","description":"CPT-0983T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat skull fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62005","description":"Treat skull fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB21","description":"HIPPS-RUB21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1046T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1046T","description":"CPT-1046T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair sciatic nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64858","description":"Repair sciatic nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laminotomy addl lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63044","description":"Laminotomy addl lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM1","description":"HIPPS-3AGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56634","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abdominal pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1270","description":"Abdominal pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electro hearng aid test one","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92594","description":"Electro hearng aid test one","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo unilat torsion cable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2080","description":"Hkafo unilat torsion cable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA02","description":"HIPPS-RHA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA30","description":"HIPPS-RVA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both components (battery and transmitter)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0861T","description":"Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both components (battery and transmitter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0704","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0704","description":"HCPCS-B0704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ mRNA_ gene expression profiling by massively parallel sequencing for analysis of 51 genes_ utilizing formalin-fixed paraffin-embedded tissue_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0057U","description":"Oncology (solid organ neoplasia)_ mRNA_ gene expression profiling by massively parallel sequencing for analysis of 51 genes_ utilizing formalin-fixed paraffin-embedded tissue_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43621","description":"Removal of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29851","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25105","description":"Remove wrist joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk thigh lacer non-molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5680","description":"Bk thigh lacer non-molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB224","description":"HIPPS-PB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo tibial fracture rigid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2116","description":"Afo tibial fracture rigid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO knee intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an adequ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9727","description":"Patient unable to complete the FOTO knee intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an adequ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge resin base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6251","description":"Bridge resin base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM2","description":"HIPPS-3BGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth neck vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35251","description":"Anesth neck vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cerliponase alfa_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9014","description":"Injection_ cerliponase alfa_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolytic plasminogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85421","description":"Fibrinolytic plasminogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hook/hand_ hvy dty_ vol open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6721","description":"Hook/hand_ hvy dty_ vol open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHN5","description":"HIPPS-3BHN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC204","description":"HIPPS-PC204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cold agglutinin titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86157","description":"Cold agglutinin titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0304","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0304","description":"HCPCS-C0304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Histotripsy (i.e._ nonthermal ablation via acoustic energy delivery) of malignant renal tissue_ including image gu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9790","description":"Histotripsy (i.e._ nonthermal ablation via acoustic energy delivery) of malignant renal tissue_ including image gu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD25C","description":"HIPPS-HD25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dehydroepiandrosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82626","description":"Dehydroepiandrosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation of speech fluency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92521","description":"Evaluation of speech fluency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed xtra hvy dty x wide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0304","description":"Hosp bed xtra hvy dty x wide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; screening and interpretation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0832T","description":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; screening and interpretation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25119","description":"Partial removal of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin B-12 absorption studies combined_ with and without intrinsic factor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78272","description":"Vitamin B-12 absorption studies combined_ with and without intrinsic factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermabrasion other than face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15782","description":"Dermabrasion other than face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper gi endoscopy performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3130F","description":"Upper gi endoscopy performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech lang d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9176","description":"Speech lang d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacotherapy for OUD initiated after June 30th of performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1033","description":"Pharmacotherapy for OUD initiated after June 30th of performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ low density channel foam sheet_ per 250 square centimeters_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6603","description":"Gradient compression bandaging supply_ low density channel foam sheet_ per 250 square centimeters_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of pyloric muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43520","description":"Incision of pyloric muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise urethra stage 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53400","description":"Revise urethra stage 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ epinephrine (belcher) not therapeutically equivalent to j0171_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0173","description":"Injection_ epinephrine (belcher) not therapeutically equivalent to j0171_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl & rplcmt dfb gen 2 lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33263","description":"Rmvl & rplcmt dfb gen 2 lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC244","description":"HIPPS-LC244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKS","description":"HIPPS-1CHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGKW","description":"HIPPS-5AGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4544","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4544","description":"HCPCS-A4544","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin protect wc cus wd <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2603","description":"Skin protect wc cus wd <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens_ 1.54-1.65 p/1.60-1.79g","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2782","description":"Lens_ 1.54-1.65 p/1.60-1.79g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Detect agnt mult dna direc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87800","description":"Detect agnt mult dna direc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resp virus 12-25 targets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87633","description":"Resp virus 12-25 targets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penicillin g benzathine inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0561","description":"Penicillin g benzathine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK6","description":"HIPPS-2BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt care icu&vent w/in 24hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4168F","description":"Pt care icu&vent w/in 24hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES315","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES315","description":"HIPPS-ES315","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA236","description":"HIPPS-BA236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Lefamulin (Xenleta)_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9054","description":"Injection_ Lefamulin (Xenleta)_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Varicella-zoster ig im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90396","description":"Varicella-zoster ig im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA224","description":"HIPPS-PA224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mini-prop remote joystick","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2312","description":"Mini-prop remote joystick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home care supervis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99339","description":"Domicil/r-home care supervis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM4","description":"HIPPS-1BHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lung foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32151","description":"Remove lung foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast tomosynthesis bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77062","description":"Breast tomosynthesis bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Services performed by a doula birth worker_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1033","description":"Services performed by a doula birth worker_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA43","description":"HIPPS-RVA43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drive wheel excludes tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2394","description":"Drive wheel excludes tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0944T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0944T","description":"CPT-0944T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated leukocyte count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85048","description":"Automated leukocyte count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB256","description":"HIPPS-CB256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB30","description":"HIPPS-RUB30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hd inj >24h/gcs >15/no res","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9596","description":"Hd inj >24h/gcs >15/no res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB210","description":"HIPPS-LB210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52290","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKT","description":"HIPPS-4CFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL17","description":"HIPPS-RHL17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy/removal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38525","description":"Biopsy/removal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoetharine comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7647","description":"Isoetharine comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0562U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0562U","description":"CPT-0562U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23532","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iiv3 vacc no prsv 3 yrs+ im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90656","description":"Iiv3 vacc no prsv 3 yrs+ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft fem-femoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35558","description":"Art byp grft fem-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symptoms improved/consist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1450F","description":"Symptoms improved/consist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA01","description":"HIPPS-RHA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxacillin sodium injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2700","description":"Oxacillin sodium injeciton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery pneum vad replacemnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0503","description":"Battery pneum vad replacemnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26358","description":"Repair/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8F","description":"HIPPS-RHC8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of end stage renal disease (esrd)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1187","description":"Patients with a diagnosis of end stage renal disease (esrd)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of foot fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28008","description":"Incision of foot fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0104","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0104","description":"HCPCS-A0104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis training incompl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90993","description":"Dialysis training incompl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL06","description":"HIPPS-RHL06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Satisfy with care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0916","description":"Satisfy with care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40801","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg splnt ped p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4043","description":"Cast sup lng leg splnt ped p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28H","description":"HIPPS-BB28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symes type ptb brim design s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5632","description":"Symes type ptb brim design s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray arms/legs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75822","description":"Vein x-ray arms/legs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial (index visit) numeric rating scale (nrs)_ visual rating scale (vrs)_ or itchyquant assessment score of greater than or equal to 4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1204","description":"Initial (index visit) numeric rating scale (nrs)_ visual rating scale (vrs)_ or itchyquant assessment score of greater than or equal to 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 50NCG/0.25ML IM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91306","description":"SARSCOV2 VAC 50NCG/0.25ML IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX21","description":"HIPPS-RHX21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test socket hip disarticulat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5626","description":"Test socket hip disarticulat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died from cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9855","description":"Patients who died from cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thymus gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60522","description":"Removal of thymus gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated fundus eval done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2020F","description":"Dilated fundus eval done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy consultation performed prior to a screening colonoscopy procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0285","description":"Colonoscopy consultation performed prior to a screening colonoscopy procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo tib fx cast molded to pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2108","description":"Afo tib fx cast molded to pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoskeletal axial rotation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5984","description":"Endoskeletal axial rotation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pentazocine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3070","description":"Pentazocine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic sheepskin pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0188","description":"Synthetic sheepskin pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9294","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9294","description":"HCPCS-A9294","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylphenidate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80360","description":"Methylphenidate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fistula repair transperine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57308","description":"Fistula repair transperine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fem/popl revas w/tla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37224","description":"Fem/popl revas w/tla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-help/peer svc per 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0038","description":"Self-help/peer svc per 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGKV","description":"HIPPS-1BGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24126","description":"Remove/graft bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Certolizumab pegol inj 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0717","description":"Certolizumab pegol inj 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0567U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0567U","description":"CPT-0567U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgigraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4183","description":"Surgigraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth bleeding control","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91651","description":"Anesth bleeding control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No hcv infect srn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9454","description":"No hcv infect srn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Great toe-hand transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26551","description":"Great toe-hand transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4349","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4349","description":"HCPCS-Q4349","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls rmvl ctr cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33985","description":"Ecmo/ecls rmvl ctr cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prenatal care atrisk assessm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1000","description":"Prenatal care atrisk assessm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+cell cnt 200-499 cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3495F","description":"Cd4+cell cnt 200-499 cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33778","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain chest lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21502","description":"Drain chest lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair detachable a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1084","description":"Hemi-wheelchair detachable a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye implant material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67121","description":"Remove eye implant material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maintenance 5% WL from baseline weight in months 7-12","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9888","description":"Maintenance 5% WL from baseline weight in months 7-12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB1C","description":"HIPPS-RMB1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 3 genotyping (HPA-3)_ ITGA2B (integrin_ alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex]_ antigen CD41 [GPIIb]) (eg_ neonatal alloimmune thrombo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81107","description":"Human Platelet Antigen 3 genotyping (HPA-3)_ ITGA2B (integrin_ alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex]_ antigen CD41 [GPIIb]) (eg_ neonatal alloimmune thrombo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens aniseikonic bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2218","description":"Lens aniseikonic bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES31B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES31B","description":"HIPPS-ES31B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compres burngarment bodysuit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6501","description":"Compres burngarment bodysuit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28D","description":"HIPPS-PE28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFMX","description":"HIPPS-1BFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symp aaa urgent repair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9600","description":"Symp aaa urgent repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Os pch urine w bar/fange/tap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4432","description":"Os pch urine w bar/fange/tap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytp dx eval fna 1st ea site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88172","description":"Cytp dx eval fna 1st ea site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ibandronate sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1740","description":"Ibandronate sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospitalized patients with newly diagnosed CVA considered for endovascular stroke treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9767","description":"Hospitalized patients with newly diagnosed CVA considered for endovascular stroke treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Duration of monitored anesthesia care(mac)or peripheral nerve block(pnb)without the use of general anesthesia during an applicable procedure or general or neuraxial anesthesia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9363","description":"Duration of monitored anesthesia care(mac)or peripheral nerve block(pnb)without the use of general anesthesia during an applicable procedure or general or neuraxial anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam spinal canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76800","description":"Us exam spinal canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33474","description":"Revision of pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spinal cord lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63600","description":"Remove spinal cord lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient transferred directly from anesthetizing location to PACE or other non-ICU location","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9656","description":"Patient transferred directly from anesthetizing location to PACE or other non-ICU location","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clearance of airways","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31720","description":"Clearance of airways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4416","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4416","description":"HCPCS-Q4416","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC01","description":"HIPPS-RHC01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay aminolevulinic acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82135","description":"Assay aminolevulinic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/cont_ abd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8900","description":"Mra w/cont_ abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise finger joint each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26135","description":"Revise finger joint each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis w/discectomy cervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22220","description":"Incis w/discectomy cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Qualified Healthcare Professional Assessment Service_ For An Established Patient_ For Up To Seven Days_ Cumulative Time During The 7 Days; 21 Or More Mi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2063","description":"Qualified Nonphysician Qualified Healthcare Professional Assessment Service_ For An Established Patient_ For Up To Seven Days_ Cumulative Time During The 7 Days; 21 Or More Mi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGM6","description":"HIPPS-1AGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topical anesthetic_ per gram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4736","description":"Topical anesthetic_ per gram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31530","description":"Laryngoscopy w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compres burn garment panty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6511","description":"Compres burn garment panty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70332","description":"X-ray exam of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4388","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4388","description":"HCPCS-Q4388","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch substitute","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0118","description":"Crutch substitute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC3C","description":"HIPPS-RMC3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of breast implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19328","description":"Removal of breast implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gauze >16<=48 sq in watr/sal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6229","description":"Gauze >16<=48 sq in watr/sal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc nhlstg 1-2 no relap no","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9134","description":"Onc nhlstg 1-2 no relap no","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us leiomyomata ablate <200","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0071T","description":"Us leiomyomata ablate <200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD131","description":"HIPPS-PD131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ emapalumab-lzsg_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9050","description":"Injection_ emapalumab-lzsg_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Angina present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1011F","description":"Angina present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFKV","description":"HIPPS-4AFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of knee prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27488","description":"Removal of knee prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE14C","description":"HIPPS-PE14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35189","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ C-1 Esterase Inhibitor (Recombinant) Ruconest_ 10 Units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9445","description":"Injection_ C-1 Esterase Inhibitor (Recombinant) Ruconest_ 10 Units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heavy duty battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4611","description":"Heavy duty battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replantation arm complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20802","description":"Replantation arm complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ankle implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27704","description":"Removal of ankle implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bis xtracell fluid analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93702","description":"Bis xtracell fluid analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped size brief/diaper sm/med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4529","description":"Ped size brief/diaper sm/med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient was provided hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9710","description":"Patient was provided hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stoma absorptive cover","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5083","description":"Stoma absorptive cover","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1418","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1418","description":"HCPCS-M1418","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB12B","description":"HIPPS-CB12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan of care 4 pain docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0521F","description":"Plan of care 4 pain docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97022","description":"Whirlpool therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt surv improv bsline tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9603","description":"Pt surv improv bsline tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC1A","description":"HIPPS-RVC1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFKU","description":"HIPPS-3AFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5157","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5157","description":"HCPCS-Q5157","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC20C","description":"HIPPS-PC20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a history of heart transplant or with a left ventricular assist device (lvad)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1152","description":"Patients with a history of heart transplant or with a left ventricular assist device (lvad)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15736","description":"Muscle-skin graft arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood lipoprotein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83721","description":"Assay of blood lipoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 std mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0861","description":"Pwc gp3 std mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc supervision palliative","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9054","description":"Onc supervision palliative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKU","description":"HIPPS-2AHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec site no cutaneous","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9430","description":"Spec site no cutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bamlanivimab_ 700 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0239","description":"Bamlanivimab_ 700 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng arm splint fbrg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4018","description":"Cast sup lng arm splint fbrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin seal protect moisturizr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6250","description":"Skin seal protect moisturizr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4348","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4348","description":"HCPCS-Q4348","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of heart lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33130","description":"Removal of heart lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable catheter tips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4860","description":"Disposable catheter tips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid dispensing fee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5110","description":"Hearing aid dispensing fee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB11A","description":"HIPPS-LB11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0501U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0501U","description":"CPT-0501U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28G","description":"HIPPS-LE28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy of joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29999","description":"Arthroscopy of joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC20B","description":"HIPPS-PC20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical stent","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5982","description":"Surgical stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC4A","description":"HIPPS-RUC4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr f/c/c/m/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13133","description":"Cmplx rpr f/c/c/m/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment planning for magnetic field induction ablation of malignant prostate tissue_ using data from previously performed magnetic resonance imaging (MRI) examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0738T","description":"Treatment planning for magnetic field induction ablation of malignant prostate tissue_ using data from previously performed magnetic resonance imaging (MRI) examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compressor nondispos filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7014","description":"Compressor nondispos filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Athletic train eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97005","description":"Athletic train eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1233","description":"Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehicle noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0812","description":"Power operated vehicle noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc (colorectal)_ quant assess of three urine metabolites  by liq chromatography w tandem mass spectro (LC-MS/MS) using multireaction monitoring acquisition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0002U","description":"Onc (colorectal)_ quant assess of three urine metabolites  by liq chromatography w tandem mass spectro (LC-MS/MS) using multireaction monitoring acquisition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefazolin sodium (baxter)_ not therapeutically equivalent to j0690_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0689","description":"Injection_ cefazolin sodium (baxter)_ not therapeutically equivalent to j0690_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 xtra hd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0829","description":"Pwc gp 2 xtra hd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1117","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear rx intracav admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79200","description":"Nuclear rx intracav admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycobacteria dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87552","description":"Mycobacteria dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of methemalbumin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83857","description":"Assay of methemalbumin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4345","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4345","description":"HCPCS-Q4345","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9282","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9282","description":"HCPCS-J9282","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB11C","description":"HIPPS-HB11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sperm procure init visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4030","description":"Sperm procure init visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA22","description":"HIPPS-RLA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20604","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray bile/panc endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74330","description":"X-ray bile/panc endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by bulk acoustic wave biosensor immunoassay_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0408U","description":"Infectious agent antigen detection by bulk acoustic wave biosensor immunoassay_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK3","description":"HIPPS-5AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Taking statin or recd order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9664","description":"Taking statin or recd order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1 or more neuropsych","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8947","description":"1 or more neuropsych","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diaphragm surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39599","description":"Diaphragm surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m medronate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9503","description":"Tc99m medronate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC10C","description":"HIPPS-HC10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Administration of patient-focused health risk assessment instrument (eg_ health hazard appraisal) with scoring and documentation_ per standardized instrument","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96160","description":"Administration of patient-focused health risk assessment instrument (eg_ health hazard appraisal) with scoring and documentation_ per standardized instrument","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval risk vte card 30d prior","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9298","description":"Eval risk vte card 30d prior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9999","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9999","description":"HCPCS-A9999","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87340","description":"IAAD IA HEPATITIS B SURFACE ANTIGEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injections of stem cell product into perianal perifistular soft tissue_ including fistula preparation (eg_ removal of setons_ fistula curettage_ closure of internal openings)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0748T","description":"Injections of stem cell product into perianal perifistular soft tissue_ including fistula preparation (eg_ removal of setons_ fistula curettage_ closure of internal openings)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect foot/toe tumor < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28046","description":"Resect foot/toe tumor < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens fitting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92310","description":"Contact lens fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvesting of donor multivis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2055","description":"Harvesting of donor multivis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy DNA sequencing comparative analysis_ fetal DNA from products of conception_ reported as normal (euploidy)_ monosomy_ trisomy_ or partial deletion/duplication_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0341U","description":"Fetal aneuploidy DNA sequencing comparative analysis_ fetal DNA from products of conception_ reported as normal (euploidy)_ monosomy_ trisomy_ or partial deletion/duplication_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67413","description":"Explore/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation lower jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21125","description":"Augmentation lower jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/1-p part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34804","description":"Endovas aaa repr w/1-p part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Card output measure subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93562","description":"Card output measure subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole lauroxil_ (aristada)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1944","description":"Injection_ aripiprazole lauroxil_ (aristada)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55840","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKW","description":"HIPPS-2AHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung and colon cancer)_ DNA_ qualitative_ next-generation sequencing detection of single-nucleotide variants and deletions in EGFR and KRAS genes_ formalin-fixed par","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0448U","description":"Oncology (lung and colon cancer)_ DNA_ qualitative_ next-generation sequencing detection of single-nucleotide variants and deletions in EGFR and KRAS genes_ formalin-fixed par","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA4D","description":"HIPPS-RMA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK6","description":"HIPPS-1CGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43634","description":"Removal of stomach partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ bandage liner_ upper extremity_ any size or length_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6595","description":"Gradient compression bandaging supply_ bandage liner_ upper extremity_ any size or length_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dtap-ipv/hib vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90698","description":"Dtap-ipv/hib vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial hosp prog service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0129","description":"Partial hosp prog service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28H","description":"HIPPS-PD28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay synovial fluid mucin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83872","description":"Assay synovial fluid mucin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45900","description":"Reduction of rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medrsn no pt category","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9292","description":"Medrsn no pt category","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD226","description":"HIPPS-LD226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLU","description":"HIPPS-1AFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA11C","description":"HIPPS-PA11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1253","description":"Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise mandible lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21040","description":"Excise mandible lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01652","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01652","description":"CPT-01652","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26476","description":"Tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Facility-based respite_ 24-hour unit_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0531","description":"Facility-based respite_ 24-hour unit_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bupivacaine (posimir)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9144","description":"Injection_ bupivacaine (posimir)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"2+ anti-hyprtnsv agents tkn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4145F","description":"2+ anti-hyprtnsv agents tkn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration_ including lead placement and removal_ upper extremity_ minimum of 10 minut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0883T","description":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration_ including lead placement and removal_ upper extremity_ minimum of 10 minut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HTT (huntingtin) (eg_ Huntington disease) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81271","description":"HTT (huntingtin) (eg_ Huntington disease) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens bifocal add over 3.25d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2220","description":"Lens bifocal add over 3.25d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; Unmonitored","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95708","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; Unmonitored","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Measure venous pressure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93770","description":"Measure venous pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69745","description":"Repair facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0302","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0302","description":"HCPCS-C0302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40650","description":"Repair lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A5101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5101","description":"HCPCS-A5101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA34","description":"HIPPS-RMA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLT","description":"HIPPS-2CFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt nrostm pls gen sng rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8685","description":"Implt nrostm pls gen sng rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Otolaryngology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4022","description":"Otolaryngology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27450","description":"Incision of thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of donor liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47133","description":"Removal of donor liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phenobarbital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80184","description":"Assay of phenobarbital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sensory integration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97533","description":"Sensory integration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1006","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1006","description":"HCPCS-L1006","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intestinal stricturoplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44615","description":"Intestinal stricturoplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained with concu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0878T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained with concu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ischm stroke symp lt3 hrsb/4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1065F","description":"Ischm stroke symp lt3 hrsb/4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Construction of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57291","description":"Construction of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Services outside us","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9989","description":"Services outside us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal smear for eosinophils","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89190","description":"Nasal smear for eosinophils","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blooc clot factor v test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85220","description":"Blooc clot factor v test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGMS","description":"HIPPS-4BGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/replace knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27487","description":"Revise/replace knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harness figure of 8 dual con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6676","description":"Harness figure of 8 dual con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28I","description":"HIPPS-HB28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPW","description":"HIPPS-1CGPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51555","description":"Partial removal of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of support implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20670","description":"Removal of support implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray for pancreas endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74329","description":"X-ray for pancreas endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel-skin fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44640","description":"Repair bowel-skin fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHM1","description":"HIPPS-2CHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-waterproof tape","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4450","description":"Non-waterproof tape","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I131 tositumomab_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9544","description":"I131 tositumomab_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye/insert implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65103","description":"Remove eye/insert implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of adp & amp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82030","description":"Assay of adp & amp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28C","description":"HIPPS-PC28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE113","description":"HIPPS-LE113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35256","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of bone cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20615","description":"Treatment of bone cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cur meds not document","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8428","description":"Cur meds not document","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile water/saline_ 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4216","description":"Sterile water/saline_ 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24505","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48146","description":"Pancreatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy or excision of lymph node(s); open_ inguinofemoral node(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38531","description":"Biopsy or excision of lymph node(s); open_ inguinofemoral node(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release eye tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67343","description":"Release eye tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC151","description":"HIPPS-HC151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB3C","description":"HIPPS-RHB3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 0.6-1 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11601","description":"Exc tr-ext mal+marg 0.6-1 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNX","description":"HIPPS-3BFNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLS","description":"HIPPS-1AFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6076","description":"Implant supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylnaltrexone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2212","description":"Methylnaltrexone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foscarnet sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1455","description":"Foscarnet sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53854","description":"Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of previously implanted aortic counterpulsation ventricular assist device; aortic counterpulsation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0461T","description":"Repositioning of previously implanted aortic counterpulsation ventricular assist device; aortic counterpulsation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1818","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1818","description":"HCPCS-J1818","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance cusfab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0486","description":"Oral device/appliance cusfab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat combo pwr shear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1008","description":"Pwr seat combo pwr shear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mass spectrometry and tandem mass spectrometry (ms_ ms/ms)_ analyte notelsewhere specified; qualitative_ each specimen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83788","description":"Mass spectrometry and tandem mass spectrometry (ms_ ms/ms)_ analyte notelsewhere specified; qualitative_ each specimen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ coronary venous","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1900","description":"Lead_ coronary venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; not otherwise specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87899","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hepatic shunt (tips)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37183","description":"Remove hepatic shunt (tips)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of upper nose/throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42804","description":"Biopsy of upper nose/throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB124","description":"HIPPS-BB124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph fundoplasty lap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43327","description":"Esoph fundoplasty lap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carotid intima atheroma eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93895","description":"Carotid intima atheroma eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHK4","description":"HIPPS-3BHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Novachor_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4194","description":"Novachor_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44020","description":"Explore small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES140","description":"HIPPS-ES140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release foot/toe nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64726","description":"Release foot/toe nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo cholangiopancreatograph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43262","description":"Endo cholangiopancreatograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95976","description":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo by other than infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0083","description":"Chemo by other than infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP3","description":"HIPPS-3AGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bacterium antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86609","description":"Bacterium antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18E","description":"HIPPS-BA18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Division of fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58605","description":"Division of fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nfct agent detection gi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87505","description":"Nfct agent detection gi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB214","description":"HIPPS-HB214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c shoulder harness/straps","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0960","description":"W/c shoulder harness/straps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ckd meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8495","description":"Ckd meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4423","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4423","description":"HCPCS-Q4423","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49596","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinus endo w/balloon dil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31297","description":"Sinus endo w/balloon dil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v auto redo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88152","description":"Cytopath c/v auto redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35231","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Latex suspension sleeve each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6632","description":"Latex suspension sleeve each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise intraspinl lesion crv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63265","description":"Excise intraspinl lesion crv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl skn surf brachytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77767","description":"Hdr rdncl skn surf brachytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMS","description":"HIPPS-1CHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cvd risk assessment performed_ have a documented calculated risk score","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1258","description":"Cvd risk assessment performed_ have a documented calculated risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB07","description":"HIPPS-RHB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61605","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maxillofacial fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21100","description":"Maxillofacial fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth perineal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90451","description":"Anesth perineal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xcell amnio matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4280","description":"Xcell amnio matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial observation care_ per day_ for the evaluation and management of a patient_ which requires these 3 key components: A comprehensive history; A comprehensive examination;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99219","description":"Initial observation care_ per day_ for the evaluation and management of a patient_ which requires these 3 key components: A comprehensive history; A comprehensive examination;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6008","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal Endo Surg; Balln Dilat Eust T","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9745","description":"Nasal Endo Surg; Balln Dilat Eust T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impr med time edarr pain med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9426","description":"Impr med time edarr pain med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen quant tiagabine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80199","description":"Drug screen quant tiagabine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1031T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1031T","description":"CPT-1031T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8X","description":"HIPPS-RMC8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srs cranial lesion complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61798","description":"Srs cranial lesion complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59857","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27894","description":"Decompression of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy_ by abdominal or retroperitoneal incision_ unilateral (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34820","description":"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy_ by abdominal or retroperitoneal incision_ unilateral (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ femoral_ popliteal artery(ies)_ unilateral_ with transluminal angioplasty with intravascular ultrasound (initial noncoro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7531","description":"Revascularization_ endovascular_ open or percutaneous_ femoral_ popliteal artery(ies)_ unilateral_ with transluminal angioplasty with intravascular ultrasound (initial noncoro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement Period O","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2132","description":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement Period O","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cantharidin for topical administration_ 0.7%_ single unit dose applicator (3.2 mg)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9164","description":"Cantharidin for topical administration_ 0.7%_ single unit dose applicator (3.2 mg)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fev<60% pred & copd sym","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8924","description":"Fev<60% pred & copd sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC11C","description":"HIPPS-HC11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscp rig trnso rem fb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43194","description":"Esophagoscp rig trnso rem fb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wedge resect of lung add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32506","description":"Wedge resect of lung add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assessment by department of veterans affairs chaplain services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9001","description":"Assessment by department of veterans affairs chaplain services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35331","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Man w/c push-rim powr system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0986","description":"Man w/c push-rim powr system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tub stool or bench","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0245","description":"Tub stool or bench","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61314","description":"Open skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colorec ca scr_ sto bas dna","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0464","description":"Colorec ca scr_ sto bas dna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dorsiflexion assist each joi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2210","description":"Dorsiflexion assist each joi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0668U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0668U","description":"CPT-0668U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary venous angiography of each distinct pulmo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93574","description":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary venous angiography of each distinct pulmo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5947","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5947","description":"CDT-D5947","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA04","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA04","description":"HIPPS-AAA04","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling catheter special","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4340","description":"Indwelling catheter special","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB131","description":"HIPPS-PB131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group health education","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99078","description":"Group health education","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cbt each addl hour","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94645","description":"Cbt each addl hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess hlth/behave init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96150","description":"Assess hlth/behave init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Next Gen aco model>20min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9870","description":"Next Gen aco model>20min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD246","description":"HIPPS-CD246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uppr gi scope w/submuc inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43236","description":"Uppr gi scope w/submuc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of diaphragm hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39540","description":"Repair of diaphragm hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude_ pulse duration_ configuration of wave form_ battery status_ electrode selec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95974","description":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude_ pulse duration_ configuration of wave form_ battery status_ electrode selec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of lumbar idiopathic or congenital scoliosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1040","description":"Patients with a diagnosis of lumbar idiopathic or congenital scoliosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA10C","description":"HIPPS-PA10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML46","description":"HIPPS-RML46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc rsn no preop assmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9616","description":"Doc rsn no preop assmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Barium swallow test not req","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3200F","description":"Barium swallow test not req","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc no pt rsk death w/in 1yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1151F","description":"Doc no pt rsk death w/in 1yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home phototherapy visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9098","description":"Home phototherapy visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGNU","description":"HIPPS-3BGNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28I","description":"HIPPS-PC28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25635","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC151","description":"HIPPS-CC151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pain screened as moderate to severe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1000","description":"Pain screened as moderate to severe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R & l heart cath congenital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93533","description":"R & l heart cath congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA114","description":"HIPPS-PA114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8F","description":"HIPPS-RUL8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor vii proconvertin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85230","description":"Clot factor vii proconvertin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens aniseikonic single","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2118","description":"Lens aniseikonic single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPV","description":"HIPPS-3AHPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1404","description":"HCPCS-A1404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB0A","description":"HIPPS-RMB0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath w/drainage 2-way silcne","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4315","description":"Cath w/drainage 2-way silcne","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mech hip extension assist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5855","description":"Mech hip extension assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFM2","description":"HIPPS-1BFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX54","description":"HIPPS-RMX54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9752","description":"Emergency surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Habil ed waiver_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2012","description":"Habil ed waiver_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Granulocytes_ pheresis unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9050","description":"Granulocytes_ pheresis unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped dynamic seating frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2295","description":"Ped dynamic seating frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had only urgent care visits during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1054","description":"Patient had only urgent care visits during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental gold foil one surface","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2410","description":"Dental gold foil one surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Community Transition Svcs (Security Deposit)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7334","description":"Community Transition Svcs (Security Deposit)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB55","description":"HIPPS-RVB55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01860","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01860","description":"CPT-01860","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-27713","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27713","description":"CPT-27713","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ferric derisomaltose_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1437","description":"Injection_ ferric derisomaltose_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone hexacetonl inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3303","description":"Triamcinolone hexacetonl inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL16","description":"HIPPS-RVL16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM4","description":"HIPPS-4BGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk pain & fxn assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1130F","description":"Bk pain & fxn assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27827","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75736","description":"Artery x-rays pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES241","description":"HIPPS-ES241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1st course antitnf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8868","description":"1st course antitnf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Migration inhibitory factor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86378","description":"Migration inhibitory factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlamydia igm antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86632","description":"Chlamydia igm antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath tbs c/v auto redo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88166","description":"Cytopath tbs c/v auto redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery elec/combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0496","description":"Battery elec/combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous pulmonary artery revascularization by stent placement_ initial; abnormal connections_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33902","description":"Percutaneous pulmonary artery revascularization by stent placement_ initial; abnormal connections_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occluder lens/es","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2770","description":"Occluder lens/es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice long term care_ r&b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2046","description":"Hospice long term care_ r&b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plastic mod low ext pad/line","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2275","description":"Plastic mod low ext pad/line","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFKT","description":"HIPPS-1BFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA24","description":"HIPPS-RVA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB3B","description":"HIPPS-RMB3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teclistamab-cqyv_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9148","description":"Injection_ teclistamab-cqyv_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace denture teeth complt","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5520","description":"Replace denture teeth complt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Midfacial prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8041","description":"Midfacial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trim nail(s) any number","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11719","description":"Trim nail(s) any number","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Structured Day Habilitation Group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0104","description":"Structured Day Habilitation Group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB15","description":"HIPPS-RVB15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27230","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydroxyurea 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0176","description":"Hydroxyurea 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec gene test hyp cardiomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3866","description":"Spec gene test hyp cardiomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo unilat torsion ball br","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2090","description":"Hkafo unilat torsion ball br","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0026","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis one evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90945","description":"Dialysis one evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hd shck absrbr for hd man wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1017","description":"Hd shck absrbr for hd man wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo fluid swing ph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5724","description":"Knee-shin exo fluid swing ph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98008","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98008","description":"CPT-98008","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy dilate w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31631","description":"Bronchoscopy dilate w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHMS","description":"HIPPS-4BHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx pancreatc p r0 res no","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9105","description":"Onc dx pancreatc p r0 res no","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient with transient or reversible cause of AF (e.g._ pneumonia_ hyperthyroidism_ pregnancy_ cardiac surgery)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9929","description":"Patient with transient or reversible cause of AF (e.g._ pneumonia_ hyperthyroidism_ pregnancy_ cardiac surgery)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"alloPLY_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4323","description":"alloPLY_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt heart pm atrial & vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33208","description":"Insrt heart pm atrial & vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28250","description":"Revision of foot fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brca1&2 seq & full dup/del","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81162","description":"Brca1&2 seq & full dup/del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1 quant&revrse trnscrpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87536","description":"Hiv-1 quant&revrse trnscrpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75705","description":"Artery x-rays spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC32","description":"HIPPS-RMC32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo sling operation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51992","description":"Laparo sling operation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1121","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90483","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90483","description":"CPT-90483","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biofeedback peri/uro/rectal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90911","description":"Biofeedback peri/uro/rectal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sperm isolation simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89260","description":"Sperm isolation simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE20A","description":"HIPPS-LE20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61536","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve repair w/allograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64910","description":"Nerve repair w/allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15011","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15011","description":"CPT-15011","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE216","description":"HIPPS-PE216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal_ subcutaneous cardiac rhythm monitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33286","description":"Removal_ subcutaneous cardiac rhythm monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67500","description":"Inject/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA16","description":"HIPPS-RHA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB136","description":"HIPPS-BB136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3403","description":"HCPCS-J3403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC0D","description":"HIPPS-RMC0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for exploration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61305","description":"Open skull for exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone cutting segmented","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7944","description":"Bone cutting segmented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion of cipaglucosidase alfa-atga_ including provider/supplier acquisition and clinical supervision of oral administration of miglustat in preparation of recei","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0138","description":"Intravenous infusion of cipaglucosidase alfa-atga_ including provider/supplier acquisition and clinical supervision of oral administration of miglustat in preparation of recei","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain imaging (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78607","description":"Brain imaging (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drg >16<=48 w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6243","description":"Hydrogel drg >16<=48 w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Capecitabine_ oral_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8521","description":"Capecitabine_ oral_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibiot rxd/given","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4120F","description":"Antibiot rxd/given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86710","description":"Influenza virus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC23C","description":"HIPPS-LC23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx esophageal mets recur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9098","description":"Onc dx esophageal mets recur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert major vessel graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33330","description":"Insert major vessel graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of foot at ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27889","description":"Amputation of foot at ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22830","description":"Exploration of spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1455","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1455","description":"HCPCS-M1455","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ionm remote/>1 pt or per hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95941","description":"Ionm remote/>1 pt or per hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Who w/nontorsion jnt(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3905","description":"Who w/nontorsion jnt(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD145","description":"HIPPS-PD145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla i & ii type verify lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81371","description":"Hla i & ii type verify lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHK6","description":"HIPPS-1BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB43","description":"HIPPS-RUB43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral supply kit homemi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4222","description":"Parenteral supply kit homemi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18I","description":"HIPPS-ES18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFL5","description":"HIPPS-3BFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainable pch ex wear convex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4390","description":"Drainable pch ex wear convex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telescopic intraocular lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1840","description":"Telescopic intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL5","description":"HIPPS-4CFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2188","description":"Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent leadless pacemaker_ ventricular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0388T","description":"Transcatheter removal of permanent leadless pacemaker_ ventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKX","description":"HIPPS-5BHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clozapine_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0136","description":"Clozapine_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0701","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0701","description":"HCPCS-B0701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 81 Years Of Age And Older With Evidence Of Frailty During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2125","description":"Patients 81 Years Of Age And Older With Evidence Of Frailty During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monocyte distribution width_ whole blood (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0427U","description":"Monocyte distribution width_ whole blood (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician_ including a written report to the patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99451","description":"Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician_ including a written report to the patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0636T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX21","description":"HIPPS-RLX21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat metatarsal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28470","description":"Treat metatarsal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35111","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mech remov tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36596","description":"Mech remov tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aflibercept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0178","description":"Aflibercept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of cervical canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57800","description":"Dilation of cervical canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System_ Remote Data Acquisition(S)_ Receipt Of Transmissions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0579T","description":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System_ Remote Data Acquisition(S)_ Receipt Of Transmissions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII (antihemophiliac factor_ recombinant) PEGylated_ 1 I.U.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9137","description":"Injection_ Factor VIII (antihemophiliac factor_ recombinant) PEGylated_ 1 I.U.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX54","description":"HIPPS-RUX54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking full lngth 40-50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6538","description":"Gc stocking full lngth 40-50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKX","description":"HIPPS-1AHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast cancer)_ S100A8 and S100A9_ by enzyme-linked immunosorbent assay (ELISA)_ tear fluid with age_ algorithm reported as a risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0458U","description":"Oncology (breast cancer)_ S100A8 and S100A9_ by enzyme-linked immunosorbent assay (ELISA)_ tear fluid with age_ algorithm reported as a risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef greater than 35%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3056F","description":"Lvef greater than 35%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Init day hosp neonate care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99477","description":"Init day hosp neonate care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat sternum fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21820","description":"Treat sternum fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise major vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33824","description":"Revise major vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fit spectacles single system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92354","description":"Fit spectacles single system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1471","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1471","description":"HCPCS-M1471","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB13C","description":"HIPPS-CB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tick-borne relapsing fever Borrelia group_ antibody detection to 4 recombinant protein groups_ by immunoblot_ IgG","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0044U","description":"Tick-borne relapsing fever Borrelia group_ antibody detection to 4 recombinant protein groups_ by immunoblot_ IgG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKX","description":"HIPPS-1BHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of new patient-caregiver dyad with dementia_ moderate complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0520","description":"Management of new patient-caregiver dyad with dementia_ moderate complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGMV","description":"HIPPS-3AGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD213","description":"HIPPS-LD213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0550","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0550","description":"HCPCS-G0550","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening for sleep related breathing disorders","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9957","description":"Screening for sleep related breathing disorders","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis repeated eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90947","description":"Dialysis repeated eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD240","description":"HIPPS-LD240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (inherited thrombocytopenia)_ genomic sequence analysis of 23 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Inherited Thrombocytopenia Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0276U","description":"Hematology (inherited thrombocytopenia)_ genomic sequence analysis of 23 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Inherited Thrombocytopenia Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other pt/ot  d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8992","description":"Other pt/ot  d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystometrogram w/vp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51728","description":"Cystometrogram w/vp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Homecare train pt 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5108","description":"Homecare train pt 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision gastroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43848","description":"Revision gastroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by abdominal or retroperitoneal inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34833","description":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by abdominal or retroperitoneal inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53010","description":"Incision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX1A","description":"HIPPS-RLX1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lanreotide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1930","description":"Lanreotide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE20C","description":"HIPPS-PE20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of the implantable mechano-electrical skin interface and/or external driver to test the function of the dev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0462T","description":"Programming device evaluation (in person) with iterative adjustment of the implantable mechano-electrical skin interface and/or external driver to test the function of the dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML05","description":"HIPPS-RML05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein_ extremity_ by transcatheter delivery of a chemical adhesive (eg_ cyanoacrylate) remote from the access site_ inclusive of all","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36482","description":"Endovenous ablation therapy of incompetent vein_ extremity_ by transcatheter delivery of a chemical adhesive (eg_ cyanoacrylate) remote from the access site_ inclusive of all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice/home hlth in asst lv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5002","description":"Hospice/home hlth in asst lv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65222","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNS","description":"HIPPS-3BHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject for spine disk x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62290","description":"Inject for spine disk x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin pro/pos wc cus wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2608","description":"Skin pro/pos wc cus wd>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB1B","description":"HIPPS-RMB1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB32","description":"HIPPS-RVB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27006","description":"Incision of hip tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL52","description":"HIPPS-RUL52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.00d/ove","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2206","description":"Lens sphcy bifocal 4.00d/ove","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx spine process fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22305","description":"Closed tx spine process fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK3","description":"HIPPS-2AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sperm isolation complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89261","description":"Sperm isolation complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthr0 w/synovectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29863","description":"Hip arthr0 w/synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gammagard liquid injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1569","description":"Gammagard liquid injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Birthing class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9442","description":"Birthing class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zidovudine_ oral_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0104","description":"Zidovudine_ oral_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Md recertification hha pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0179","description":"Md recertification hha pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecg record/review","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93268","description":"Ecg record/review","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism EvidenceCare imaging advisor_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1013","description":"Clinical decision support mechanism EvidenceCare imaging advisor_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC2A","description":"HIPPS-RHC2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; bilateral placement_ including cystoscopy and fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0548T","description":"Transperineal periurethral balloon continence device; bilateral placement_ including cystoscopy and fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skull base/brainstem surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61575","description":"Skull base/brainstem surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB115","description":"HIPPS-CB115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Musc tst done w/nerv tst lim","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95885","description":"Musc tst done w/nerv tst lim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19380","description":"Revise breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures mand part resin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5212","description":"Dentures mand part resin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL4","description":"HIPPS-2CGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL1","description":"HIPPS-4CGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Airway inhalation treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94640","description":"Airway inhalation treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM2","description":"HIPPS-2CFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthoptic/pleoptic training","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92065","description":"Orthoptic/pleoptic training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB215","description":"HIPPS-PB215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placement of drain pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48001","description":"Placement of drain pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ pre-sacral interbody technique_ disc space preparation_ discectomy_ without instrumentation_ with image guidance_ includes bone graft when performed; L5-S1 inters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0195T","description":"Arthrodesis_ pre-sacral interbody technique_ disc space preparation_ discectomy_ without instrumentation_ with image guidance_ includes bone graft when performed; L5-S1 inters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB22B","description":"HIPPS-LB22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytarabine liposome inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9098","description":"Cytarabine liposome inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services received by patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9692","description":"Hospice services received by patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fungus nes antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86671","description":"Fungus nes antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGK2","description":"HIPPS-1AGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKW","description":"HIPPS-1BHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special childcare waiver/d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2026","description":"Special childcare waiver/d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit hydra 3 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9376","description":"Hit hydra 3 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N-et; commerc carrier pass","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2004","description":"N-et; commerc carrier pass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC25B","description":"HIPPS-LC25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No admit w/in 180d req remov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9411","description":"No admit w/in 180d req remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-adher band w>=3in <5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6454","description":"Self-adher band w>=3in <5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNT","description":"HIPPS-1CGNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trcath replace aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33366","description":"Trcath replace aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7613","description":"Albuterol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MYD88 (myeloid differentiation primary response 88) (eg_ Waldenstrom_s macroglobulinemia_ lymphoplasmacytic leukemia) gene analysis_ p.Leu265Pro (L265P) variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81305","description":"MYD88 (myeloid differentiation primary response 88) (eg_ Waldenstrom_s macroglobulinemia_ lymphoplasmacytic leukemia) gene analysis_ p.Leu265Pro (L265P) variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intervene hlth/behave indiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96152","description":"Intervene hlth/behave indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ dom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0077","description":"Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ dom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cln cncr stage 2 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3386F","description":"Ajcc cln cncr stage 2 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC20D","description":"HIPPS-CC20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echosclerotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2202","description":"Echosclerotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reposition l ventric lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33226","description":"Reposition l ventric lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup gauntlet ped plster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4015","description":"Cast sup gauntlet ped plster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical repair of root resorption - molar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3473","description":"Surgical repair of root resorption - molar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB111","description":"HIPPS-HB111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orth foot non-stndard size/w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3254","description":"Orth foot non-stndard size/w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove intrvas foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37197","description":"Remove intrvas foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27441","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pros sock single ply upper l","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8485","description":"Pros sock single ply upper l","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK6","description":"HIPPS-3AHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-97007","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97007","description":"CPT-97007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML55","description":"HIPPS-RML55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Standard size footplate each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0042","description":"Standard size footplate each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ana crown exp 4 or> per quad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4230","description":"Ana crown exp 4 or> per quad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43122","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ketamine and norketamine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80357","description":"Ketamine and norketamine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Handgrip for cane etc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4636","description":"Handgrip for cane etc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise graft w/vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35884","description":"Revise graft w/vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24560","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic sequential compression garment_ trunk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0677","description":"Non-pneumatic sequential compression garment_ trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft hepatorenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35535","description":"Art byp grft hepatorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opps/php;activity therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0176","description":"Opps/php;activity therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort iii w/o lefort i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21154","description":"Lefort iii w/o lefort i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Warming card for nwt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0232","description":"Warming card for nwt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal extent unknwn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9095","description":"Onc dx rectal extent unknwn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99153","description":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47000","description":"Needle biopsy of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low (or very low) risk of recurrence_ prostate cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9706","description":"Low (or very low) risk of recurrence_ prostate cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4361","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4361","description":"HCPCS-Q4361","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61150","description":"Pierce skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical reason for no beta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9190","description":"Medical reason for no beta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE156","description":"HIPPS-HE156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med service out of office","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99056","description":"Med service out of office","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Embryo hatching","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89253","description":"Embryo hatching","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instrumenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97551","description":"Caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instrumenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX42","description":"HIPPS-RHX42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0235","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0235","description":"HCPCS-M0235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1060T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1060T","description":"CPT-1060T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High risk recurrence pro ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8465","description":"High risk recurrence pro ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA151","description":"HIPPS-CA151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKT","description":"HIPPS-3CHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Under Hospice Care In The Current Reporting Month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0051","description":"Patients Under Hospice Care In The Current Reporting Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9220","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9220","description":"HCPCS-J9220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abscess imaging whole body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78806","description":"Abscess imaging whole body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mogamulizumab-kpkc_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9038","description":"Injection_ mogamulizumab-kpkc_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE14D","description":"HIPPS-CE14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL4","description":"HIPPS-4CGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1501","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1501","description":"CDT-D1501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine urobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84580","description":"Assay of urine urobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab-abbs_ biosimilar_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5115","description":"Injection_ rituximab-abbs_ biosimilar_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable cycler set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4671","description":"Disposable cycler set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMX","description":"HIPPS-4AFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Standard wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0001","description":"Standard wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid caster tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2391","description":"Solid caster tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo femoral fx cast rigid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2136","description":"Kafo femoral fx cast rigid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophageal sphincter augmentation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43285","description":"Removal of esophageal sphincter augmentation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray frnt lat oblique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71022","description":"Chest x-ray frnt lat oblique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA0B","description":"HIPPS-RMA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Women who had an endometrial ablation procedure during the year prior to the index date (exclusive of the index date)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9822","description":"Women who had an endometrial ablation procedure during the year prior to the index date (exclusive of the index date)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50340","description":"Removal of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramusc injection of  (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimp adenovirus Oxford 1 preserv free_ 0.5 ml dose_ 2nd dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0022A","description":"Imm admin by intramusc injection of  (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimp adenovirus Oxford 1 preserv free_ 0.5 ml dose_ 2nd dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electric heat pad standard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0210","description":"Electric heat pad standard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr fem hernia init blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49553","description":"Rpr fem hernia init blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Superimposed prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5954","description":"Superimposed prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of serum albumin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82040","description":"Assay of serum albumin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB02","description":"HIPPS-RUB02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28B","description":"HIPPS-BA28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc sed rate nonautomated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85651","description":"Rbc sed rate nonautomated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA3A","description":"HIPPS-RMA3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK4","description":"HIPPS-4CHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC4A","description":"HIPPS-RVC4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone/skin graft great toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20973","description":"Bone/skin graft great toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eardrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69620","description":"Repair of eardrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC1B","description":"HIPPS-RHC1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iloprost non-comp unit dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4074","description":"Iloprost non-comp unit dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1612","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1612","description":"HCPCS-J1612","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydroxyzine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3410","description":"Hydroxyzine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc prac mgmt adheres guide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9056","description":"Onc prac mgmt adheres guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam with photos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92235","description":"Eye exam with photos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB260","description":"HIPPS-CB260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2194","description":"Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compl zift case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4014","description":"Compl zift case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB3A","description":"HIPPS-RVB3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt pulse gen w/singl lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33240","description":"Insrt pulse gen w/singl lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0611U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0611U","description":"CPT-0611U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso flex trunk/thor pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0450","description":"Tlso flex trunk/thor pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Y90 ibritumomab_ rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9543","description":"Y90 ibritumomab_ rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36217","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stat lab home/nf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3601","description":"Stat lab home/nf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heredtry nurondcrn tum dsrdr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81438","description":"Heredtry nurondcrn tum dsrdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Creation of arteriovenous fistula_ percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9755","description":"Creation of arteriovenous fistula_ percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28G","description":"HIPPS-HC28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18C","description":"HIPPS-HD18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BCR/ABL1 (t(9;22)) (eg_ chronic myelogenous leukemia) translocation analysis_ major breakpoint_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0040U","description":"BCR/ABL1 (t(9;22)) (eg_ chronic myelogenous leukemia) translocation analysis_ major breakpoint_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cncr 0/ia melan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3321F","description":"Ajcc cncr 0/ia melan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX5B","description":"HIPPS-RHX5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKW","description":"HIPPS-2BGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE15A","description":"HIPPS-CE15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt drug device for iop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0356T","description":"Insrt drug device for iop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical_ esophageal sphincter augmentation procedure_ placement of sphincter augmentation device (ie_ magnetic band)_ including cruroplasty when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43284","description":"Laparoscopy_ surgical_ esophageal sphincter augmentation procedure_ placement of sphincter augmentation device (ie_ magnetic band)_ including cruroplasty when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Igh vari regional mutation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81263","description":"Igh vari regional mutation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA134","description":"HIPPS-PA134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX16","description":"HIPPS-RHX16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat pleurodesis w/agent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32560","description":"Treat pleurodesis w/agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver_ including craniectomy or craniotomy_ when performed_ with direct or inductive coupling_ with co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61889","description":"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver_ including craniectomy or craniotomy_ when performed_ with direct or inductive coupling_ with co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid caster tire each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2221","description":"Solid caster tire each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/tele follow up 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0406","description":"Inpt/tele follow up 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ aicd_ endo dual coil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1895","description":"Lead_ aicd_ endo dual coil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of skin tags <w/15","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11200","description":"Removal of skin tags <w/15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"DMPK (DM1 protein kinase) (eg_ myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81234","description":"DMPK (DM1 protein kinase) (eg_ myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHK1","description":"HIPPS-3CHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retrograde filling","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3430","description":"Retrograde filling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct soft tissue neck w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70491","description":"Ct soft tissue neck w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth genitalia surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92051","description":"Anesth genitalia surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext wear ost skn barr <=4sqin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4407","description":"Ext wear ost skn barr <=4sqin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis of vestibular implant_ unilateral; with subsequent programming","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0729T","description":"Diagnostic analysis of vestibular implant_ unilateral; with subsequent programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ meropenem_ vaborbactam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2186","description":"Injection_ meropenem_ vaborbactam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB144","description":"HIPPS-LB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray nose to rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76010","description":"X-ray nose to rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC4D","description":"HIPPS-RHC4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ster wd ifx 30 d postop","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8571","description":"Ster wd ifx 30 d postop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acoustic immitance testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92570","description":"Acoustic immitance testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration for testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54550","description":"Exploration for testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00352","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00352","description":"CPT-00352","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0463","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0463","description":"HCPCS-J0463","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam&tx estab pt 1/>vst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92014","description":"Eye exam&tx estab pt 1/>vst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ticarcillin disod","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0040","description":"Injection_ ticarcillin disod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"vaccine administration-human papillomavirus - Dose 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1783","description":"vaccine administration-human papillomavirus - Dose 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1115","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40510","description":"Partial excision of lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject sacroiliac joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27096","description":"Inject sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion catheter artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36620","description":"Insertion catheter artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy thru skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47554","description":"Biliary endoscopy thru skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy and dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31528","description":"Laryngoscopy and dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of finger abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26010","description":"Drainage of finger abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES22A","description":"HIPPS-ES22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMW","description":"HIPPS-4CGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ ITC/ITC","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5214","description":"Hearing aid_ contralateral routing system_ binaural_ ITC/ITC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28605","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFMX","description":"HIPPS-2CFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Health Help_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1017","description":"Clinical decision support mechanism Health Help_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Floxuridine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9200","description":"Floxuridine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of calcium deposits","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23000","description":"Removal of calcium deposits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed semi-elect w/ mattr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0294","description":"Hosp bed semi-elect w/ mattr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain/ceramic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6740","description":"Crown porcelain/ceramic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of larynx lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31578","description":"Removal of larynx lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0454U","description":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cadaver donor kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50300","description":"Remove cadaver donor kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt ed re comp thxpy rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4268F","description":"Pt ed re comp thxpy rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of head of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24130","description":"Removal of head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycoplasma antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86738","description":"Mycoplasma antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8H","description":"HIPPS-RVL8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00162","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00162","description":"CPT-00162","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB151","description":"HIPPS-CB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKU","description":"HIPPS-5BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla class i/ii antibody qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86829","description":"Hla class i/ii antibody qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1308","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1308","description":"HCPCS-J1308","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pcp prophylax rxd 3mon low %","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4280F","description":"Pcp prophylax rxd 3mon low %","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual semi-reclining back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1225","description":"Manual semi-reclining back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial cancer)_ RNA_ analysis by real-time RT-PCR of the FGFR3 (fibroblast growth factor receptor 3) gene analysis (ie_ p.R248C [c.742C>T]_ p.S249C [c.746C>G]_ p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0154U","description":"Oncology (urothelial cancer)_ RNA_ analysis by real-time RT-PCR of the FGFR3 (fibroblast growth factor receptor 3) gene analysis (ie_ p.R248C [c.742C>T]_ p.S249C [c.746C>G]_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8X","description":"HIPPS-RUX8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wnd prep f/n/hf/g addl cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15005","description":"Wnd prep f/n/hf/g addl cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNS","description":"HIPPS-3CFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM1","description":"HIPPS-1AFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB212","description":"HIPPS-CB212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj melphalan hydrochl 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9245","description":"Inj melphalan hydrochl 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect radius/ulnar tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25170","description":"Resect radius/ulnar tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB101","description":"HIPPS-CB101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adenoma(s) or colorectal cancer not detected during screening colonoscopy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9935","description":"Adenoma(s) or colorectal cancer not detected during screening colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16370","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16370","description":"CPT-16370","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00926","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00926","description":"CPT-00926","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert i-aort percut device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33967","description":"Insert i-aort percut device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of pyruvate kinase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84220","description":"Assay of pyruvate kinase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of metatarsals","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28322","description":"Repair of metatarsals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of web finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26562","description":"Repair of web finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHKU","description":"HIPPS-5AHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGM2","description":"HIPPS-1CGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45135","description":"Excision of rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27446","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ankle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27848","description":"Treat ankle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/replace penis prosth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54410","description":"Remove/replace penis prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ciliary transsleral therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66710","description":"Ciliary transsleral therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure wrap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8429","description":"Gradient pressure wrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc cath >90d for maint dia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9265","description":"Doc cath >90d for maint dia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Im b1 mrw cel ther hrvst onl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0265T","description":"Im b1 mrw cel ther hrvst onl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20665","description":"Removal of fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ eptinezumab-jjmr_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3032","description":"Injection_ eptinezumab-jjmr_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9003","description":"HCPCS-J9003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch solid deodorant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4395","description":"Ostomy pouch solid deodorant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Simple cystometrogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51725","description":"Simple cystometrogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy oocyte polar body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89291","description":"Biopsy oocyte polar body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exam of vagina w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57420","description":"Exam of vagina w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diast bp <80 mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3078F","description":"Diast bp <80 mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine disk surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63076","description":"Neck spine disk surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj cervical plexus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64413","description":"N block inj cervical plexus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGKV","description":"HIPPS-3BGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA12B","description":"HIPPS-BA12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amphetamines 3or 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80325","description":"Amphetamines 3or 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig footwear evaluatio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8416","description":"Pt inelig footwear evaluatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD134","description":"HIPPS-HD134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hc pro phone call 21-30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98968","description":"Hc pro phone call 21-30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial or subsequent psychiatric collaborative care management_ first 30 minutes in a month of behavioral health care manager activities_ in consultation with a psychiatric c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2214","description":"Initial or subsequent psychiatric collaborative care management_ first 30 minutes in a month of behavioral health care manager activities_ in consultation with a psychiatric c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44160","description":"Removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Av fuse uppr arm basilic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36819","description":"Av fuse uppr arm basilic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of a peritoneal ascites pump system_ including implanted peritoneal ascites pump and indwelling bladder and peritoneal catheters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0874T","description":"Removal of a peritoneal ascites pump system_ including implanted peritoneal ascites pump and indwelling bladder and peritoneal catheters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44360","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no us","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8807","description":"Doc reas no us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28I","description":"HIPPS-BA28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch for bar w lk fl/fltr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4423","description":"Ost pch for bar w lk fl/fltr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No screening performed_ partial screening performed or positive screen without recommendations and reason is not given or otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9921","description":"No screening performed_ partial screening performed or positive screen without recommendations and reason is not given or otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ three protein biomarkers_ immunoassay using magnetic nanosensor technology_ plasma_ algorithm reported as risk score for likelihood of malignancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0092U","description":"Oncology (lung)_ three protein biomarkers_ immunoassay using magnetic nanosensor technology_ plasma_ algorithm reported as risk score for likelihood of malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hzv vaccine live subq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90736","description":"Hzv vaccine live subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGK6","description":"HIPPS-4AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0544","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0544","description":"HCPCS-G0544","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microsomal antibody each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86376","description":"Microsomal antibody each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX45","description":"HIPPS-RLX45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS DELTA ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87380","description":"IAAD IA HEPATITIS DELTA ANTIGEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther behav svc_ per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2019","description":"Ther behav svc_ per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ olaratumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9285","description":"Injection_ olaratumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tangential biopsy of skin (eg_ shave_ scoop_ saucerize_ curette); single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11102","description":"Tangential biopsy of skin (eg_ shave_ scoop_ saucerize_ curette); single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52332","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6034","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6034","description":"HCPCS-L6034","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB13A","description":"HIPPS-CB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk_ Breasts_ Scalp_ Arms_ And/Or Legs; 50 Cc Or Less Injectate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15771","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk_ Breasts_ Scalp_ Arms_ And/Or Legs; 50 Cc Or Less Injectate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis of vestibular implant_ unilateral; with initial programming","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0728T","description":"Diagnostic analysis of vestibular implant_ unilateral; with initial programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply spine prosth device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22851","description":"Apply spine prosth device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC0A","description":"HIPPS-RMC0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0542","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0542","description":"HCPCS-G0542","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct capt & interp","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0364","description":"Cone beam ct capt & interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD12A","description":"HIPPS-HD12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alanine amino (alt) (sgpt)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84460","description":"Alanine amino (alt) (sgpt)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1395","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1395","description":"HCPCS-M1395","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq device breast 1st imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19281","description":"Perq device breast 1st imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-62331","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62331","description":"CPT-62331","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No tpa init w/in 3 hrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8602","description":"No tpa init w/in 3 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX4A","description":"HIPPS-RLX4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC230","description":"HIPPS-HC230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug delivery system <=50 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4306","description":"Drug delivery system <=50 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28E","description":"HIPPS-PA28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB15","description":"HIPPS-RHB15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj tedizolid phosphate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3090","description":"Inj tedizolid phosphate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD256","description":"HIPPS-CD256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pressure treatment esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43460","description":"Pressure treatment esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ abdomen; 2 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74019","description":"Radiologic examination_ abdomen; 2 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB117","description":"HIPPS-PB117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB230","description":"HIPPS-PB230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tangential biopsy of skin (eg_ shave_ scoop_ saucerize_ curette); each separate/additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11103","description":"Tangential biopsy of skin (eg_ shave_ scoop_ saucerize_ curette); each separate/additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE213","description":"HIPPS-PE213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin pedicle flap arms/legs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15572","description":"Skin pedicle flap arms/legs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHM3","description":"HIPPS-4CHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Intracardiac Shunt (Tis) Creation By Stent Placement For Congenital Cardiac Anomalies To Establish Effective Intracardiac Flow_ Including All Imaging Guidance By","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33746","description":"Transcatheter Intracardiac Shunt (Tis) Creation By Stent Placement For Congenital Cardiac Anomalies To Establish Effective Intracardiac Flow_ Including All Imaging Guidance By","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/debride pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48105","description":"Resect/debride pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8C","description":"HIPPS-RLB8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKW","description":"HIPPS-4AGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML26","description":"HIPPS-RML26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB21C","description":"HIPPS-LB21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01926","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01926","description":"CPT-01926","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD23C","description":"HIPPS-HD23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rectal control system for vaginal insertion_ for long term use_ includes pump and all supplies and accessories_ any type each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4563","description":"Rectal control system for vaginal insertion_ for long term use_ includes pump and all supplies and accessories_ any type each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited occlusal adjustment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9951","description":"Limited occlusal adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25491","description":"Reinforce ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00908","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00908","description":"CPT-00908","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice in hospice facility","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5006","description":"Hospice in hospice facility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise thumb tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26490","description":"Revise thumb tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6003","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us limited fetus(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76815","description":"Ob us limited fetus(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temple bne implnt w/stimulat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69715","description":"Temple bne implnt w/stimulat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cholangiography and/or pancreatography; through existing catheter_ radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74305","description":"Cholangiography and/or pancreatography; through existing catheter_ radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/drain eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67440","description":"Explore/drain eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Admin ecg contrast agent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93352","description":"Admin ecg contrast agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88025","description":"Autopsy (necropsy) complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corneal smear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65430","description":"Corneal smear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24410","description":"Revision of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual ep acuity screen auto","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0333T","description":"Visual ep acuity screen auto","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01742","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01742","description":"CPT-01742","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recd scrn hcv infec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9383","description":"Recd scrn hcv infec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nerve add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64832","description":"Repair nerve add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Graphite crucible for preparation of Technetium Tc 99m-labeled carbon aerosol_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9506","description":"Graphite crucible for preparation of Technetium Tc 99m-labeled carbon aerosol_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28B","description":"HIPPS-LC28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion during 3-dimensn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0241T","description":"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion during 3-dimensn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0625T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal finger bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26235","description":"Partial removal finger bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermal filler injection(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0429","description":"Dermal filler injection(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of progesterone 20-","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83499","description":"Assay of progesterone 20-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Front castr compl pneum tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0071","description":"Front castr compl pneum tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlamydia trachomatis ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87270","description":"Chlamydia trachomatis ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brexucabtagene autoleucel_ up to 200 million autologous anti-cd19 car positive viable t cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2053","description":"Brexucabtagene autoleucel_ up to 200 million autologous anti-cd19 car positive viable t cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFLS","description":"HIPPS-1BFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amphetamines 5 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80326","description":"Amphetamines 5 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bile duct revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47701","description":"Bile duct revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis - comprehensive series of radiographic images","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0372","description":"intraoral tomosynthesis - comprehensive series of radiographic images","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE14C","description":"HIPPS-HE14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compression stocking bk18-30","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6530","description":"Compression stocking bk18-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38I","description":"HIPPS-ES38I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0503U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0503U","description":"CPT-0503U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0970T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0970T","description":"CPT-0970T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE154","description":"HIPPS-PE154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto/uretero w/lithotripsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52356","description":"Cysto/uretero w/lithotripsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93622","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp screen mammogram add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77052","description":"Comp screen mammogram add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair venous blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75978","description":"Repair venous blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep c antiviral started","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9205","description":"Hep c antiviral started","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Necropsy (autopsy) procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88099","description":"Necropsy (autopsy) procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmoscopy_ Extended; With Retinal Drawing And Scleral Depression Of Peripheral Retinal Disease (Eg_ For Retinal Tear_ Retinal Detachment_ Retinal Tumor) With Interpretati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92201","description":"Ophthalmoscopy_ Extended; With Retinal Drawing And Scleral Depression Of Peripheral Retinal Disease (Eg_ For Retinal Tear_ Retinal Detachment_ Retinal Tumor) With Interpretati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPT","description":"HIPPS-3AGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estrogens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82671","description":"Assay of estrogens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lumb artif disc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0164T","description":"Remove lumb artif disc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human papillomavirus (HPV)_ oropharyngeal swab_ 14 high-risk types (ie_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 51_ 52_ 56_ 58_ 59_ 66_ and 68)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0429U","description":"Human papillomavirus (HPV)_ oropharyngeal swab_ 14 high-risk types (ie_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 51_ 52_ 56_ 58_ 59_ 66_ and 68)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx bronchoscope/wash","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31622","description":"Dx bronchoscope/wash","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE236","description":"HIPPS-LE236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9980","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0959T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0959T","description":"CPT-0959T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ abdomen; complete acute abdomen series_ including supine_ erect_ and/or decubitus views_ single view chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74022","description":"Radiologic examination_ abdomen; complete acute abdomen series_ including supine_ erect_ and/or decubitus views_ single view chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim 6mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2505","description":"Injection_ pegfilgrastim 6mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride genitalia & perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11004","description":"Debride genitalia & perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA31","description":"HIPPS-AAA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 20-25","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88245","description":"Chromosome analysis 20-25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentistry Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0067","description":"Dentistry Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kt/v =/> 1.2 & <1.7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3083F","description":"Kt/v =/> 1.2 & <1.7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ romidepsin_ nonlyophilized_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9318","description":"Injection_ romidepsin_ nonlyophilized_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB24B","description":"HIPPS-BB24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ spine_ entire_ survey study_ anteroposterior an lateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72010","description":"Radiologic examination_ spine_ entire_ survey study_ anteroposterior an lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50957","description":"Ureter endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mifepristone_ oral_ 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0190","description":"Mifepristone_ oral_ 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PelloGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4320","description":"PelloGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post 1 srfc resinbased cmpst","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2391","description":"Post 1 srfc resinbased cmpst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD23B","description":"HIPPS-LD23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Free myo/skin flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15756","description":"Free myo/skin flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BRCA2 (BRCA2_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ detection of large gene rearrangements)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81167","description":"BRCA2 (BRCA2_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ detection of large gene rearrangements)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sleep apnea assess","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8839","description":"Sleep apnea assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elevat proximal arm support","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2631","description":"Elevat proximal arm support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Induced abortion 29-31 wks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2266","description":"Induced abortion 29-31 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mcp joint arthroscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29900","description":"Mcp joint arthroscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8B","description":"HIPPS-RHC8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC144","description":"HIPPS-PC144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23460","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93316","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2601","description":"HCPCS-J2601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX2A","description":"HIPPS-RHX2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of sinuses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70210","description":"X-ray exam of sinuses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX1B","description":"HIPPS-RHX1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso infant immobilizer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1001","description":"Ctlso infant immobilizer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quant pupillometry w/rprt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0341T","description":"Quant pupillometry w/rprt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35361","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; second physician or other qualifie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0821T","description":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; second physician or other qualifie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLS","description":"HIPPS-1AHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28G","description":"HIPPS-PD28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Encephaltis west eqne antbdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86654","description":"Encephaltis west eqne antbdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj brachial plexus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64415","description":"N block inj brachial plexus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trastuzumab administered within 12 months of diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9835","description":"Trastuzumab administered within 12 months of diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL56","description":"HIPPS-RHL56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63103","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad exc lesion up to 1.25 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7410","description":"Rad exc lesion up to 1.25 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMW","description":"HIPPS-2AFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screeningmammographydigital","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0202","description":"Screeningmammographydigital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE224","description":"HIPPS-PE224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nerve add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64837","description":"Repair nerve add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imaging of the head (CT or MRI) was obtained","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1027","description":"Imaging of the head (CT or MRI) was obtained","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx radial 3+ frag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25609","description":"Treat fx radial 3+ frag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin k","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84597","description":"Assay of vitamin k","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ot re-evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97004","description":"Ot re-evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angiography chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71275","description":"Ct angiography chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cutting ramus open w/graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7943","description":"Cutting ramus open w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLW","description":"HIPPS-3AFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0660","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0660","description":"HCPCS-G0660","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Did Not Receive An Influenza Vaccine On Or Between July 1 Of The Year Prior To The Measurement Period And June 30 Of The Measurement Period; Or Did Not Have A Prior In","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2165","description":"Patient Did Not Receive An Influenza Vaccine On Or Between July 1 Of The Year Prior To The Measurement Period And June 30 Of The Measurement Period; Or Did Not Have A Prior In","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech lang current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9174","description":"Speech lang current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinician Documented That Patient Was Not An Eligible Candidate For Autogenous AV Fistula","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8531","description":"Clinician Documented That Patient Was Not An Eligible Candidate For Autogenous AV Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLU","description":"HIPPS-2CGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Term dev mech hand vol close","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6709","description":"Term dev mech hand vol close","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm system_ monaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5281","description":"Ald fm/dm system_ monaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cur funct asses; no care pln","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8543","description":"Cur funct asses; no care pln","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74742","description":"X-ray fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace chst cmprss sys hose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7026","description":"Replace chst cmprss sys hose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Integrated keratoprosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1818","description":"Integrated keratoprosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M/phmtrc alys ishquant/semiq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88374","description":"M/phmtrc alys ishquant/semiq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icut allergy test drug/bug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95024","description":"Icut allergy test drug/bug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tprnl Plmt Biodegradable Matrl Periprostatic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0438T","description":"Tprnl Plmt Biodegradable Matrl Periprostatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Galectin-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82777","description":"Galectin-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of colon/ileostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44155","description":"Removal of colon/ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert bladder cath complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51703","description":"Insert bladder cath complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow disart myoelectronic c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6945","description":"Elbow disart myoelectronic c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace/irrigate catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62225","description":"Replace/irrigate catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gonadorelin hydroch/ 100 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1620","description":"Gonadorelin hydroch/ 100 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger_ dual mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2367","description":"Battery charger_ dual mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory shoulder surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23040","description":"Exploratory shoulder surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Triflupromazine hcl inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3400","description":"Triflupromazine hcl inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct guide for tissue ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77013","description":"Ct guide for tissue ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adm Tocilizu COVID-19 1st dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0249","description":"Adm Tocilizu COVID-19 1st dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA53","description":"HIPPS-AAA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension_ percutaneous_ including imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32994","description":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension_ percutaneous_ including imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray uppr gi tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74247","description":"Contrst x-ray uppr gi tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denosumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0897","description":"Denosumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx isodose complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77318","description":"Brachytx isodose complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete ivf nos case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4015","description":"Complete ivf nos case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL1","description":"HIPPS-3AGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile water/saline_ 500 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4217","description":"Sterile water/saline_ 500 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by groin incision_ unilateral (Li","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34714","description":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by groin incision_ unilateral (Li","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesiology mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0061","description":"Anesthesiology mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I&d p-spine c/t/cerv-thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22010","description":"I&d p-spine c/t/cerv-thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aud osseo dev_ abutment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8693","description":"Aud osseo dev_ abutment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient is undergoing palliative dialysis with a catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9749","description":"Patient is undergoing palliative dialysis with a catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1901","description":"HCPCS-A1901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dil macular/fundus not perfo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8398","description":"Dil macular/fundus not perfo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision and/or reinsertion of transhepatic tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47530","description":"Revision and/or reinsertion of transhepatic tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Str markers spec anal addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81266","description":"Str markers spec anal addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK1","description":"HIPPS-2CHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX3B","description":"HIPPS-RUX3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC23A","description":"HIPPS-HC23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped hospital bed semi/elect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0329","description":"Ped hospital bed semi/elect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gba gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81251","description":"Gba gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML31","description":"HIPPS-RML31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL3","description":"HIPPS-2AGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lancet device each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4258","description":"Lancet device each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical; with destruction by cryoablation_ posterior nasal nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31243","description":"Nasal/sinus endoscopy_ surgical; with destruction by cryoablation_ posterior nasal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33766","description":"Major vessel shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI joint of lwr extr w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73722","description":"MRI joint of lwr extr w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer skin pedicle flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15650","description":"Transfer skin pedicle flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Valrubicin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9357","description":"Valrubicin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB256","description":"HIPPS-HB256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rho d immune globulin inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2790","description":"Rho d immune globulin inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28005","description":"Treat foot bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHK4","description":"HIPPS-4BHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4372","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4372","description":"HCPCS-Q4372","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ avelumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9023","description":"Injection_ avelumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spirom fev/fvc <70% w/copd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3025F","description":"Spirom fev/fvc <70% w/copd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Romidepsin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9315","description":"Romidepsin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE140","description":"HIPPS-LE140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0559T","description":"Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ldl-c <100 mg/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3048F","description":"Ldl-c <100 mg/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB4C","description":"HIPPS-RMB4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC131","description":"HIPPS-CC131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Not >1 sinus ct w 90d dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9352","description":"Not >1 sinus ct w 90d dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31766","description":"Reconstruction of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51525","description":"Removal of bladder lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test 2 limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95861","description":"Muscle test 2 limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC230","description":"HIPPS-LC230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO general orthopedic intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibilit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9739","description":"Patient unable to complete the FOTO general orthopedic intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibilit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reusable underpad chair size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4540","description":"Reusable underpad chair size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlorothiazide sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1205","description":"Chlorothiazide sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap proctopexy w/sig resect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45402","description":"Lap proctopexy w/sig resect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4355","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4355","description":"HCPCS-Q4355","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy w/o taper cong","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44126","description":"Enterectomy w/o taper cong","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65130","description":"Insert ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8B","description":"HIPPS-RVX8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray uppr gi tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74246","description":"Contrst x-ray uppr gi tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt has symp&signs neuropathy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3753F","description":"Pt has symp&signs neuropathy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKV","description":"HIPPS-2AGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj anesthetic per 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4737","description":"Inj anesthetic per 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ ITC/BTE","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5215","description":"Hearing aid_ contralateral routing system_ binaural_ ITC/BTE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA54","description":"HIPPS-RMA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35002","description":"Repair artery rupture neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES334","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES334","description":"HIPPS-ES334","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Powered pres-redu air mattrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0277","description":"Powered pres-redu air mattrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary rehabilitation pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9473","description":"Pulmonary rehabilitation pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGNW","description":"HIPPS-3BGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implnt/abut remov dent mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6111","description":"Implnt/abut remov dent mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI brain stem w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70551","description":"MRI brain stem w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0567","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0567","description":"HCPCS-G0567","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01390","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01390","description":"CPT-01390","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML52","description":"HIPPS-RML52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mumps antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86735","description":"Mumps antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29044","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who have a diagnosis of pregnancy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9778","description":"Patients who have a diagnosis of pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of facial bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70150","description":"X-ray exam of facial bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8002","description":"HCPCS-C8002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMS","description":"HIPPS-2AHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver imaging with flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78202","description":"Liver imaging with flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unite biomatrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4129","description":"Unite biomatrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anti-mullerian hormone (AMH)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1401","description":"HCPCS-A1401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK5","description":"HIPPS-4CFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafix plus_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4304","description":"Grafix plus_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57720","description":"Revision of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning Of Previously Implanted Substernal Implantable Defibrillator-Pacing Electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0574T","description":"Repositioning Of Previously Implanted Substernal Implantable Defibrillator-Pacing Electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy excise lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58662","description":"Laparoscopy excise lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0644","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0644","description":"HCPCS-J0644","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA40","description":"HIPPS-RVA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES112","description":"HIPPS-ES112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition_ endoskeletal knee-shin system_ 4 bar linkage or multiaxial_ fluid swing and stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1014","description":"Addition_ endoskeletal knee-shin system_ 4 bar linkage or multiaxial_ fluid swing and stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phakic iol refractive error","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0596","description":"Phakic iol refractive error","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFK1","description":"HIPPS-2BFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36589","description":"Removal tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore limb vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35860","description":"Explore limb vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom shoes depth inlay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3230","description":"Custom shoes depth inlay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive ear/neck surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69155","description":"Extensive ear/neck surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspirin or another antiplatelet therapy used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1055","description":"Aspirin or another antiplatelet therapy used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1289","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1289","description":"HCPCS-J1289","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gas system stationary compre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0425","description":"Gas system stationary compre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE13A","description":"HIPPS-HE13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Romiplostim injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2796","description":"Romiplostim injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove carotid body lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60600","description":"Remove carotid body lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD20A","description":"HIPPS-CD20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd remove lesion snare","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43251","description":"Egd remove lesion snare","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL1","description":"HIPPS-4BHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem oct rta phys/qhp ea 30d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0606T","description":"Rem oct rta phys/qhp ea 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride genit/per/abdom wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11006","description":"Debride genit/per/abdom wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop oct brst/node spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0351T","description":"Intraop oct brst/node spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18I","description":"HIPPS-BB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove penis & nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54135","description":"Remove penis & nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL13","description":"HIPPS-RUL13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ gemtuzumab ozogamicin_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9203","description":"Injection_ gemtuzumab ozogamicin_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66500","description":"Incision of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom grad sleeve heavy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8423","description":"Custom grad sleeve heavy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX07","description":"HIPPS-RMX07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51500","description":"Removal of bladder cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Injection/Nerve Block Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0620","description":"Hospital Special Treatment Room Support Component (Hstrsc) Injection/Nerve Block Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tofersen_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9157","description":"Injection_ tofersen_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening of a patient","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0190","description":"Screening of a patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB225","description":"HIPPS-BB225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5153","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5153","description":"HCPCS-Q5153","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comm psy sup tx pgm per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0037","description":"Comm psy sup tx pgm per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beta amyloid_ AB42/40 ratio_ immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform-specific prot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0412U","description":"Beta amyloid_ AB42/40 ratio_ immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform-specific prot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Performance Met: The Residual Change Score  Is Equal To Or Greater Than 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2152","description":"Performance Met: The Residual Change Score  Is Equal To Or Greater Than 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54120","description":"Partial removal of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunology procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86849","description":"Immunology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC215","description":"HIPPS-HC215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daxibotulinumtoxina-lanm_ 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9160","description":"Injection_ daxibotulinumtoxina-lanm_ 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Io anal gast n-stim subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95981","description":"Io anal gast n-stim subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5274","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"E & M Of Beneficiary_S Ac Change Cond Nsg Fac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9685","description":"E & M Of Beneficiary_S Ac Change Cond Nsg Fac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tisotumab vedotin-tftv_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9273","description":"Injection_ tisotumab vedotin-tftv_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urea injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3350","description":"Urea injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of foot at ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27888","description":"Amputation of foot at ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem exostosis any site","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7471","description":"Rem exostosis any site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (melanoma)_ artificial intelligence (AI)-enabled quantitative mass spectrometry analysis of 142 unique pairs of glycopeptide and product fragments_ plasma_ prognostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0357U","description":"Oncology (melanoma)_ artificial intelligence (AI)-enabled quantitative mass spectrometry analysis of 142 unique pairs of glycopeptide and product fragments_ plasma_ prognostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC205","description":"HIPPS-HC205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gingival flap proc w/ planin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4240","description":"Gingival flap proc w/ planin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88012","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D6280","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D6280","description":"CDT-D6280","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ melphalan flufenamide hydrochloride_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9080","description":"Injection_ melphalan flufenamide hydrochloride_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repos prev impltbl subq dfb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33273","description":"Repos prev impltbl subq dfb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"History of mole changes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1050F","description":"History of mole changes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB52","description":"HIPPS-RMB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA11A","description":"HIPPS-CA11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Asparaginase_ Recombinant_ (Rylaze)_ 0.1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9021","description":"Injection_ Asparaginase_ Recombinant_ (Rylaze)_ 0.1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4003","description":"Emergency Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1139","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat sternum fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21825","description":"Treat sternum fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25630","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arch supp att to shoe long/m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3090","description":"Arch supp att to shoe long/m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0009","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8D","description":"HIPPS-RMX8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vasc graft into carpal bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25430","description":"Vasc graft into carpal bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removable Unilateral Partial Denture - One Piece Flexible Base - Per Quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5284","description":"Removable Unilateral Partial Denture - One Piece Flexible Base - Per Quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spring-ass rot wrst w/ latch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6623","description":"Spring-ass rot wrst w/ latch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepagam b intravenous_ inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1573","description":"Hepagam b intravenous_ inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM5","description":"HIPPS-3CGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYTOG CONST ALYS INTERROG","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0209U","description":"CYTOG CONST ALYS INTERROG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKX","description":"HIPPS-4BGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy by infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0084","description":"Chemotherapy by infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gngvl flap w rootplan 1-3 th","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4241","description":"Gngvl flap w rootplan 1-3 th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (liver)_ surveillance for hepatocellular carcinoma (HCC) in high-risk patients_ analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0333U","description":"Oncology (liver)_ surveillance for hepatocellular carcinoma (HCC) in high-risk patients_ analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Granisetron hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1626","description":"Granisetron hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc back les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21931","description":"Exc back les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (multiple myeloma)_ LC-MS/MS_ peptide ion quantification_ serum_ results compared with baseline to determine monoclonal paraprotein abundance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0451U","description":"Oncology (multiple myeloma)_ LC-MS/MS_ peptide ion quantification_ serum_ results compared with baseline to determine monoclonal paraprotein abundance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC240","description":"HIPPS-LC240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance_ unilate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0718T","description":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance_ unilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLU","description":"HIPPS-4BFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Testosterone; bioavailable_ direct measurement (eg_ differential precipitation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84410","description":"Testosterone; bioavailable_ direct measurement (eg_ differential precipitation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24430","description":"Repair of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53220","description":"Treatment of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemophilia clot factor noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7199","description":"Hemophilia clot factor noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality technology to assist therapy (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0770T","description":"Virtual reality technology to assist therapy (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB35","description":"HIPPS-RUB35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61538","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ BTE/BTE","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5221","description":"Hearing aid_ contralateral routing system_ binaural_ BTE/BTE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKV","description":"HIPPS-2AHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap vent/abd hern proc comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49653","description":"Lap vent/abd hern proc comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44384","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPS","description":"HIPPS-1AFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj follitropin alfa 75 iu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0126","description":"Inj follitropin alfa 75 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vacc 3 dose ped/adol im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90744","description":"Hepb vacc 3 dose ped/adol im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelet pheresis irradiated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9036","description":"Platelet pheresis irradiated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo total proctocolectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44210","description":"Laparo total proctocolectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLW","description":"HIPPS-1AHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing care not possible because the patient self-discharged early (e.g._ financial or insurance reasons_ transportation problems_ or reason unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1148","description":"Ongoing care not possible because the patient self-discharged early (e.g._ financial or insurance reasons_ transportation problems_ or reason unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGP6","description":"HIPPS-1AGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4243","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4243","description":"HCPCS-Q4243","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protein western blot test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84182","description":"Protein western blot test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore adrenal gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60545","description":"Explore adrenal gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bekesy audiometry screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92560","description":"Bekesy audiometry screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB21A","description":"HIPPS-PB21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Data Review_ Interpretation And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0713T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Data Review_ Interpretation And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42320","description":"Drainage of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24546","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analyze spine infus pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62367","description":"Analyze spine infus pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGK5","description":"HIPPS-4CGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9192","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9192","description":"HCPCS-J9192","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no follow imag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9549","description":"Doc med reas no follow imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0235","description":"Pet not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bupren/nal over 10mg bupreno","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0575","description":"Bupren/nal over 10mg bupreno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81401","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of abdomen artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37617","description":"Ligation of abdomen artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cftr gene known fam variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81221","description":"Cftr gene known fam variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01420","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01420","description":"CPT-01420","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acoustic cardiography_ including automated analysis of combined acoustic and electrical intervals; single_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0223T","description":"Acoustic cardiography_ including automated analysis of combined acoustic and electrical intervals; single_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1904","description":"HCPCS-A1904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat trigeminal nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61790","description":"Treat trigeminal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23150","description":"Removal of humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9311","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9311","description":"HCPCS-C9311","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Less Than Or Equal To 3.0 Or Leg Pain Measured By The Visual Analog Scale","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2140","description":"Leg Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Less Than Or Equal To 3.0 Or Leg Pain Measured By The Visual Analog Scale","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00563","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00563","description":"CPT-00563","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 3.1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11424","description":"Exc h-f-nk-sp b9+marg 3.1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level IV_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0753T","description":"Digitization of glass microscope slides for level IV_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewhfo airplane w/jnt(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3978","description":"Sewhfo airplane w/jnt(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL1","description":"HIPPS-3AFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthesis_ penile_ inflatab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1813","description":"Prosthesis_ penile_ inflatab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of aldolase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82085","description":"Assay of aldolase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dalteparin sodium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1645","description":"Dalteparin sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intend rpt mult chr msr grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9669","description":"Intend rpt mult chr msr grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx multi myeloma unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9130","description":"Onc dx multi myeloma unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB45","description":"HIPPS-RVB45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC254","description":"HIPPS-CC254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC35","description":"HIPPS-RUC35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glucagon tolerance test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82946","description":"Glucagon tolerance test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL2B","description":"HIPPS-RHL2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg > 48 in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6239","description":"Hydrocolld drg > 48 in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE20C","description":"HIPPS-LE20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human ig sc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90284","description":"Human ig sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hook/hand_ hvy dty_ vol clos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6722","description":"Hook/hand_ hvy dty_ vol clos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bioimpedance cv analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93701","description":"Bioimpedance cv analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0951T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0951T","description":"CPT-0951T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC4C","description":"HIPPS-RHC4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0221","description":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non coring needle or stylet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4212","description":"Non coring needle or stylet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens single vision not oth c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2199","description":"Lens single vision not oth c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB126","description":"HIPPS-BB126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder joint surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23101","description":"Shoulder joint surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA23A","description":"HIPPS-PA23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein four","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33513","description":"Cabg vein four","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise parotid gland/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42425","description":"Excise parotid gland/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB15D","description":"HIPPS-PB15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX2C","description":"HIPPS-RMX2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AJCC breast cancer stage I: T1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9705","description":"AJCC breast cancer stage I: T1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thaw cryoprsvrd reprod tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89354","description":"Thaw cryoprsvrd reprod tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGKV","description":"HIPPS-4CGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dna analysis ret-oncogene","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3840","description":"Dna analysis ret-oncogene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL5","description":"HIPPS-2CHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKV","description":"HIPPS-5AFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Molecular testing for a public health related pathogen_ including coronavirus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0606","description":"Molecular testing for a public health related pathogen_ including coronavirus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric emptying imag study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78266","description":"Gastric emptying imag study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of salivary cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42409","description":"Drainage of salivary cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 3.0 And Back Pain Measured By The Visual Analog Scale (Vas)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2137","description":"Back Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 3.0 And Back Pain Measured By The Visual Analog Scale (Vas)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE210","description":"HIPPS-CE210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE136","description":"HIPPS-PE136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist disart myoelectronic c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6925","description":"Wrist disart myoelectronic c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9815","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9815","description":"HCPCS-C9815","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1702","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1702","description":"HCPCS-A1702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFM4","description":"HIPPS-2BFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat pelvic ring fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27194","description":"Treat pelvic ring fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ burosumab-twza_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0584","description":"Injection_ burosumab-twza_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray bile ducts/pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74300","description":"X-ray bile ducts/pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous electrical nerve field stimulation_ cranial nerves_ without implantation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0720T","description":"Percutaneous electrical nerve field stimulation_ cranial nerves_ without implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mast mod rad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19307","description":"Mast mod rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Planar back for ped size wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2291","description":"Planar back for ped size wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-htn or htn doc_ f/u indc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8950","description":"Pre-htn or htn doc_ f/u indc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient_s 13th birthday","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1160","description":"Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient_s 13th birthday","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1601","description":"HCPCS-B1601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Probe nl duct w/balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68816","description":"Probe nl duct w/balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AmnioArmor_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4188","description":"AmnioArmor_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hand dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26670","description":"Treat hand dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB45","description":"HIPPS-RMB45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKU","description":"HIPPS-5BFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove neuroreceiver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63688","description":"Revise/remove neuroreceiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis_ programming_ and verification of an auditory osseointegrated sound processor_ any type; each additional 15 minutes (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92623","description":"Diagnostic analysis_ programming_ and verification of an auditory osseointegrated sound processor_ any type; each additional 15 minutes (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion/graft of hand joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26844","description":"Fusion/graft of hand joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE254","description":"HIPPS-PE254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision hyperplastic tissue","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7970","description":"Excision hyperplastic tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0558U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0558U","description":"CPT-0558U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67311","description":"Revise eye muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revitalon 1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4157","description":"Revitalon 1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Core Needle Biopsy_ Lung Or Mediastinum_ Percutaneous_ Including Imaging Guidance_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32408","description":"Core Needle Biopsy_ Lung Or Mediastinum_ Percutaneous_ Including Imaging Guidance_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Combo pegintf/rib rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4153F","description":"Combo pegintf/rib rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8H","description":"HIPPS-RML8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Is Using Palliative Care Services Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9994","description":"Patient Is Using Palliative Care Services Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB144","description":"HIPPS-BB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23465","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc back tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21932","description":"Exc back tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (sandoz)_ not therapeutically equivalent to j9305_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9297","description":"Injection_ pemetrexed (sandoz)_ not therapeutically equivalent to j9305_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33999","description":"Cardiac surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise circulation to head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61710","description":"Revise circulation to head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor pancreas/venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48552","description":"Prep donor pancreas/venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrin degradation products","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85362","description":"Fibrin degradation products","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of tumor cavity_ with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0735T","description":"Preparation of tumor cavity_ with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove neuroelectrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64585","description":"Revise/remove neuroelectrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA23C","description":"HIPPS-PA23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD13B","description":"HIPPS-CD13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ ultra-rapid sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0426U","description":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ ultra-rapid sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sebelipase alfa_ 1mg (Kanuma)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9478","description":"Injection_ sebelipase alfa_ 1mg (Kanuma)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture ulnar styloid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25652","description":"Treat fracture ulnar styloid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL3","description":"HIPPS-4AFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tonsil tags","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42860","description":"Excision of tonsil tags","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01360","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01360","description":"CPT-01360","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conductive gel or paste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4558","description":"Conductive gel or paste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD230","description":"HIPPS-HD230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maint drug infus cath per wk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4221","description":"Maint drug infus cath per wk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27506","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFMS","description":"HIPPS-2CFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99221","description":"Initial hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC126","description":"HIPPS-CC126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE20B","description":"HIPPS-PE20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sitz bath/equipment w/faucet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0161","description":"Sitz bath/equipment w/faucet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic aneurysm<5cm diam ct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9001F","description":"Aortic aneurysm<5cm diam ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC217","description":"HIPPS-HC217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical obturator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5931","description":"Surgical obturator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar bolster pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1030","description":"Lumbar bolster pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29040","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls repos perph cnula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33964","description":"Ecmo/ecls repos perph cnula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splint supplies misc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4051","description":"Splint supplies misc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel new leather standa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3455","description":"Shoe heel new leather standa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bcg live intravesical vac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9031","description":"Bcg live intravesical vac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway press headgear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7035","description":"Pos airway press headgear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imterprete diagnostic image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0391","description":"Imterprete diagnostic image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone_ Normal Or Abnormal Native","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93595","description":"Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone_ Normal Or Abnormal Native","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Variable asphericity lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2499","description":"Variable asphericity lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB140","description":"HIPPS-PB140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain lower leg lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27603","description":"Drain lower leg lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad w/backup non inv intrfc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0471","description":"Rad w/backup non inv intrfc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replantation thumb complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20824","description":"Replantation thumb complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat midfoot fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28456","description":"Treat midfoot fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test feces for trypsin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84488","description":"Test feces for trypsin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Developmental test administration (including assessment of fine and/or gross motor_ language_ cognitive level_ social_ memory and/or executive functions by standardized develo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96113","description":"Developmental test administration (including assessment of fine and/or gross motor_ language_ cognitive level_ social_ memory and/or executive functions by standardized develo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc abd tum over 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49204","description":"Exc abd tum over 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2002","description":"HCPCS-A2002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant double","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32853","description":"Lung transplant double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual breast pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0602","description":"Manual breast pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock multi ply bk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8420","description":"Prosthetic sock multi ply bk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug screenin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0002","description":"Alcohol and/or drug screenin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko derot ant cruciate custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1840","description":"Ko derot ant cruciate custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1436","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1436","description":"HCPCS-M1436","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Image test ref carot diam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3100F","description":"Image test ref carot diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelet survival kinetics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78190","description":"Platelet survival kinetics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21242","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0532","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0532","description":"HCPCS-G0532","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis b dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87516","description":"Hepatitis b dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vivaglobin_ inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1562","description":"Vivaglobin_ inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA5A","description":"HIPPS-RUA5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech volume modulation system_ any type_ including all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1009","description":"Speech volume modulation system_ any type_ including all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement Of Lost Or Broken Retainer - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8704","description":"Replacement Of Lost Or Broken Retainer - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49614","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <26.15 & Age >84.5_ without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0108","description":"Stroke with Motor <26.15 & Age >84.5_ without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27650","description":"Repair achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nsg aide service up to 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1004","description":"Nsg aide service up to 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transhepatic biliary drainage with contrast monitoring_ radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75980","description":"Percutaneous transhepatic biliary drainage with contrast monitoring_ radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist/forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25116","description":"Remove wrist/forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scrn hcv infec not recd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9386","description":"Scrn hcv infec not recd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKV","description":"HIPPS-5BFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA251","description":"HIPPS-PA251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC2A","description":"HIPPS-RUC2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct orbit/ear/fossa w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70482","description":"Ct orbit/ear/fossa w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blink reflex test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95933","description":"Blink reflex test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33688","description":"Repair heart septum defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m sulfur colloid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9541","description":"Tc99m sulfur colloid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC111","description":"HIPPS-LC111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Care after delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59430","description":"Care after delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv)_ includes: hiv risk assessment (initial or continued","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0013","description":"Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv)_ includes: hiv risk assessment (initial or continued","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part removal of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28112","description":"Part removal of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrivalent (IIV4)_ split virus_ preservative free_ 0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90686","description":"Influenza virus vaccine_ quadrivalent (IIV4)_ split virus_ preservative free_ 0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telehealth transmit_ per min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1014","description":"Telehealth transmit_ per min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC22B","description":"HIPPS-LC22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB06","description":"HIPPS-RLB06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE217","description":"HIPPS-CE217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 1 std port cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0814","description":"Pwc gp 1 std port cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan of care for moderate to severe pain not documented on or before the date of the second visit with a clinician_ reason not","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1002","description":"Plan of care for moderate to severe pain not documented on or before the date of the second visit with a clinician_ reason not","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of bile ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47800","description":"Reconstruction of bile ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise arm/leg nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64708","description":"Revise arm/leg nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other pt/ot goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8991","description":"Other pt/ot goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8953","description":"Oncology mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD241","description":"HIPPS-LD241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis spine 3 column thorac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22206","description":"Incis spine 3 column thorac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFMT","description":"HIPPS-4CFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLU","description":"HIPPS-2AFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL6","description":"HIPPS-4BHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB52","description":"HIPPS-RLB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64790","description":"Removal of nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ transluminal intravascular lesion preparation device_ bladed_ sheathed (insertable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1600","description":"Catheter_ transluminal intravascular lesion preparation device_ bladed_ sheathed (insertable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prp i/hern init reduc >5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49505","description":"Prp i/hern init reduc >5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin tolerance panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80434","description":"Insulin tolerance panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2104","description":"Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ inotuzumab ozogamicin_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9229","description":"Injection_ inotuzumab ozogamicin_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 hd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0825","description":"Pwc gp 2 hd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC25B","description":"HIPPS-CC25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP6","description":"HIPPS-1BHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imatinib 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0088","description":"Imatinib 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98984","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98984","description":"CPT-98984","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch w bar/bltinconv/fltr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4417","description":"Ost pch w bar/bltinconv/fltr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gene test retinoblastoma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3841","description":"Gene test retinoblastoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA13B","description":"HIPPS-BA13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood_ l/r_ froz/degly/wash","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9054","description":"Blood_ l/r_ froz/degly/wash","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental sealant per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1351","description":"Dental sealant per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interferon beta-1a inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1826","description":"Interferon beta-1a inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anti-inhibitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7198","description":"Anti-inhibitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attach bladder/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51841","description":"Attach bladder/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cholangiography_ percutaneous_ transhepatic_ radiological supervisionand interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74320","description":"Cholangiography_ percutaneous_ transhepatic_ radiological supervisionand interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine quadrivalent (IIV4)_ inactivated_ adjuvanted_ preservative free_ 0.25 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90689","description":"Influenza virus vaccine quadrivalent (IIV4)_ inactivated_ adjuvanted_ preservative free_ 0.25 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescrl fuse w/ instr l4/l5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0309T","description":"Prescrl fuse w/ instr l4/l5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; interpretation and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0557T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; interpretation and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq card stent w/angio 1 vsl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92928","description":"Prq card stent w/angio 1 vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray upper gi delay w/kub","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74241","description":"X-ray upper gi delay w/kub","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl leath cuff kafo prox th","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4100","description":"Repl leath cuff kafo prox th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens pmma spherical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2500","description":"Contact lens pmma spherical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation that neoplasm detected is only diagnosed as traditional serrated adenoma_ sessile serrated polyp_ or sessile serrated adenoma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9934","description":"Documentation that neoplasm detected is only diagnosed as traditional serrated adenoma_ sessile serrated polyp_ or sessile serrated adenoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thera&Couns Svcs (Counseling Svcs)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0093","description":"Thera&Couns Svcs (Counseling Svcs)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg cerebral death only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95824","description":"Eeg cerebral death only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abd imag w/o liv/kid/adr les","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9551","description":"Abd imag w/o liv/kid/adr les","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise aqueous shunt eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66185","description":"Revise aqueous shunt eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0597U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0597U","description":"CPT-0597U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic shoe w/roller/rockr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5503","description":"Diabetic shoe w/roller/rockr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE125","description":"HIPPS-CE125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd varices ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43244","description":"Egd varices ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderna Covid-19 vaccine administration - third dose (SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 3)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1710","description":"Moderna Covid-19 vaccine administration - third dose (SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate t1no progres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9077","description":"Onc dx prostate t1no progres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of percutaneous electrode array_ spinal_ with integrated neurostimulator_ including imaging guidance_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0784T","description":"Insertion or replacement of percutaneous electrode array_ spinal_ with integrated neurostimulator_ including imaging guidance_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revsc opn/prq tib/pero stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37234","description":"Revsc opn/prq tib/pero stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder passive restor cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6320","description":"Shoulder passive restor cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver 3-segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47144","description":"Prep donor liver 3-segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace/revise brain shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62230","description":"Replace/revise brain shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43310","description":"Repair of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC23","description":"HIPPS-RMC23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE25C","description":"HIPPS-HE25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pedicle soft tissue graft pr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4270","description":"Pedicle soft tissue graft pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA03","description":"HIPPS-RHA03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco use txmnt counseling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4000F","description":"Tobacco use txmnt counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50365","description":"Transplantation of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photochemotherapy with uv-a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96912","description":"Photochemotherapy with uv-a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of nasal valve collapse with low energy_ temperature-controlled (ie_ radiofrequency) subcutaneous/submucosal remodeling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30469","description":"Repair of nasal valve collapse with low energy_ temperature-controlled (ie_ radiofrequency) subcutaneous/submucosal remodeling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMW","description":"HIPPS-2AGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ with definitive confirmation of positive results_ any number of drug classes_ urine_ with specimen verification including DNA authentication in comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0020U","description":"Drug test(s)_ presumptive_ with definitive confirmation of positive results_ any number of drug classes_ urine_ with specimen verification including DNA authentication in comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gel cap app device for trach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8515","description":"Gel cap app device for trach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit noc per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9379","description":"Hit noc per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage board postural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0606","description":"Drainage board postural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/mediast exc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32662","description":"Thoracoscopy w/mediast exc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft axillary-axilry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35518","description":"Art byp grft axillary-axilry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Embolization endpoints are documented separately for each embolized vessel and ovarian artery angiography or embolization performed in the presence of variant uterine artery a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9962","description":"Embolization endpoints are documented separately for each embolized vessel and ovarian artery angiography or embolization performed in the presence of variant uterine artery a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA5C","description":"HIPPS-RLA5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD217","description":"HIPPS-LD217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ESCHERICHIA COLI 0157","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87335","description":"IAAD IA ESCHERICHIA COLI 0157","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impact tooth remov part bony","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7230","description":"Impact tooth remov part bony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frame depth 22 to 25 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2204","description":"Frame depth 22 to 25 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smear wet mount saline/ink","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87210","description":"Smear wet mount saline/ink","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFKV","description":"HIPPS-1BFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0904","description":"HCPCS-B0904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy w/nodes compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57112","description":"Vaginectomy w/nodes compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impr vis acuit w/in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9516","description":"Impr vis acuit w/in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Followup eval of foot pt lop","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0246","description":"Followup eval of foot pt lop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breath test analysis c-14","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78268","description":"Breath test analysis c-14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Care plan hgb docd esa pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0514F","description":"Care plan hgb docd esa pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4346","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4346","description":"HCPCS-Q4346","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9730","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc lymphatic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38589","description":"Laparoscope proc lymphatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0655U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0655U","description":"CPT-0655U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01654","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01654","description":"CPT-01654","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of a new patient with dementia_ moderate to high complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0523","description":"Management of a new patient with dementia_ moderate to high complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM5","description":"HIPPS-3BGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKX","description":"HIPPS-2BFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKT","description":"HIPPS-5CHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD121","description":"HIPPS-CD121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percut allergy skin tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95004","description":"Percut allergy skin tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory_ foot box_ any type_ includes attachment and mounting hardware_ each foot.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0954","description":"Wheelchair accessory_ foot box_ any type_ includes attachment and mounting hardware_ each foot.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heparin-protamine tolerance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85530","description":"Heparin-protamine tolerance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Simult panc kidn trans","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2065","description":"Simult panc kidn trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatorrhaphy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48545","description":"Pancreatorrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies (plaster)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4580","description":"Cast supplies (plaster)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX34","description":"HIPPS-RMX34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA40","description":"HIPPS-RUA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (cutaneous squamous cell carcinoma)_ mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping)_ utilizing formalin-fixed paraffin-embedded","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0315U","description":"Oncology (cutaneous squamous cell carcinoma)_ mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping)_ utilizing formalin-fixed paraffin-embedded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bl smear w/o diff wbc count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85008","description":"Bl smear w/o diff wbc count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shrt leg plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4037","description":"Cast sup shrt leg plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01392","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01392","description":"CPT-01392","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC226","description":"HIPPS-PC226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pm generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33233","description":"Removal of pm generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA26","description":"HIPPS-RUA26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor ix fc fusion recomb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7201","description":"Factor ix fc fusion recomb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialys sol fld vol > 2999cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4723","description":"Dialys sol fld vol > 2999cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC23C","description":"HIPPS-CC23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65272","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1736","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1736","description":"HCPCS-C1736","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Piperacillin/tazobactam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2543","description":"Piperacillin/tazobactam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0183","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0183","description":"HCPCS-G0183","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artificial larynx_ accessory","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8505","description":"Artificial larynx_ accessory","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB13D","description":"HIPPS-LB13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diet counsel at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9474","description":"Diet counsel at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem nonodonto cyst > 1.25 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7461","description":"Rem nonodonto cyst > 1.25 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt scrned for inj drug use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4290F","description":"Pt scrned for inj drug use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01230","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01230","description":"CPT-01230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86051","description":"Anesth surgery of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immntx 3 sting insects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95132","description":"Immntx 3 sting insects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vitreoretinal surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14551","description":"Anesth vitreoretinal surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of magnesium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83735","description":"Assay of magnesium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28C","description":"HIPPS-CA28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64610","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/ed teleconsult70","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0427","description":"Inpt/ed teleconsult70","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia with hypothermia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99116","description":"Anesthesia with hypothermia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"InnovaMatrix PD_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2023","description":"InnovaMatrix PD_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty; for laryngeal stenosis_ with graft_ without indwelling stent placement_ age 12 years or older","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31552","description":"Laryngoplasty; for laryngeal stenosis_ with graft_ without indwelling stent placement_ age 12 years or older","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Infinx_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1018","description":"Clinical decision support mechanism Infinx_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Team conf w/pat by hc prof","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99366","description":"Team conf w/pat by hc prof","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35321","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD211","description":"HIPPS-HD211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo sng solid stirrup w/o j","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2010","description":"Kafo sng solid stirrup w/o j","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient exhibits 2 or more risk factors for postoperative vomiting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9954","description":"Patient exhibits 2 or more risk factors for postoperative vomiting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01712","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01712","description":"CPT-01712","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hook to hand cable adapter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6670","description":"Hook to hand cable adapter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meprobamate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6052","description":"Meprobamate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prostate saturation sampling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55706","description":"Prostate saturation sampling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ed svc ckd ind per session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0420","description":"Ed svc ckd ind per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1475","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1475","description":"HCPCS-M1475","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA2C","description":"HIPPS-RVA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1495","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1495","description":"HCPCS-M1495","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/cont_ lwr ext","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8912","description":"Mra w/cont_ lwr ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL6","description":"HIPPS-2AHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical foods for inborn err","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9435","description":"Medical foods for inborn err","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24115","description":"Remove/graft bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scalp cooling_ mechanical; initial measurement and calibration of cap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0662T","description":"Scalp cooling_ mechanical; initial measurement and calibration of cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat big toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28495","description":"Treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconst lwr jaw w/fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21196","description":"Reconst lwr jaw w/fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1024T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1024T","description":"CPT-1024T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49321","description":"Laparoscopy biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score shdl not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8666","description":"Fun stat score shdl not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth kidney/ureter surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86251","description":"Anesth kidney/ureter surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biofeedback Training_ Perineal Muscles_ Anorectal Or Urethral Sphincter_ Including Emg And/Or Manometry_ When Performed; Each Additional 15 Minutes Of One-On-One Physician Or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90913","description":"Biofeedback Training_ Perineal Muscles_ Anorectal Or Urethral Sphincter_ Including Emg And/Or Manometry_ When Performed; Each Additional 15 Minutes Of One-On-One Physician Or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ factor VIII (antihemophilic factor_ recombinant) (Afstyla)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9140","description":"Injection_ factor VIII (antihemophilic factor_ recombinant) (Afstyla)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0305","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0305","description":"CDT-D0305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post >=4srfc resinbase cmpst","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2394","description":"Post >=4srfc resinbase cmpst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE126","description":"HIPPS-PE126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA51","description":"HIPPS-RMA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit hydra 2 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9375","description":"Hit hydra 2 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation applicator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5983","description":"Radiation applicator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC46","description":"HIPPS-RVC46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine accessory nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63191","description":"Incise spine accessory nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv adduct vocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2341","description":"Chemodenerv adduct vocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFKS","description":"HIPPS-4AFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amniply_ for topical use only_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4249","description":"Amniply_ for topical use only_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft ipsilat carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35501","description":"Art byp grft ipsilat carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virus inoculation tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87252","description":"Virus inoculation tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01756","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01756","description":"CPT-01756","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML5C","description":"HIPPS-RML5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA24A","description":"HIPPS-BA24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44120","description":"Removal of small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94851","description":"Anesth repair of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manipulat palm cord post inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26341","description":"Manipulat palm cord post inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain lower leg bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27604","description":"Drain lower leg bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28X","description":"HIPPS-HE28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical chemistry test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84999","description":"Clinical chemistry test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject hrt congntl art/grft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93564","description":"Inject hrt congntl art/grft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair electric","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0170","description":"Commode chair electric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGK1","description":"HIPPS-2CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage of soft tissue abscess_ subfascial (ie_ involves the soft tissue below the deep fascia)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20005","description":"Incision and drainage of soft tissue abscess_ subfascial (ie_ involves the soft tissue below the deep fascia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens trifocal speciality","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2399","description":"Lens trifocal speciality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of spinal herniation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63702","description":"Repair of spinal herniation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pjp proph ordered low cd4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9222","description":"Pjp proph ordered low cd4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trismus appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5937","description":"Trismus appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Daclizumab_ parenteral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7513","description":"Daclizumab_ parenteral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8A","description":"HIPPS-RVC8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate (45 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2008","description":"Moderate (45 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"LW GNOTYP ICAM4 EXON 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0197U","description":"LW GNOTYP ICAM4 EXON 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast gap flap reconst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2066","description":"Breast gap flap reconst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC241","description":"HIPPS-HC241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy_ total or near total_ with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy_ with laparoscopic pyloric drainage proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43286","description":"Esophagectomy_ total or near total_ with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy_ with laparoscopic pyloric drainage proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko immob canvas long pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1830","description":"Ko immob canvas long pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGLW","description":"HIPPS-1AGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine ost pouch w bltinconv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4429","description":"Urine ost pouch w bltinconv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spun microhematocrit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85013","description":"Spun microhematocrit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP06","description":"HIPPS-ATP06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Care of miscarriage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59820","description":"Care of miscarriage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; stable isotope dilution_ multiple analytes_ quantitative_ single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82544","description":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; stable isotope dilution_ multiple analytes_ quantitative_ single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exposure behavior treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0373T","description":"Exposure behavior treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gadobutrol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9585","description":"Gadobutrol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev soft tiss 1st imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10035","description":"Perq dev soft tiss 1st imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx bipol_ death_ nhres_ hosp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9394","description":"Dx bipol_ death_ nhres_ hosp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture aerobic quant other","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87071","description":"Culture aerobic quant other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0539","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0539","description":"HCPCS-G0539","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27620","description":"Explore/treat ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Init nb em per day non-fac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99461","description":"Init nb em per day non-fac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High energy neutron radiation treatment delivery_ 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge_ and/or compensator(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77423","description":"High energy neutron radiation treatment delivery_ 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge_ and/or compensator(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl car modulj tranvns elt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0413T","description":"Rmvl car modulj tranvns elt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preorthodontic tx visit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8660","description":"Preorthodontic tx visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA106","description":"HIPPS-PA106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0203","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0203","description":"CDT-D0203","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2003","description":"HCPCS-A2003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auricular electrostimulation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8930","description":"Auricular electrostimulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0174A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjustable angle footplate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0040","description":"Adjustable angle footplate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter_ including recording_ with interpretation and written report_ up to 30 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95836","description":"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter_ including recording_ with interpretation and written report_ up to 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem oct rta dev setup&educaj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0604T","description":"Rem oct rta dev setup&educaj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5155","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5155","description":"HCPCS-Q5155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC5A","description":"HIPPS-RVC5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHM4","description":"HIPPS-3AHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Job Finding","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1735","description":"Employment - Job Finding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB221","description":"HIPPS-LB221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33405","description":"Replacement of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic digital breast tomosynthesis_ unilateral or bilateral (list separately in addition to 77065-77067)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0279","description":"Diagnostic digital breast tomosynthesis_ unilateral or bilateral (list separately in addition to 77065-77067)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition of walker to cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29440","description":"Addition of walker to cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemostats for dialysis_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1637","description":"Hemostats for dialysis_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth skull drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21251","description":"Anesth skull drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (Mood Disorders)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 144 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0291U","description":"Psychiatry (Mood Disorders)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 144 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18H","description":"HIPPS-BB18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy cong add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44128","description":"Enterectomy cong add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt counsld on exam for moles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5005F","description":"Pt counsld on exam for moles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid monaural in ear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5050","description":"Hearing aid monaural in ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7563","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7563","description":"HCPCS-C7563","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trach supply noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8189","description":"Trach supply noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped home apnea rec compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94774","description":"Ped home apnea rec compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4335","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4335","description":"HCPCS-Q4335","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00832","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00832","description":"CPT-00832","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5136","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5136","description":"HCPCS-Q5136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK2","description":"HIPPS-3BGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay everolimus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80169","description":"Drug assay everolimus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove elbow joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24102","description":"Remove elbow joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Slitting of prepuce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54000","description":"Slitting of prepuce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0539U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0539U","description":"CPT-0539U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD12C","description":"HIPPS-CD12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 50-100","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88248","description":"Chromosome analysis 50-100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of circumcision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54163","description":"Repair of circumcision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1952","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1952","description":"HCPCS-L1952","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specimen infect agnt concntj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87015","description":"Specimen infect agnt concntj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL4D","description":"HIPPS-RHL4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59325","description":"Revision of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ each additional single antibody stain procedure (List separately in addi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0761T","description":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ each additional single antibody stain procedure (List separately in addi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB146","description":"HIPPS-HB146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK1","description":"HIPPS-2BGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair ing hernia sliding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49525","description":"Repair ing hernia sliding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc death in hosp aaa repair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9262","description":"Doc death in hosp aaa repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >26.15 & Motor <30.05._without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0107","description":"Stroke with Motor >26.15 & Motor <30.05._without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFKS","description":"HIPPS-1BFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Path consult intraop 1 bloc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88331","description":"Path consult intraop 1 bloc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/replace ur sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53447","description":"Remove/replace ur sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orbital prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8042","description":"Orbital prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES121","description":"HIPPS-ES121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lisocabtagene maraleucel_ up to 110 million autologous anti-cd19 car-positive viable t cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9076","description":"Lisocabtagene maraleucel_ up to 110 million autologous anti-cd19 car-positive viable t cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo frict swg & st","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5712","description":"Knee-shin exo frict swg & st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam thoracolmb 2/> vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72080","description":"X-ray exam thoracolmb 2/> vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9183","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9183","description":"HCPCS-J9183","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icm device interrogat remote","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93297","description":"Icm device interrogat remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma scrn hgh risk direc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0118","description":"Glaucoma scrn hgh risk direc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc viral load <200","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9243","description":"Doc viral load <200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB25A","description":"HIPPS-BB25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28261","description":"Revision of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB23A","description":"HIPPS-BB23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay dipropylacetic acd tot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80164","description":"Assay dipropylacetic acd tot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB134","description":"HIPPS-LB134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chiropract manj xtrspinl 1/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98943","description":"Chiropract manj xtrspinl 1/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct pelvis w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72193","description":"Ct pelvis w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Pancreatic Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1099","description":"Radiation Therapy For Pancreatic Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27508","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy hamstring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27325","description":"Neurectomy hamstring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval laryngoscopy sense tst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92615","description":"Eval laryngoscopy sense tst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Brain)_ Spheroid Cell Culture In A 3D Microenvironment_ 12 Drug Panel_ Tumor-Response Prediction For Each Drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0248U","description":"Oncology (Brain)_ Spheroid Cell Culture In A 3D Microenvironment_ 12 Drug Panel_ Tumor-Response Prediction For Each Drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB25B","description":"HIPPS-LB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std seat elevate cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0831","description":"Pwc gp2 std seat elevate cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31000","description":"Irrigation maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ detection of 8 autoantibodies (ARF 6_ NKX3-1_ 5_-UTR-BMI1_ CEP 164_ 3_-UTR-Ropporin_ Desmocollin_ AURKAIP-1_ CSNK2A2)_ multiplexed immunoassay and flow cy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0021U","description":"Oncology (prostate)_ detection of 8 autoantibodies (ARF 6_ NKX3-1_ 5_-UTR-BMI1_ CEP 164_ 3_-UTR-Ropporin_ Desmocollin_ AURKAIP-1_ CSNK2A2)_ multiplexed immunoassay and flow cy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheo-esophagoplasty cong","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43314","description":"Tracheo-esophagoplasty cong","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(S)_ Anesthetic Agent(S) And/Or Steroid; Genicular Nerve Branches_ Including Imaging Guidance_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64454","description":"Injection(S)_ Anesthetic Agent(S) And/Or Steroid; Genicular Nerve Branches_ Including Imaging Guidance_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services for patient provided any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1067","description":"Hospice services for patient provided any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5277","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGMS","description":"HIPPS-2CGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening of palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42227","description":"Lengthening of palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 3.1-4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11604","description":"Exc tr-ext mal+marg 3.1-4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53215","description":"Removal of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76942","description":"Echo guide for biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PMS2 (PMS1 homolog 2_ mismatch repair system component) (eg_ hereditary non-polyposis colorectal cancer_ Lynch syndrome) mRNA sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0161U","description":"PMS2 (PMS1 homolog 2_ mismatch repair system component) (eg_ hereditary non-polyposis colorectal cancer_ Lynch syndrome) mRNA sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rev/remvl crtd sns dev lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0270T","description":"Rev/remvl crtd sns dev lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documented history of renal failure or baseline serum creatinine = 4.0 mg/dl; renal transplant recipients are not considered to have preoperative renal failure_ unless_ since","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9722","description":"Documented history of renal failure or baseline serum creatinine = 4.0 mg/dl; renal transplant recipients are not considered to have preoperative renal failure_ unless_ since","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Malig tumor > 1.25 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7441","description":"Malig tumor > 1.25 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0007","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL1","description":"HIPPS-4AFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"4vhpv vaccine 3 dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90649","description":"4vhpv vaccine 3 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision benign lesion>1.25c","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7411","description":"Excision benign lesion>1.25c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLW","description":"HIPPS-3CHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"implant/abutment supported interim fixed denture for edentulous arch – maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6119","description":"implant/abutment supported interim fixed denture for edentulous arch – maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pozelimab-bbfg_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9376","description":"Injection_ pozelimab-bbfg_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0901","description":"HCPCS-A0901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of spinal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63172","description":"Drainage of spinal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 xhd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0854","description":"Pwc gp 3 xhd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a net increase in pam score of at least 6 points within a 6 to 12 month period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1346","description":"Patients who did not have a net increase in pam score of at least 6 points within a 6 to 12 month period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rec antivir treat hep c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8461","description":"Pt rec antivir treat hep c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES25B","description":"HIPPS-ES25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD105","description":"HIPPS-LD105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (multiple myeloma)_ liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ monoclonal paraprotein sequencing analysis_ serum_ results reported as baseline pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0450U","description":"Oncology (multiple myeloma)_ liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ monoclonal paraprotein sequencing analysis_ serum_ results reported as baseline pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pentamidine non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2545","description":"Pentamidine non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pump uninterrupted infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0455","description":"Pump uninterrupted infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Als esophageal intub suppls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0396","description":"Als esophageal intub suppls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vertebral axial decompressio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9090","description":"Vertebral axial decompressio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy cleaning brush","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4626","description":"Tracheostomy cleaning brush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Thyroid)_ Dna And Mrna_ Next-Generation Sequencing Analysis Of 112 Genes_ Fine Needle Aspirate Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Algorithmic Predict","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0287U","description":"Oncology (Thyroid)_ Dna And Mrna_ Next-Generation Sequencing Analysis Of 112 Genes_ Fine Needle Aspirate Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Algorithmic Predict","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Powered w/c cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2610","description":"Powered w/c cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL1","description":"HIPPS-1BGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC22","description":"HIPPS-RMC22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35458","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0602","description":"HCPCS-J0602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01938","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01938","description":"CPT-01938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of tonsil abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42700","description":"Drainage of tonsil abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA45","description":"HIPPS-AAA45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA135","description":"HIPPS-PA135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7638","description":"Dexamethasone comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrin degrade semiquant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85378","description":"Fibrin degrade semiquant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-96041","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96041","description":"CPT-96041","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thyroid lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60200","description":"Remove thyroid lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA56","description":"HIPPS-AAA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical conference_ 60 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0221","description":"Medical conference_ 60 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE206","description":"HIPPS-LE206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amp reqd w/in 48h ieler proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9641","description":"Amp reqd w/in 48h ieler proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP4","description":"HIPPS-1AHP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ torso/shoulder_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6569","description":"Gradient compression garment_ torso/shoulder_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC05","description":"HIPPS-RUC05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC11C","description":"HIPPS-CC11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHN1","description":"HIPPS-1BHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tisagenlecleucel_ up to 600 million car-positive viable t-cells_ including leukopheresis and dose preparation procedures_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2042","description":"Tisagenlecleucel_ up to 600 million car-positive viable t-cells_ including leukopheresis and dose preparation procedures_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB216","description":"HIPPS-LB216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulpal therapy anterior prim","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3230","description":"Pulpal therapy anterior prim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare donor lung single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32855","description":"Prepare donor lung single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Card MRI w/stress img & dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75563","description":"Card MRI w/stress img & dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of miscarriage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59812","description":"Treatment of miscarriage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE226","description":"HIPPS-LE226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL4B","description":"HIPPS-RUL4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC13","description":"HIPPS-RHC13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45399","description":"Unlisted procedure colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepc mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8549","description":"Hepc mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glasses bone conduction","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5080","description":"Glasses bone conduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove electrode/thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33238","description":"Remove electrode/thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dem severity classified mild","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1490F","description":"Dem severity classified mild","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA140","description":"HIPPS-PA140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bundled Payments for Care Improvement Advanced (BPCI Advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9987","description":"Bundled Payments for Care Improvement Advanced (BPCI Advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Instillation_ hexaminolevulinate hydrochloride_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9589","description":"Instillation_ hexaminolevulinate hydrochloride_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+ cell percentage <15%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3497F","description":"Cd4+ cell percentage <15%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGNV","description":"HIPPS-1BGNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sperm pouch lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55680","description":"Remove sperm pouch lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompressive lobectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61323","description":"Decompressive lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temporary replacement eqpmnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0462","description":"Temporary replacement eqpmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 50MCG/0.25MLBST","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0064A","description":"ADM SARSCOV2 50MCG/0.25MLBST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ dexamethasone 9%_ intraocular_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9034","description":"Injection_ dexamethasone 9%_ intraocular_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electromagntic tx for ulcers","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0329","description":"Electromagntic tx for ulcers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 10-12 under the MDPP Expanded Model (EM).","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9877","description":"Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 10-12 under the MDPP Expanded Model (EM).","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8039","description":"Breast prosthesis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx contour defects 1 cc/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11950","description":"Tx contour defects 1 cc/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; first tissue block_ with frozen section(s)_ single specimen (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0841T","description":"Digitization of glass microscope slides for pathology consultation during surgery; first tissue block_ with frozen section(s)_ single specimen (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00140","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00140","description":"CPT-00140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87513","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87513","description":"CPT-87513","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vit for macular pucker","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67041","description":"Vit for macular pucker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cromolyn sodium comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7632","description":"Cromolyn sodium comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inlay composite/resin one su","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2650","description":"Inlay composite/resin one su","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iron sucrose injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1756","description":"Iron sucrose injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair vessel defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33802","description":"Repair vessel defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Silicone gel sheet_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6025","description":"Silicone gel sheet_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj levocarnitine per 1 gm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1955","description":"Inj levocarnitine per 1 gm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87469","description":"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcv <10mg daily predniso","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4193F","description":"Pt rcv <10mg daily predniso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00938","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00938","description":"CPT-00938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair elbow perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24357","description":"Repair elbow perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18X","description":"HIPPS-ES18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45505","description":"Repair of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imp/abut rem dent part mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6113","description":"Imp/abut rem dent part mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0138","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0138","description":"HCPCS-J0138","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic aneurysm 5-5.4cm diam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9002F","description":"Aortic aneurysm 5-5.4cm diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod sedat phys/qhp <5 yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99143","description":"Mod sedat phys/qhp <5 yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sess ions (MS) were attended by an MDPP beneficiary in months (mo) 22-24 under the MDPP Expanded Model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9885","description":"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sess ions (MS) were attended by an MDPP beneficiary in months (mo) 22-24 under the MDPP Expanded Model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1065T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1065T","description":"CPT-1065T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wedging of clubfoot cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29750","description":"Wedging of clubfoot cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lacer molded to patient mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2330","description":"Lacer molded to patient mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray 4/> views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71030","description":"Chest x-ray 4/> views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE221","description":"HIPPS-LE221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyalomatrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4117","description":"Hyalomatrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lt compres band <3in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6448","description":"Lt compres band <3in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2361","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2361","description":"HCPCS-J2361","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath closure of vsd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93581","description":"Transcath closure of vsd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documented reason for not assessing hepatitis B virus (HBV) status (e.g._ patient not initiating anti-TNF therapy_ patient declined) prior to initiating anti-TNF therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9504","description":"Documented reason for not assessing hepatitis B virus (HBV) status (e.g._ patient not initiating anti-TNF therapy_ patient declined) prior to initiating anti-TNF therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelet deplete of harvest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38213","description":"Platelet deplete of harvest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pp eval/edu perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9357","description":"Pp eval/edu perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7569","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7569","description":"HCPCS-C7569","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; Over 12 Channels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77787","description":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; Over 12 Channels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect talus/calcaneus tum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27647","description":"Resect talus/calcaneus tum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analysis of clinical data stored in computers (eg_ ECGs_ blood pressures_ hematologic data)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99090","description":"Analysis of clinical data stored in computers (eg_ ECGs_ blood pressures_ hematologic data)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ sacroiliac joint_ percutaneous or minimally invasive (indirect visualization)_ with image guidance_ placement of transfixing device(s) and intra-articular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0809T","description":"Arthrodesis_ sacroiliac joint_ percutaneous or minimally invasive (indirect visualization)_ with image guidance_ placement of transfixing device(s) and intra-articular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient admitted for performance of elective carotid intervention","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9689","description":"Patient admitted for performance of elective carotid intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topographic brain mapping","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8040","description":"Topographic brain mapping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB55","description":"HIPPS-RUB55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip joint adjustable flexion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2622","description":"Hip joint adjustable flexion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid met imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78015","description":"Thyroid met imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost clsd pouch w att st barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4387","description":"Ost clsd pouch w att st barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip wall fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27226","description":"Treat hip wall fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo intralesional over 7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96406","description":"Chemo intralesional over 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Youth size pull-on","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4534","description":"Youth size pull-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq card revasc chronic 1vsl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92943","description":"Prq card revasc chronic 1vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cpm device_ other than knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0936","description":"Cpm device_ other than knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFL4","description":"HIPPS-3BFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ondansetron hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2405","description":"Ondansetron hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacteria_ fungi_ parasites_ and DNA viruses)_ DNA_ PCR and next-generation sequencing_ plasma_ detection of >1_000 potential microbial organisms for signif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0152U","description":"Infectious disease (bacteria_ fungi_ parasites_ and DNA viruses)_ DNA_ PCR and next-generation sequencing_ plasma_ detection of >1_000 potential microbial organisms for signif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semen analysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0027","description":"Semen analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9489","description":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC54","description":"HIPPS-RVC54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lipoprotein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83718","description":"Assay of lipoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0571","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0571","description":"HCPCS-G0571","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB22B","description":"HIPPS-HB22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHPU","description":"HIPPS-1CHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA21","description":"HIPPS-RVA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB20","description":"HIPPS-RHB20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKV","description":"HIPPS-2AFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB0B","description":"HIPPS-RLB0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24666","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct vena cava","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34502","description":"Reconstruct vena cava","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psytx crisis initial 60 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90839","description":"Psytx crisis initial 60 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rx cntact lens aphakia 1 eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92315","description":"Rx cntact lens aphakia 1 eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4417","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4417","description":"HCPCS-Q4417","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Composite skin graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15760","description":"Composite skin graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estrogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82672","description":"Assay of estrogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC206","description":"HIPPS-CC206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX01","description":"HIPPS-RVX01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB135","description":"HIPPS-HB135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone cutting ramus closed","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7941","description":"Bone cutting ramus closed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risperidone (rykindo)_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2801","description":"Injection_ risperidone (rykindo)_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient receiving an anti-TNF agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9914","description":"Patient receiving an anti-TNF agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal laser ablation of benign prostatic hyperplasia_ including imaging guidance; prostate volume greater or equal to 50 mL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0867T","description":"Transperineal laser ablation of benign prostatic hyperplasia_ including imaging guidance; prostate volume greater or equal to 50 mL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44144","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body pos goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8982","description":"Body pos goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CSTB (cystatin B) (eg_ progressive myoclonic epilepsy type 1A_ Unverricht-Lundborg disease)_ full gene analysis_ including small sequence changes in exonic and intronic region","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0232U","description":"CSTB (cystatin B) (eg_ progressive myoclonic epilepsy type 1A_ Unverricht-Lundborg disease)_ full gene analysis_ including small sequence changes in exonic and intronic region","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES310","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES310","description":"HIPPS-ES310","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply surf ldr radionuclide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77789","description":"Apply surf ldr radionuclide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth for liver biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70251","description":"Anesth for liver biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ translumin angio laser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1885","description":"Cath_ translumin angio laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0823T","description":"Transcatheter insertion of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31360","description":"Removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow hosmer swit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7170","description":"Electronic elbow hosmer swit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect clavicle tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23200","description":"Resect clavicle tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1743","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1743","description":"HCPCS-C1743","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trtmnt simulation 3d image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0393","description":"Trtmnt simulation 3d image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam ribs uni 2 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71100","description":"X-ray exam ribs uni 2 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth perineal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90477","description":"Anesth perineal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of extremity artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37618","description":"Ligation of extremity artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK2","description":"HIPPS-2AGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dna antibody native","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86225","description":"Dna antibody native","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M.avium-intra dna amp prob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87561","description":"M.avium-intra dna amp prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB36","description":"HIPPS-RVB36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA20A","description":"HIPPS-CA20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mass spectrometry qual/quan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83789","description":"Mass spectrometry qual/quan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA20C","description":"HIPPS-PA20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA11","description":"HIPPS-RUA11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Children who were screened for risk of developmental_ behavioral and social delays using a standardized tool with interpretation and report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9966","description":"Children who were screened for risk of developmental_ behavioral and social delays using a standardized tool with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1392","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1392","description":"HCPCS-M1392","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC10A","description":"HIPPS-HC10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allograft_ includes templating_ cutting_ placement and internal fixation_ when performed; osteoarticular_ including articular surface and contiguous bone (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20932","description":"Allograft_ includes templating_ cutting_ placement and internal fixation_ when performed; osteoarticular_ including articular surface and contiguous bone (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4350","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4350","description":"HCPCS-Q4350","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brentuximab vedotin inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9042","description":"Brentuximab vedotin inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18C","description":"HIPPS-CA18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath closure of asd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93580","description":"Transcath closure of asd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repr per/vag pouch dbl proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46712","description":"Repr per/vag pouch dbl proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM5","description":"HIPPS-4CGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC106","description":"HIPPS-LC106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA10B","description":"HIPPS-CA10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level V_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0754T","description":"Digitization of glass microscope slides for level V_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ag detect nos ia single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87450","description":"Ag detect nos ia single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54110","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB226","description":"HIPPS-PB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Minimally invasive direct co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2209","description":"Minimally invasive direct co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX40","description":"HIPPS-RLX40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA5A","description":"HIPPS-RLA5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-93897","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93897","description":"CPT-93897","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"American amnion ac tri-layer_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4305","description":"American amnion ac tri-layer_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX42","description":"HIPPS-RVX42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX2B","description":"HIPPS-RLX2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ashkenazi jewish assoc dis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81412","description":"Ashkenazi jewish assoc dis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB226","description":"HIPPS-LB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental consultation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9310","description":"Dental consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit simple cath care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5498","description":"Hit simple cath care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pericardial Drainage With Insertion Of Indwelling Catheter_ Percutaneous_ Including Fluoroscopy And/Or Ultrasound Guidance_ When Performed; Birth Through 5 Years Of Age Or Any","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33018","description":"Pericardial Drainage With Insertion Of Indwelling Catheter_ Percutaneous_ Including Fluoroscopy And/Or Ultrasound Guidance_ When Performed; Birth Through 5 Years Of Age Or Any","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB5C","description":"HIPPS-RVB5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1502","description":"HCPCS-B1502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placement bile duct support","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47801","description":"Placement bile duct support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toxoplasma antibody igm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86778","description":"Toxoplasma antibody igm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX53","description":"HIPPS-RHX53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX36","description":"HIPPS-RMX36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft brchl-ulnr-rdl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35523","description":"Art byp grft brchl-ulnr-rdl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control of nosebleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30901","description":"Control of nosebleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef>=40% doc normal or mild","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8395","description":"Lvef>=40% doc normal or mild","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0648U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0648U","description":"CPT-0648U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep b scrng docd as done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3513F","description":"Hep b scrng docd as done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eyeglasses delux frames","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2025","description":"Eyeglasses delux frames","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd srv 2-3 vsts p mo 12-19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90958","description":"Esrd srv 2-3 vsts p mo 12-19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of tibia fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27750","description":"Treatment of tibia fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD15C","description":"HIPPS-HD15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB255","description":"HIPPS-HB255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGL6","description":"HIPPS-4BGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whlchr stand fxd arm ft rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1130","description":"Whlchr stand fxd arm ft rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth procedure on mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17051","description":"Anesth procedure on mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ RNA_ gene expression by whole transcriptome sequencing_ formalin-fixed paraffin embedded tissue or fresh frozen tissue_ predictive algorithm reported as potential ta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0019U","description":"Oncology_ RNA_ gene expression by whole transcriptome sequencing_ formalin-fixed paraffin embedded tissue or fresh frozen tissue_ predictive algorithm reported as potential ta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1815","description":"Insulin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pinworm exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87172","description":"Pinworm exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of neck artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37606","description":"Ligation of neck artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ phenylephrine ketorolac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9447","description":"Inj_ phenylephrine ketorolac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recement supp part denture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6093","description":"Recement supp part denture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracranial bilat study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93880","description":"Extracranial bilat study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL6","description":"HIPPS-4BFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibiotic not pres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8708","description":"Antibiotic not pres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA23A","description":"HIPPS-BA23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59121","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ transluminal intravascular lithotripsy_ coronary","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1761","description":"Catheter_ transluminal intravascular lithotripsy_ coronary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99252","description":"Inpatient consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin beta_ non-esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9973","description":"Epoetin beta_ non-esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colorectal scrn; hi risk ind","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0105","description":"Colorectal scrn; hi risk ind","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen system liquid station","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0440","description":"Oxygen system liquid station","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ concentration technique_ smears_ and interpretation (eg_ Saccomanno technique) (List separately in addition to code","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0829T","description":"Digitization of glass microscope slides for cytopathology_ concentration technique_ smears_ and interpretation (eg_ Saccomanno technique) (List separately in addition to code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41016","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA4C","description":"HIPPS-RVA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX1B","description":"HIPPS-RVX1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73580","description":"Contrast x-ray of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of bladder lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51720","description":"Treatment of bladder lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging_ breast_ without and with contrast material(s)_ including computer-aided detection (CAD real-time lesion detection_ characterization and pharmacokin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77049","description":"Magnetic resonance imaging_ breast_ without and with contrast material(s)_ including computer-aided detection (CAD real-time lesion detection_ characterization and pharmacokin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nitroglycerin_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2305","description":"Injection_ nitroglycerin_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aprepitant_ (aponvie)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9145","description":"Injection_ aprepitant_ (aponvie)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj bulking agent anal canal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8605","description":"Inj bulking agent anal canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHM1","description":"HIPPS-3BHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy & pylorus repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43641","description":"Vagotomy & pylorus repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx nasomax fx w/fixj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21346","description":"Opn tx nasomax fx w/fixj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLV","description":"HIPPS-1AFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepagam b im injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1571","description":"Hepagam b im injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC14D","description":"HIPPS-LC14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38571","description":"Laparoscopy lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC60","description":"HIPPS-RMC60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of jaw bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21044","description":"Removal of jaw bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interro eval cardiac modulj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0418T","description":"Interro eval cardiac modulj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis access system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1881","description":"Dialysis access system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc harness_ expand control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2313","description":"Pwc harness_ expand control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA31","description":"HIPPS-RLA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of shoulder ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23415","description":"Release of shoulder ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ pmkr_ other than trans","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1898","description":"Lead_ pmkr_ other than trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB03","description":"HIPPS-RLB03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC136","description":"HIPPS-HC136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronch w/balloon occlusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31634","description":"Bronch w/balloon occlusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icut allergy test-delayed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95028","description":"Icut allergy test-delayed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28F","description":"HIPPS-HE28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42950","description":"Reconstruction of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal monitor/interpret only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59051","description":"Fetal monitor/interpret only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 std sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0856","description":"Pwc gp3 std sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lifestyle mod 2 or 3 stage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0341","description":"Lifestyle mod 2 or 3 stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep c genotype prior to med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9207","description":"Hep c genotype prior to med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parkinsons disease mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8903","description":"Parkinsons disease mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact layer >16<= 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6207","description":"Contact layer >16<= 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ref to outpt card rehab prog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4500F","description":"Ref to outpt card rehab prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx cml acceler phase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9124","description":"Onc dx cml acceler phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med reas no perf foot exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9502","description":"Med reas no perf foot exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC0D","description":"HIPPS-RHC0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 porcelain/ceramic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6783","description":"Crown 3/4 porcelain/ceramic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthroscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29860","description":"Hip arthroscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of thumb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26841","description":"Fusion of thumb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Redo compl cardiac anomaly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33622","description":"Redo compl cardiac anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0020","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunofluorescence_ per specimen; each additional single antibody stain procedure (List separately in addition to code for primary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0846T","description":"Digitization of glass microscope slides for immunofluorescence_ per specimen; each additional single antibody stain procedure (List separately in addition to code for primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX5C","description":"HIPPS-RVX5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0871","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0871","description":"HCPCS-J0871","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Female condom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4268","description":"Female condom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis via catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4054F","description":"Hemodialysis via catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long-acting inhaled bronchodilator prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9695","description":"Long-acting inhaled bronchodilator prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD116","description":"HIPPS-CD116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other pt/ot current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8990","description":"Other pt/ot current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 4 genotyping (HPA-4)_ ITGB3 (integrin_ beta 3 [platelet glycoprotein IIIa]_ antigen CD61 [GPIIIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ pos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81108","description":"Human Platelet Antigen 4 genotyping (HPA-4)_ ITGB3 (integrin_ beta 3 [platelet glycoprotein IIIa]_ antigen CD61 [GPIIIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ pos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of skull defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62141","description":"Repair of skull defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8G","description":"HIPPS-RML8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Als 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0426","description":"Als 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of mesentery lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44820","description":"Excision of mesentery lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2001","description":"HCPCS-A2001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGNS","description":"HIPPS-3CGNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92002","description":"Eye exam new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0981T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0981T","description":"CPT-0981T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD211","description":"HIPPS-PD211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Narcosynthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90865","description":"Narcosynthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis volume measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81050","description":"Urinalysis volume measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"2019-nCoV Coronavirus_ SARS-CoV-2/2019-nCoV (COVID-19)_ any technique_ multiple types or subtypes (includes all targets)_ non-CDC_ making use of high throughput technologies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"U0004","description":"2019-nCoV Coronavirus_ SARS-CoV-2/2019-nCoV (COVID-19)_ any technique_ multiple types or subtypes (includes all targets)_ non-CDC_ making use of high throughput technologies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin w/base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6721","description":"Crown resin w/base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2036","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2036","description":"HCPCS-A2036","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC246","description":"HIPPS-LC246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8X","description":"HIPPS-RVX8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFM3","description":"HIPPS-1BFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intervene hlth/behave group","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96153","description":"Intervene hlth/behave group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation of spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22505","description":"Manipulation of spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFKU","description":"HIPPS-2CFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ augmentative algorithmic analysis of digitized whole slide imaging for 8 genes (ALK_ BRAF_ EGFR_ ERBB2_ MET_ NTRK1-3_ RET_ ROS1)_ and KRAS G12C and PD-L1_ if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0414U","description":"Oncology (lung)_ augmentative algorithmic analysis of digitized whole slide imaging for 8 genes (ALK_ BRAF_ EGFR_ ERBB2_ MET_ NTRK1-3_ RET_ ROS1)_ and KRAS G12C and PD-L1_ if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not performing a dilated macular examination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9976","description":"Documentation of patient reason(s) for not performing a dilated macular examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC24D","description":"HIPPS-CC24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35211","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88150","description":"Cytopath c/v manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ secukinumab_ IV_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3247","description":"Injection_ secukinumab_ IV_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5173","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5173","description":"HCPCS-Q5173","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLS","description":"HIPPS-2CGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of thigh bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27454","description":"Realignment of thigh bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6011","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (eg_ depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ genomic analysis panel_ variant analysis of 15 genes_ including deletion/duplication ana","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0411U","description":"Psychiatry (eg_ depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ genomic analysis panel_ variant analysis of 15 genes_ including deletion/duplication ana","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner eye adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65870","description":"Incise inner eye adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB154","description":"HIPPS-LB154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smoking cessation gum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4995","description":"Smoking cessation gum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a net increase in pam score of at least 3 points within 6 to 12 month period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1349","description":"Patients who did not have a net increase in pam score of at least 3 points within 6 to 12 month period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemolysins/agglutinins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86941","description":"Hemolysins/agglutinins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHM1","description":"HIPPS-3CHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25931","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnosticmammographydigital","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0204","description":"Diagnosticmammographydigital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Edetate calcium disodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0600","description":"Edetate calcium disodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45390","description":"Colonoscopy w/resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGKS","description":"HIPPS-1AGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA4B","description":"HIPPS-RHA4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection of sclerosant; single incompetent vein (other than telangiectasia)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36470","description":"Injection of sclerosant; single incompetent vein (other than telangiectasia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0737","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0737","description":"HCPCS-E0737","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exercise class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9451","description":"Exercise class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine hydrochloride (baxter)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9059","description":"Injection_ bendamustine hydrochloride (baxter)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES33B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES33B","description":"HIPPS-ES33B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removable unilateral partial denture - one piece cast metal_ mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5283","description":"Removable unilateral partial denture - one piece cast metal_ mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis composite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0005F","description":"Osteoarthritis composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of big toe joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28750","description":"Fusion of big toe joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Christian sci pract visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9900","description":"Christian sci pract visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse/graft added joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26863","description":"Fuse/graft added joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric electrophysiology mapping with simultaneous patient symptom profiling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9787","description":"Gastric electrophysiology mapping with simultaneous patient symptom profiling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB15B","description":"HIPPS-PB15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch underarm pair wood","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0112","description":"Crutch underarm pair wood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic control pelvic sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2580","description":"Pelvic control pelvic sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul trial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0282T","description":"Periph field stimul trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm_ genomic sequence analysis panel_ interrogation for sequence variants; DNA analysis_ microsatellite instability","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81457","description":"Solid organ neoplasm_ genomic sequence analysis panel_ interrogation for sequence variants; DNA analysis_ microsatellite instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Folding ped wc adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1236","description":"Folding ped wc adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art pancreas ext transmitter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1036","description":"Art pancreas ext transmitter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18C","description":"HIPPS-ES18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1034T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1034T","description":"CPT-1034T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64467","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64467","description":"CPT-64467","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no rh-immuno","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8810","description":"Doc reas no rh-immuno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including ultrasound guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10005","description":"Fine needle aspiration biopsy_ including ultrasound guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue Transglutaminase_ Each Immunoglobulin (Ig) Class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86364","description":"Tissue Transglutaminase_ Each Immunoglobulin (Ig) Class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40720","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD22D","description":"HIPPS-HD22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lepirudin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1945","description":"Lepirudin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 9-10 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98929","description":"Osteopath manj 9-10 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 3.1-4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11444","description":"Exc face-mm b9+marg 3.1-4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6029","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6029","description":"HCPCS-L6029","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46753","description":"Reconstruction of anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99282","description":"Emergency dept visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation cone locator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5985","description":"Radiation cone locator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy lesion removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43216","description":"Esophagoscopy lesion removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ coagulation Factor Xa (recombinant)_ inactivated-zhzo (Andexxa)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7169","description":"Injection_ coagulation Factor Xa (recombinant)_ inactivated-zhzo (Andexxa)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD25A","description":"HIPPS-HD25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Locm 300-399mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9967","description":"Locm 300-399mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of neurostimulator electrode array_ peripheral nerve_ with integrated neurostimulator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64598","description":"Revision or removal of neurostimulator electrode array_ peripheral nerve_ with integrated neurostimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vital signs recorded","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2010F","description":"Vital signs recorded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ hip_ during operative procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73530","description":"Radiologic examination_ hip_ during operative procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ enzyme-linked immunosorbent assay (ELISA) of 7 autoantibodies (p53_ NY-ESO-1_ CAGE_ GBU4-5_ SOX2_ MAGE A4_ and HuD)_ plasma_ algorithm reported as a categoric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0360U","description":"Oncology (lung)_ enzyme-linked immunosorbent assay (ELISA) of 7 autoantibodies (p53_ NY-ESO-1_ CAGE_ GBU4-5_ SOX2_ MAGE A4_ and HuD)_ plasma_ algorithm reported as a categoric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal vaccine admin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8864","description":"Pneumococcal vaccine admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt/redo pn/gastr stimul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64590","description":"Insrt/redo pn/gastr stimul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyperthermia treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77600","description":"Hyperthermia treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4395","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4395","description":"HCPCS-Q4395","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4438","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4438","description":"HCPCS-Q4438","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional outcome assessment not documented as being performed_ documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8540","description":"Functional outcome assessment not documented as being performed_ documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autgrft implnt knee w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29866","description":"Autgrft implnt knee w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA154","description":"HIPPS-BA154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit new age 5-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99383","description":"Prev visit new age 5-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18B","description":"HIPPS-PD18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel new rubber standar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3460","description":"Shoe heel new rubber standar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29820","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFK5","description":"HIPPS-1AFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ corticotropin (Acthar Gel)_ up to 40 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0801","description":"Injection_ corticotropin (Acthar Gel)_ up to 40 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cont pas motion exercise dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0935","description":"Cont pas motion exercise dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB205","description":"HIPPS-BB205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manipulate wrist w/anesthes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25259","description":"Manipulate wrist w/anesthes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ny heart assoc class docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3118F","description":"Ny heart assoc class docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES12A","description":"HIPPS-ES12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB22D","description":"HIPPS-PB22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL30","description":"HIPPS-RVL30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis b dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87515","description":"Hepatitis b dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33777","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHK1","description":"HIPPS-1BHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ CROS_ in the ear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5170","description":"Hearing aid_ CROS_ in the ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No rx ace/arb therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8937","description":"No rx ace/arb therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spirom fev/fvc>/=70%/w/ocopd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3027F","description":"Spirom fev/fvc>/=70%/w/ocopd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subtalar arthro w/deb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29906","description":"Subtalar arthro w/deb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD156","description":"HIPPS-CD156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport mini-bus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0120","description":"Noner transport mini-bus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLU","description":"HIPPS-4AHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPW","description":"HIPPS-3CFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L8720","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8720","description":"HCPCS-L8720","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysterectomy/revise vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58275","description":"Hysterectomy/revise vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Torsion ank & half solid sti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2375","description":"Torsion ank & half solid sti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dsg>16<=48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6232","description":"Hydrogel dsg>16<=48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA55","description":"HIPPS-RVA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin node stgng docdb/4 surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3323F","description":"Clin node stgng docdb/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brush biopsy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7288","description":"Brush biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24149","description":"Radical resection of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0697T","description":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enema tube_ any type_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1013","description":"Enema tube_ any type_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHMU","description":"HIPPS-4BHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temp fml iu valve-pmp rplcmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0597T","description":"Temp fml iu valve-pmp rplcmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shldr disartic myoelectronic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6965","description":"Shldr disartic myoelectronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transport parking fees/tolls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0170","description":"Transport parking fees/tolls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-hypertensive or hypertensive blood pressure reading documented_ indicated follow-up not documented_ Patient not eligible/ not appropriate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8951","description":"Pre-hypertensive or hypertensive blood pressure reading documented_ indicated follow-up not documented_ Patient not eligible/ not appropriate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE214","description":"HIPPS-PE214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit corticosteroid/diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9490","description":"Hit corticosteroid/diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy lower leg soft tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27613","description":"Biopsy lower leg soft tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4419","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4419","description":"HCPCS-Q4419","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLX","description":"HIPPS-4CFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hmes/trachvalve adhesivedisk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7506","description":"Hmes/trachvalve adhesivedisk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36566","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin sys hydraul stance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5848","description":"Knee-shin sys hydraul stance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28308","description":"Incision of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI abdomen w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74181","description":"MRI abdomen w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low-level laser therapy_ dynamic photonic and dynamic thermokinetic energies_ provided by a physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0552T","description":"Low-level laser therapy_ dynamic photonic and dynamic thermokinetic energies_ provided by a physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Restraints any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0710","description":"Restraints any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES251","description":"HIPPS-ES251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth neck vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35051","description":"Anesth neck vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Powered air flotation bed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0193","description":"Powered air flotation bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper ext fx orthosis wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3984","description":"Upper ext fx orthosis wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50660","description":"Removal of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trimethobenzamide hcl inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3250","description":"Trimethobenzamide hcl inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiesse injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2026","description":"Radiesse injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients With Moderate Or Severe Mitral Stenosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0044","description":"Patients With Moderate Or Severe Mitral Stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA13A","description":"HIPPS-PA13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD216","description":"HIPPS-HD216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; known familial variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81190","description":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; known familial variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL6","description":"HIPPS-1BGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay resin 3 surface","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2663","description":"Dental onlay resin 3 surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home health aide or certifie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9122","description":"Home health aide or certifie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46761","description":"Repair of anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam propulsion tire each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2218","description":"Foam propulsion tire each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MLG-Complete_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4256","description":"MLG-Complete_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76497","description":"Ct procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18C","description":"HIPPS-HE18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cefotaxime sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0698","description":"Cefotaxime sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hexa gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81255","description":"Hexa gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Accessing and retorquing loose implant screw - per screw","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6089","description":"Accessing and retorquing loose implant screw - per screw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microprcsr cu elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0481","description":"Microprcsr cu elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ho w/o joints cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3919","description":"Ho w/o joints cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam filled caster tire each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2217","description":"Foam filled caster tire each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM1","description":"HIPPS-3BGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB241","description":"HIPPS-BB241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occlusion analysis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9950","description":"Occlusion analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gen use back cush wdth>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2612","description":"Gen use back cush wdth>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45315","description":"Proctosigmoidoscopy removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiofrequency spectroscopy_ real time_ intraoperative margin assessment_ at the time of partial mastectomy_ with report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0546T","description":"Radiofrequency spectroscopy_ real time_ intraoperative margin assessment_ at the time of partial mastectomy_ with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay rbc glutathione","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82979","description":"Assay rbc glutathione","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30400","description":"Reconstruction of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to or on the episode date","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2177","description":"Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to or on the episode date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFK6","description":"HIPPS-2CFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not consid poss risk fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3573F","description":"Pt not consid poss risk fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of stomach lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43610","description":"Excision of stomach lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB10","description":"HIPPS-RUB10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1111T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1111T","description":"CPT-1111T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lactate (ld) (ldh) enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83615","description":"Lactate (ld) (ldh) enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0781T","description":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55715","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55715","description":"CPT-55715","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP09","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP09","description":"HIPPS-ATP09","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKU","description":"HIPPS-4CHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27824","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most recent BP is greater than 140/90 mm Hg_ or blood pressure not documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9790","description":"Most recent BP is greater than 140/90 mm Hg_ or blood pressure not documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK3","description":"HIPPS-5AFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB211","description":"HIPPS-HB211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder over 12.00d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2114","description":"Spherocylinder over 12.00d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tongue lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41110","description":"Excision of tongue lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0673U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0673U","description":"CPT-0673U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contour cranial bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21181","description":"Contour cranial bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gi protein loss exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78282","description":"Gi protein loss exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove kidney open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50220","description":"Remove kidney open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac Output Measurement(S)_ Thermodilution Or Other Indicator Dilution Method_ Performed During Cardiac Catheterization For The Evaluation Of Congenital Heart Defects (List","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93598","description":"Cardiac Output Measurement(S)_ Thermodilution Or Other Indicator Dilution Method_ Performed During Cardiac Catheterization For The Evaluation Of Congenital Heart Defects (List","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK1","description":"HIPPS-5AFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko adj jnt pos r sup pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1833","description":"Ko adj jnt pos r sup pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmi not documented due to medical reason or patient refusal of height or weight measurement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1297","description":"Bmi not documented due to medical reason or patient refusal of height or weight measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0206","description":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bilirubin total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82247","description":"Bilirubin total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pvb thoracic 2nd+ inj site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64462","description":"Pvb thoracic 2nd+ inj site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk back check","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5686","description":"Bk back check","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology lab procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89240","description":"Pathology lab procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine incon plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0509F","description":"Urine incon plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP4","description":"HIPPS-3BHP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI neck spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72156","description":"MRI neck spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interest escort in non er","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0090","description":"Interest escort in non er","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc type nsm lung ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9289","description":"Doc type nsm lung ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FLT3 (fms-related tyrosine kinase 3) (eg_ acute myeloid leukemia) internal tandem duplication (ITD) variants_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0046U","description":"FLT3 (fms-related tyrosine kinase 3) (eg_ acute myeloid leukemia) internal tandem duplication (ITD) variants_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK4","description":"HIPPS-5BHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE25A","description":"HIPPS-HE25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61860","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ziconotide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2278","description":"Ziconotide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assessment of aphasia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96105","description":"Assessment of aphasia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7525","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auto interm peritoneal dialy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1592","description":"Auto interm peritoneal dialy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lymph nodes neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38724","description":"Removal of lymph nodes neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post and core cast + crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2952","description":"Post and core cast + crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Space maintainer_ fixed_ bilateral_ maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1516","description":"Space maintainer_ fixed_ bilateral_ maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Recording (Includes Connection And Initial Recording)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93242","description":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Recording (Includes Connection And Initial Recording)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High mount flip-up footrest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0037","description":"High mount flip-up footrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune diseases (eg_ systemic lupus erythematosus [SLE])_ analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorben","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0312U","description":"Autoimmune diseases (eg_ systemic lupus erythematosus [SLE])_ analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorben","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHNW","description":"HIPPS-1CHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML5A","description":"HIPPS-RML5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC1B","description":"HIPPS-RVC1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onlay cst base mtl 2 surface","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6612","description":"Onlay cst base mtl 2 surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1023","description":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/sac drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32659","description":"Thoracoscopy w/sac drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX22","description":"HIPPS-RVX22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ref for oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8856","description":"Ref for oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33692","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55707","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55707","description":"CPT-55707","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC124","description":"HIPPS-PC124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multi-position stnd fram sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0641","description":"Multi-position stnd fram sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dolasetron mesylate oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0180","description":"Dolasetron mesylate oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as an unhealthy alcohol user received brief counseling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2200","description":"Patient identified as an unhealthy alcohol user received brief counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vestronidase alfa-vjbk_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3397","description":"Injection_ vestronidase alfa-vjbk_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methyl aminolevulinate_ top","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7309","description":"Methyl aminolevulinate_ top","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscope_ single-use (i.e. disposable)_ urinary tract_ imaging/illumination device (insertable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1747","description":"Endoscope_ single-use (i.e. disposable)_ urinary tract_ imaging/illumination device (insertable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation physics consult","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77336","description":"Radiation physics consult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert pacing lead & connect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33224","description":"Insert pacing lead & connect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cisplatin 10 mg injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9060","description":"Cisplatin 10 mg injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of a chlamydia screening test with proper follow-up","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9820","description":"Documentation of a chlamydia screening test with proper follow-up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory surgical boot eac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3260","description":"Ambulatory surgical boot eac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1016T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1016T","description":"CPT-1016T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amb infusion pump mechanical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0779","description":"Amb infusion pump mechanical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spin&cord 2 stgs thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63199","description":"Incise spin&cord 2 stgs thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc foot/toe tum dep 1.5cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28041","description":"Exc foot/toe tum dep 1.5cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bcg vaccine intravesical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90586","description":"Bcg vaccine intravesical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genitourinary nuclear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78799","description":"Genitourinary nuclear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg art-vein six or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33523","description":"Cabg art-vein six or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA12","description":"HIPPS-RMA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy with biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44389","description":"Colonoscopy with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair pail or pan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0167","description":"Commode chair pail or pan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cerliponase alfa_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0567","description":"Injection_ cerliponase alfa_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7509","description":"Methylprednisolone oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr standing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2301","description":"Pwr standing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45327","description":"Proctosigmoidoscopy w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace ureter by bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50840","description":"Replace ureter by bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family psytx w/patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90847","description":"Family psytx w/patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nb resuscitation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99465","description":"Nb resuscitation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic caster tire tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2215","description":"Pneumatic caster tire tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pegademase bovine_ 25 iu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2504","description":"Pegademase bovine_ 25 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation (AVF)_ direct_ any site_ by tissue approximation using thermal resistance e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2170","description":"Percutaneous arteriovenous fistula creation (AVF)_ direct_ any site_ by tissue approximation using thermal resistance e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma impairment assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2015F","description":"Asthma impairment assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of corticosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82528","description":"Assay of corticosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES150","description":"HIPPS-ES150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC16","description":"HIPPS-RUC16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv eccrine glands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64653","description":"Chemodenerv eccrine glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1503","description":"HCPCS-M1503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL5","description":"HIPPS-1BHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation thru metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28805","description":"Amputation thru metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit prenatal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99500","description":"Home visit prenatal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vesiculobullous disease carr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5991","description":"Vesiculobullous disease carr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain electrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61535","description":"Remove brain electrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ faricimab-svoa_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2777","description":"Injection_ faricimab-svoa_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull implant device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61210","description":"Pierce skull implant device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth bladder stone surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87051","description":"Anesth bladder stone surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70260","description":"X-ray exam of skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD13A","description":"HIPPS-CD13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In ear binaural hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5130","description":"In ear binaural hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam infant hips static","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76886","description":"Us exam infant hips static","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand/chin ctrl std joystick","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2374","description":"Hand/chin ctrl std joystick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bp not performed/doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8478","description":"Bp not performed/doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diskectomy_ anterior_ with d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2351","description":"Diskectomy_ anterior_ with d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant spinal canal cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62351","description":"Implant spinal canal cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC140","description":"HIPPS-LC140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLU","description":"HIPPS-1AHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cleft palate repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17251","description":"Anesth cleft palate repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srs cran les simple addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61797","description":"Srs cran les simple addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9303","description":"HCPCS-C9303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received anti-EGFR monoclonal antibody therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9845","description":"Patient received anti-EGFR monoclonal antibody therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone diacetate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3302","description":"Triamcinolone diacetate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inherited bone marrow failure syndromes (IBMFS) (eg_ Fanconi anemia_ dyskeratosis congenita_ Diamond-Blackfan anemia_ Shwachman-Diamond syndrome_ GATA2 deficiency syndrome_ co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81441","description":"Inherited bone marrow failure syndromes (IBMFS) (eg_ Fanconi anemia_ dyskeratosis congenita_ Diamond-Blackfan anemia_ Shwachman-Diamond syndrome_ GATA2 deficiency syndrome_ co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of cyanide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82600","description":"Assay of cyanide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy control bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46614","description":"Anoscopy control bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq plmt bile duct stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47538","description":"Perq plmt bile duct stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation cervical mucus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89330","description":"Evaluation cervical mucus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge porcelain high noble","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6240","description":"Bridge porcelain high noble","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67909","description":"Revise eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal septal prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8047","description":"Nasal septal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elb mold sock flex hinge pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6100","description":"Elb mold sock flex hinge pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ meropenem (b. braun) not therapeutically equivalent to j2185_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2184","description":"Injection_ meropenem (b. braun) not therapeutically equivalent to j2185_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ bivalent_ preservative free_ 10 mcg/0.2 mL dosa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91316","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ bivalent_ preservative free_ 10 mcg/0.2 mL dosa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGLT","description":"HIPPS-3BGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toc tool incl key elem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9655","description":"Toc tool incl key elem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open nasoethmoid fx w/ fixj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21339","description":"Open nasoethmoid fx w/ fixj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray urinary tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74415","description":"Contrst x-ray urinary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tympanometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92567","description":"Tympanometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFL5","description":"HIPPS-2BFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat tilt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1002","description":"Pwr seat tilt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8D","description":"HIPPS-RHA8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary heart disease [CHD])_ DNA_ analysis of 5 single-nucleotide polymorphisms (SNPs) (rs11716050 [LOC105376934]_ rs6560711 [WDR37]_ rs3735222 [SCIN/LOC10798676","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0439U","description":"Cardiology (coronary heart disease [CHD])_ DNA_ analysis of 5 single-nucleotide polymorphisms (SNPs) (rs11716050 [LOC105376934]_ rs6560711 [WDR37]_ rs3735222 [SCIN/LOC10798676","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Bladder Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1075","description":"Radiation Therapy For Bladder Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15941","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC121","description":"HIPPS-PC121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ romosozumab-aqqg_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3111","description":"Injection_ romosozumab-aqqg_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytal_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4166","description":"Cytal_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC11B","description":"HIPPS-CC11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore deep node(s) neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38542","description":"Explore deep node(s) neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Belinostat_ 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9442","description":"Injection_ Belinostat_ 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Distal transcutaneous electrical nerve stimulator_ stimulates peripheral nerves of the upper arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4540","description":"Distal transcutaneous electrical nerve stimulator_ stimulates peripheral nerves of the upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology Clinical Consultation; Prolonged Service_ Each Additional 30 Minutes (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80506","description":"Pathology Clinical Consultation; Prolonged Service_ Each Additional 30 Minutes (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal_ entire osseointegrated implant_ skull; with magnetic transcutaneous attachment to external speech processor_ outside the mastoid and involving a bony defect greater t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69728","description":"Removal_ entire osseointegrated implant_ skull; with magnetic transcutaneous attachment to external speech processor_ outside the mastoid and involving a bony defect greater t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition_ endoskeletal knee-shin system_ 4 bar linkage or multiaxial_ fluid swing and stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5615","description":"Addition_ endoskeletal knee-shin system_ 4 bar linkage or multiaxial_ fluid swing and stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"F2 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81240","description":"F2 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iop measurement not documented_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1226","description":"Iop measurement not documented_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Radrite_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1024","description":"Clinical Decision Support Mechanism Radrite_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA12","description":"HIPPS-RHA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Probe nasolacrimal duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68815","description":"Probe nasolacrimal duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown-indirect resin based","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6710","description":"Crown-indirect resin based","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tetanus immune globulin inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1670","description":"Tetanus immune globulin inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42310","description":"Drainage of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK2","description":"HIPPS-5BGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change of bladder tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51710","description":"Change of bladder tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26180","description":"Removal of finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place cath carotid/inom art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36223","description":"Place cath carotid/inom art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Provision of COVID-19 test_ nonprescription self-administered and self-collected use_ FDA approved_ authorized or cleared_ one test count","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1034","description":"Provision of COVID-19 test_ nonprescription self-administered and self-collected use_ FDA approved_ authorized or cleared_ one test count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB230","description":"HIPPS-HB230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cell cryopreserve/storage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88240","description":"Cell cryopreserve/storage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amantadine hcl oral brand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9033","description":"Amantadine hcl oral brand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC34","description":"HIPPS-RHC34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seat lift for pt furn-non-el","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0629","description":"Seat lift for pt furn-non-el","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood lipoprotein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83719","description":"Assay of blood lipoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient receiving first-time biologic disease modifying anti-rheumatic drug therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2182","description":"Patient receiving first-time biologic disease modifying anti-rheumatic drug therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of pubic bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27282","description":"Fusion of pubic bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision_ benign lesion including margins_ except skin tag (unless listed elsewhere)_ trunk_ arms or legs; excised diameter 2.1 to 3.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11403","description":"Excision_ benign lesion including margins_ except skin tag (unless listed elsewhere)_ trunk_ arms or legs; excised diameter 2.1 to 3.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8D","description":"HIPPS-RVL8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC130","description":"HIPPS-LC130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9174","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9174","description":"HCPCS-J9174","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m apcitide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9504","description":"Tc99m apcitide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance for analysis of tissue composition (eg_ fat_ iron_ water content)_ including multiparametric data acquisition_ data preparation and transmissio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0648T","description":"Quantitative magnetic resonance for analysis of tissue composition (eg_ fat_ iron_ water content)_ including multiparametric data acquisition_ data preparation and transmissio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj repair of joint disc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7852","description":"Tmj repair of joint disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMU","description":"HIPPS-3BFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8I","description":"HIPPS-RUB8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Daily cont lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0512","description":"Daily cont lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay tumor ca 125","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86304","description":"Immunoassay tumor ca 125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD23B","description":"HIPPS-CD23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth chest surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54051","description":"Anesth chest surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX40","description":"HIPPS-RUX40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occ orthotic device adjust","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7881","description":"Occ orthotic device adjust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC1C","description":"HIPPS-RUC1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1442","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1442","description":"HCPCS-M1442","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGNX","description":"HIPPS-3BGNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sever cranial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64771","description":"Sever cranial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHNT","description":"HIPPS-1CHNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB21A","description":"HIPPS-CB21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt serv p mo 2-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90964","description":"Esrd home pt serv p mo 2-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision malig lesion<=1.25c","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7413","description":"Excision malig lesion<=1.25c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFM6","description":"HIPPS-3CFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18E","description":"HIPPS-PA18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent treatment day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0891T","description":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent treatment day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair Of Nasal Valve Collapse With Subcutaneous/Submucosal Lateral Wall Implant(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30468","description":"Repair Of Nasal Valve Collapse With Subcutaneous/Submucosal Lateral Wall Implant(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC33","description":"HIPPS-RMC33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22843","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth correct heart rhythm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41051","description":"Anesth correct heart rhythm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive remover per ounce","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4455","description":"Adhesive remover per ounce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phone e/m phys/qhp 11-20 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99442","description":"Phone e/m phys/qhp 11-20 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aztreonam_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0073","description":"Injection_ aztreonam_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone imaging whole body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78306","description":"Bone imaging whole body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0205","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0205","description":"HCPCS-A0205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore adrenal gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60540","description":"Explore adrenal gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1>=risk or>= mod risk for te","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8972","description":"1>=risk or>= mod risk for te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-H0052","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H0052","description":"HCPCS-H0052","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ next-generation sequencing (NGS) of DNA from formalin-fixed paraffin-embedded (FFPE) tissue with comparative sequence analysis from a matched normal sp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0473U","description":"Oncology (solid tumor)_ next-generation sequencing (NGS) of DNA from formalin-fixed paraffin-embedded (FFPE) tissue with comparative sequence analysis from a matched normal sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC160","description":"HIPPS-CC160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC13B","description":"HIPPS-LC13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhcp-serv of pt_ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0151","description":"Hhcp-serv of pt_ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lactic acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83605","description":"Assay of lactic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Woundplus membrane or e-graft_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4277","description":"Woundplus membrane or e-graft_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"T cells total count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86359","description":"T cells total count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trach-esoph voice pros pt in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8507","description":"Trach-esoph voice pros pt in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC206","description":"HIPPS-LC206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blinded Procedure For Nyha Class Iii/Iv Heart Failure; Transcatheter Implantation Of Interatrial Shunt Or Placebo Control_ Including Right Heart Catheterization_ Trans-Esophag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9758","description":"Blinded Procedure For Nyha Class Iii/Iv Heart Failure; Transcatheter Implantation Of Interatrial Shunt Or Placebo Control_ Including Right Heart Catheterization_ Trans-Esophag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunohistochemical stains","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0478","description":"Immunohistochemical stains","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML2C","description":"HIPPS-RML2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFPU","description":"HIPPS-1CFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shorten radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25390","description":"Shorten radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemivibart_ for the pre-exposure prophylaxis only_ for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known SARS-CoV-2 e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0224","description":"Injection_ pemivibart_ for the pre-exposure prophylaxis only_ for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known SARS-CoV-2 e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM4","description":"HIPPS-4AFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscop rotator cuff repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29827","description":"Arthroscop rotator cuff repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low back disk surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63030","description":"Low back disk surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Single pivot hinge pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6605","description":"Single pivot hinge pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Late closure of wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13160","description":"Late closure of wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB111","description":"HIPPS-BB111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC14C","description":"HIPPS-CC14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging_ breast_ without contrast material; unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77046","description":"Magnetic resonance imaging_ breast_ without contrast material; unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No follow up pulm nod norsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9347","description":"No follow up pulm nod norsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of diaphragm hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39541","description":"Repair of diaphragm hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB17","description":"HIPPS-RHB17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18H","description":"HIPPS-LB18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA15A","description":"HIPPS-BA15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag-co shell pnl pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0651","description":"Lso sag-co shell pnl pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonneedle injection device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4210","description":"Nonneedle injection device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation)_ for screening for peripheral arterial disease_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0860T","description":"Noncontact near-infrared spectroscopy (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation)_ for screening for peripheral arterial disease_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Case presentation_ subsequent to detailed and extensive treatment planning","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9450","description":"Case presentation_ subsequent to detailed and extensive treatment planning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermabrasion suprfl any site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15783","description":"Dermabrasion suprfl any site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiological Evaluation Of Implantable Cardioverter-Defibrillator System With Substernal Electrode (Includes Defibrillation Threshold Evaluation_ Induction Of Arrhythm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0577T","description":"Electrophysiological Evaluation Of Implantable Cardioverter-Defibrillator System With Substernal Electrode (Includes Defibrillation Threshold Evaluation_ Induction Of Arrhythm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx laryngoscopy w/oper scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31526","description":"Dx laryngoscopy w/oper scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK3","description":"HIPPS-3AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD125","description":"HIPPS-LD125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seat lift for pt furn-electr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0628","description":"Seat lift for pt furn-electr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX0D","description":"HIPPS-RVX0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE230","description":"HIPPS-CE230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1473","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1473","description":"HCPCS-M1473","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient enrolled in hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9858","description":"Patient enrolled in hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of rectal abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45020","description":"Drainage of rectal abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC24B","description":"HIPPS-PC24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1407","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1407","description":"HCPCS-M1407","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGP3","description":"HIPPS-3CGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc rsn do qual life assm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9635","description":"No doc rsn do qual life assm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt ureteral stent prq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50694","description":"Plmt ureteral stent prq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg/ankle surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27899","description":"Leg/ankle surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55868","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55868","description":"CPT-55868","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5944","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5944","description":"CDT-D5944","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Lymphoma Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1097","description":"Radiation Therapy For Lymphoma Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Agriflu vaccine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2034","description":"Agriflu vaccine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES151","description":"HIPPS-ES151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36560","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deluxe item","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1001","description":"Deluxe item","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family/couple counseling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1006","description":"Family/couple counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul revise","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0284T","description":"Periph field stimul revise","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES12C","description":"HIPPS-ES12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFK1","description":"HIPPS-2CFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"DPYD (dihydropyrimidine dehydrogenase) (eg_ 5-fluorouracil/5-FU and capecitabine drug metabolism)_ gene analysis_ common variant(s) (eg_ *2A_ *4_ *5_ *6)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81232","description":"DPYD (dihydropyrimidine dehydrogenase) (eg_ 5-fluorouracil/5-FU and capecitabine drug metabolism)_ gene analysis_ common variant(s) (eg_ *2A_ *4_ *5_ *6)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD215","description":"HIPPS-LD215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echocardiography image post processing for computer aided detection of heart failure with preserved ejection fraction_ including interpretation and report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9786","description":"Echocardiography image post processing for computer aided detection of heart failure with preserved ejection fraction_ including interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLT","description":"HIPPS-2CGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pegaptanib sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2503","description":"Pegaptanib sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percussor elect/pneum home m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0480","description":"Percussor elect/pneum home m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL05","description":"HIPPS-RUL05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Review/report bp recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93790","description":"Review/report bp recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18G","description":"HIPPS-CB18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove tonsils and adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42820","description":"Remove tonsils and adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing device_ monaural_ behind the ear (BTE)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5181","description":"Hearing aid_ contralateral routing device_ monaural_ behind the ear (BTE)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft struct add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20938","description":"Sp bone agrft struct add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fremanezumab-vfrm_ 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician_ not for use when drug is self-administere","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3031","description":"Injection_ fremanezumab-vfrm_ 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician_ not for use when drug is self-administere","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker folding adjust/fixed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0135","description":"Walker folding adjust/fixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8F","description":"HIPPS-RUC8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC43","description":"HIPPS-RVC43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban (accord)_ not therapeutically equivalent to j0884_ 1 mg (for esrd on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0892","description":"Injection_ argatroban (accord)_ not therapeutically equivalent to j0884_ 1 mg (for esrd on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of skull seams","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61552","description":"Release of skull seams","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35206","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney imaging morphol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78700","description":"Kidney imaging morphol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cases in which an inhalational anesthetic is used only for induction","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9955","description":"Cases in which an inhalational anesthetic is used only for induction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0636U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0636U","description":"CPT-0636U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41006","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth electroshock","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10451","description":"Anesth electroshock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8A","description":"HIPPS-RMX8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm counseling by a physician or other qualified health care prof when the vaccine(s) is not admin on the same date of service for ages under 21_ 16-30 min Medicaid only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0313","description":"Imm counseling by a physician or other qualified health care prof when the vaccine(s) is not admin on the same date of service for ages under 21_ 16-30 min Medicaid only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc visit unspecified nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9055","description":"Onc visit unspecified nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL42","description":"HIPPS-RVL42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-91125","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91125","description":"CPT-91125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimate of absolute quantitation of myocardial blood flow (AQMBF)_ derived from assistive algorithmic analysis of the dataset acquired via contrast cardiac magnet","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0900T","description":"Noninvasive estimate of absolute quantitation of myocardial blood flow (AQMBF)_ derived from assistive algorithmic analysis of the dataset acquired via contrast cardiac magnet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe modifica nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3649","description":"Orthopedic shoe modifica nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5271","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tilt table evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93660","description":"Tilt table evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert intrauterine device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58300","description":"Insert intrauterine device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87471","description":"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Npm1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81310","description":"Npm1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biofeedback Training_ Perineal Muscles_ Anorectal Or Urethral Sphincter_ Including Emg And/Or Manometry_ When Performed; Initial 15 Minutes Of One-On-One Physician Or Other Qu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90912","description":"Biofeedback Training_ Perineal Muscles_ Anorectal Or Urethral Sphincter_ Including Emg And/Or Manometry_ When Performed; Initial 15 Minutes Of One-On-One Physician Or Other Qu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deep muscle biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20205","description":"Deep muscle biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown full noble metal cast","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6792","description":"Crown full noble metal cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL26","description":"HIPPS-RHL26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0977T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0977T","description":"CPT-0977T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44125","description":"Removal of small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep c ab test confirm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86804","description":"Hep c ab test confirm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cat scan follow-up study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76380","description":"Cat scan follow-up study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01636","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01636","description":"CPT-01636","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1501","description":"HCPCS-B1501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/snare","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44394","description":"Colonoscopy w/snare","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27265","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk imaging tst not ordered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3331F","description":"Bk imaging tst not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport lodgng escrt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0200","description":"Noner transport lodgng escrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay for infectious agent antibody(ies)_ qualitative or semiquantitative_ single-step method (eg_ reagent strip);","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86318","description":"Immunoassay for infectious agent antibody(ies)_ qualitative or semiquantitative_ single-step method (eg_ reagent strip);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp iliorenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35634","description":"Art byp iliorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0237","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0237","description":"HCPCS-M0237","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ROTAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87425","description":"IAAD IA ROTAVIRUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61514","description":"Removal of brain abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA13","description":"HIPPS-RUA13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1005T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1005T","description":"CPT-1005T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal m1 w/mets prog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9094","description":"Onc dx rectal m1 w/mets prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mltispectrl digital les alys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0400T","description":"Mltispectrl digital les alys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bupren/nal 3.1 to 6mg bupren","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0573","description":"Bupren/nal 3.1 to 6mg bupren","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amniowrap2_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4221","description":"Amniowrap2_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion radioulnar jnt/ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25830","description":"Fusion radioulnar jnt/ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD231","description":"HIPPS-CD231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision breast lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19125","description":"Excision breast lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease_ intracranial_ coronary_ pulmonary_ or dialysis circuit)_ open or percutaneous_ incl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37247","description":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease_ intracranial_ coronary_ pulmonary_ or dialysis circuit)_ open or percutaneous_ incl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE11B","description":"HIPPS-PE11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HISTOPLASM CAPSULATUM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87385","description":"IAAD IA HISTOPLASM CAPSULATUM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dyspnea mngmnt plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0535F","description":"Dyspnea mngmnt plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC21B","description":"HIPPS-CC21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Service for diagnosis_ evaluation_ or treatment of a mental health or substance use disorder_ each additional 15 minutes_ provided remotely by hospital staff who are licensed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7902","description":"Service for diagnosis_ evaluation_ or treatment of a mental health or substance use disorder_ each additional 15 minutes_ provided remotely by hospital staff who are licensed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc death after cea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9260","description":"Doc death after cea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology work-up evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9050","description":"Oncology work-up evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1202","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1202","description":"CDT-D1202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triamcinolone acetonide (Xipere)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3299","description":"Injection_ triamcinolone acetonide (Xipere)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-49186","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49186","description":"CPT-49186","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise bladder & ureter(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51565","description":"Revise bladder & ureter(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splint - extra-coronal; natural teeth or prosthetic crowns","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4323","description":"Splint - extra-coronal; natural teeth or prosthetic crowns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic duct procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38382","description":"Thoracic duct procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA116","description":"HIPPS-CA116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD25D","description":"HIPPS-LD25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB4B","description":"HIPPS-RMB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath abd/l-ext art 3rd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36247","description":"Ins cath abd/l-ext art 3rd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA32","description":"HIPPS-RVA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove jaw joint cartilage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21060","description":"Remove jaw joint cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81403","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clsd reduct compd maxilla fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7720","description":"Clsd reduct compd maxilla fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Includes Recording_ Scanning Analysis With Report_ Revi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93241","description":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Includes Recording_ Scanning Analysis With Report_ Revi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cefepime hcl for injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0692","description":"Cefepime hcl for injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physician standby services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99360","description":"Physician standby services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel-bladder fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44661","description":"Repair bowel-bladder fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0901","description":"HCPCS-J0901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of scrotum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54700","description":"Drainage of scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5170","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5170","description":"HCPCS-Q5170","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chronic Care Management Services With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months_ Or Until The Death Of The","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99437","description":"Chronic Care Management Services With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months_ Or Until The Death Of The","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise penis/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54332","description":"Revise penis/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP5","description":"HIPPS-1CGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31081","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical supplies and equipme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9061","description":"Medical supplies and equipme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed semi-electr w/o mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0261","description":"Hosp bed semi-electr w/o mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symptom mgmnt plan care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0555F","description":"Symptom mgmnt plan care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8H","description":"HIPPS-RHB8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA141","description":"HIPPS-BA141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj octafluoropropane mic_ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9956","description":"Inj octafluoropropane mic_ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26433","description":"Repair finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous breast biopsies using magnetic resonance guidance_ with placement of breast localization device(s) (eg_ clip_ metallic pellet)_ when performed_ and imaging of the","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7502","description":"Percutaneous breast biopsies using magnetic resonance guidance_ with placement of breast localization device(s) (eg_ clip_ metallic pellet)_ when performed_ and imaging of the","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLT","description":"HIPPS-1BHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN1","description":"HIPPS-1AHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGL3","description":"HIPPS-4BGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach_ including transseptal puncture_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0483T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach_ including transseptal puncture_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mapcp demo physician","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9153","description":"Mapcp demo physician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients on active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1268","description":"Patients on active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic graft facial bones","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7995","description":"Synthetic graft facial bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decalcify tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88311","description":"Decalcify tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc w/tla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37228","description":"Tib/per revasc w/tla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extraction coronal remnants","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7111","description":"Extraction coronal remnants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen system gas portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0430","description":"Oxygen system gas portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped crit care age 2-5 init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99475","description":"Ped crit care age 2-5 init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening pap smear by phys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P3001","description":"Screening pap smear by phys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tongue fold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41010","description":"Incision of tongue fold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amniotic membrane","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2790","description":"Amniotic membrane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA56","description":"HIPPS-RLA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD251","description":"HIPPS-CD251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thromboplastin time partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85732","description":"Thromboplastin time partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were in hospice at any time during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1022","description":"Patients who were in hospice at any time during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser tx skin < 250 sq cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96920","description":"Laser tx skin < 250 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis_ administered by","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96203","description":"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis_ administered by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD241","description":"HIPPS-PD241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis auto w/o scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81003","description":"Urinalysis auto w/o scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag ctr rigi pos pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0643","description":"Lso sag ctr rigi pos pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable canister for pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7000","description":"Disposable canister for pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic type socket molde","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2350","description":"Prosthetic type socket molde","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB32","description":"HIPPS-RMB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj tst 5-6 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95909","description":"Nrv cndj tst 5-6 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1063T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1063T","description":"CPT-1063T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ls >= 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8659","description":"Fun stat score ls >= 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude_ pulse duration_ configuration of wave form_ battery status_ electrode selec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95975","description":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude_ pulse duration_ configuration of wave form_ battery status_ electrode selec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clsd reduct compd mandble fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7740","description":"Clsd reduct compd mandble fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL41","description":"HIPPS-RVL41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA02","description":"HIPPS-AAA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0406","description":"HCPCS-A0406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunofluor antb 1st stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88346","description":"Immunofluor antb 1st stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8D","description":"HIPPS-RHX8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of collarbone joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23106","description":"Incision of collarbone joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval cardiac modulj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0417T","description":"Prgrmg eval cardiac modulj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional electric stim nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0770","description":"Functional electric stim nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Potent antivir thxpy rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4276F","description":"Potent antivir thxpy rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL0A","description":"HIPPS-RUL0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zinc paste band w >=3in<5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6456","description":"Zinc paste band w >=3in<5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0502","description":"HCPCS-B0502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Create tear duct drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68745","description":"Create tear duct drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition additiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4216","description":"Parenteral nutrition additiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44100","description":"Biopsy of bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red cell mass single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78120","description":"Red cell mass single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1054T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1054T","description":"CPT-1054T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb bone add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11047","description":"Deb bone add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic sgd interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2351","description":"Electronic sgd interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bile acids cholylglycine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82240","description":"Bile acids cholylglycine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular photodynamic ther","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67221","description":"Ocular photodynamic ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; characterization of alleles (eg_ expanded size)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81285","description":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; characterization of alleles (eg_ expanded size)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92642","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92642","description":"CPT-92642","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auditor evoke potent limit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92586","description":"Auditor evoke potent limit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC25A","description":"HIPPS-CC25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2007","description":"Limited (30 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic seq analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81450","description":"Targeted genomic seq analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric mucosa imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78261","description":"Gastric mucosa imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD231","description":"HIPPS-LD231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fem/popl revasc stnt & ather","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37227","description":"Fem/popl revasc stnt & ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Term dev mech hand vol open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6708","description":"Term dev mech hand vol open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"22nf nonsealed leadacid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2360","description":"22nf nonsealed leadacid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Next gen aco model<10min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9868","description":"Next gen aco model<10min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj lo_ initial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9004","description":"Mccd_ risk adj lo_ initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit tocolysis diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9349","description":"Hit tocolysis diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC124","description":"HIPPS-LC124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction pump portab hom modl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0600","description":"Suction pump portab hom modl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFKU","description":"HIPPS-3CFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFL4","description":"HIPPS-1CFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD12B","description":"HIPPS-CD12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01951","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01951","description":"CPT-01951","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58960","description":"Exploration of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy face plate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4361","description":"Ostomy face plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise hip joint replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27138","description":"Revise hip joint replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKW","description":"HIPPS-1AHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NEURO INH ATAXIA DNA 51 GENE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0217U","description":"NEURO INH ATAXIA DNA 51 GENE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ramucirumab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9308","description":"Injection_ ramucirumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"P-mastectomy w/ln removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19302","description":"P-mastectomy w/ln removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB154","description":"HIPPS-BB154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flt3 gene analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81246","description":"Flt3 gene analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening of thigh bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27466","description":"Lengthening of thigh bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise/graft midfoot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28305","description":"Incise/graft midfoot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transnasal; with insertion of intraluminal tube or catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0654T","description":"Esophagogastroduodenoscopy_ flexible_ transnasal; with insertion of intraluminal tube or catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth tympanotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12651","description":"Anesth tympanotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most recent BP is less than or equal to 140/90 mm Hg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9788","description":"Most recent BP is less than or equal to 140/90 mm Hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reimplant artery each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35697","description":"Reimplant artery each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ quantitative real-time target and signal amplification_ methylated DNA markers_ including LASS4_ LRRC4 and PPP2R5C_ a reference marker ZDHHC1_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0464U","description":"Oncology (colorectal) screening_ quantitative real-time target and signal amplification_ methylated DNA markers_ including LASS4_ LRRC4 and PPP2R5C_ a reference marker ZDHHC1_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX2A","description":"HIPPS-RMX2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53260","description":"Treatment of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace vad intra w/o bp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33982","description":"Replace vad intra w/o bp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1081T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1081T","description":"CPT-1081T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62320","description":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermabind dl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4287","description":"Dermabind dl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay rbc cholinesterase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82482","description":"Assay rbc cholinesterase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC21B","description":"HIPPS-PC21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53601","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL3","description":"HIPPS-3BHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gauze > 48 sq in water/salne","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6230","description":"Gauze > 48 sq in water/salne","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27372","description":"Removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (cervix)_ mRNA gene expression profiling of 14 biomarkers (E6 and E7 of the highest-risk human papillomavirus [HPV] types 16_ 18_ 31_ 33_ 45_ 52_ 58)_ by real-time nu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0463U","description":"Oncology (cervix)_ mRNA gene expression profiling of 14 biomarkers (E6 and E7 of the highest-risk human papillomavirus [HPV] types 16_ 18_ 31_ 33_ 45_ 52_ 58)_ by real-time nu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX43","description":"HIPPS-RUX43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Choline c-11_ diagnostic_ per study dose up to 20 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9515","description":"Choline c-11_ diagnostic_ per study dose up to 20 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin reuse pen 3 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5561","description":"Insulin reuse pen 3 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial limited study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93888","description":"Intracranial limited study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iris Prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1839","description":"Iris Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart symp image plnr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0331T","description":"Heart symp image plnr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX50","description":"HIPPS-RVX50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of collar bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73000","description":"X-ray exam of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/o 3+ post-opnausea&vom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4557F","description":"Pt w/o 3+ post-opnausea&vom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM1","description":"HIPPS-4AHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of palm bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26025","description":"Drainage of palm bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK1","description":"HIPPS-2BHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD214","description":"HIPPS-LD214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who received cervical cytology or an HPV test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9806","description":"Patients who received cervical cytology or an HPV test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1377","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1377","description":"HCPCS-M1377","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoskel knee-shin mnl lock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5810","description":"Endoskel knee-shin mnl lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alveolus clsd reduc stblz te","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7771","description":"Alveolus clsd reduc stblz te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject congenital card cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93563","description":"Inject congenital card cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE23C","description":"HIPPS-HE23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandage roll_ elastic long stretch_ linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6597","description":"Gradient compression bandage roll_ elastic long stretch_ linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat kneecap fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27520","description":"Treat kneecap fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1378","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1378","description":"HCPCS-M1378","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skilled services of a registered nurse (RN)_ in the training and/or education of a patient or family member_ in the home health or hospice setting_ each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0495","description":"Skilled services of a registered nurse (RN)_ in the training and/or education of a patient or family member_ in the home health or hospice setting_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adenovirus ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87260","description":"Adenovirus ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX4A","description":"HIPPS-RVX4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE101","description":"HIPPS-HE101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"deep sedation/general anesthesia each subsequent 15 minute increment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9223","description":"deep sedation/general anesthesia each subsequent 15 minute increment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest allogeneic stem cell","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38205","description":"Harvest allogeneic stem cell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln part maxil lab","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5760","description":"Denture reln part maxil lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27266","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX54","description":"HIPPS-RVX54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC146","description":"HIPPS-PC146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKW","description":"HIPPS-2BFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59851","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary rehab rec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4033F","description":"Pulmonary rehab rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath ren art 1st unilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36251","description":"Ins cath ren art 1st unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0683","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0683","description":"HCPCS-G0683","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt pulse gen w/mult leads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33231","description":"Insrt pulse gen w/mult leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interferon alfa-2b inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9214","description":"Interferon alfa-2b inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carry current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8984","description":"Carry current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB250","description":"HIPPS-BB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal endoscop po debrid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2342","description":"Nasal endoscop po debrid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93315","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1757","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1757","description":"HCPCS-J1757","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antinuclear antibodies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86038","description":"Antinuclear antibodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK1","description":"HIPPS-2AHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chiropractic medicine mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0065","description":"Chiropractic medicine mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Morcellator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1782","description":"Morcellator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respite care service 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1005","description":"Respite care service 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lenticular lens_ trifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2321","description":"Lenticular lens_ trifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE13D","description":"HIPPS-HE13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lutetium lu 177_ dotatate_ therapeutic_ 1 millicure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9513","description":"Lutetium lu 177_ dotatate_ therapeutic_ 1 millicure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr s/a/l 2.6-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13121","description":"Cmplx rpr s/a/l 2.6-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61850","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Standing frame sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0638","description":"Standing frame sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enteral feeding supply kit; elastomeric control fed_ per day_ includes but not limited to feeding/flushing syringe_ administration set tubing_ dressings_ tape","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4148","description":"Enteral feeding supply kit; elastomeric control fed_ per day_ includes but not limited to feeding/flushing syringe_ administration set tubing_ dressings_ tape","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA150","description":"HIPPS-PA150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit20.1-30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12046","description":"Intmd rpr n-hf/genit20.1-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; 1 Channel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77785","description":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; 1 Channel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plate pheres leukoredu irrad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9037","description":"Plate pheres leukoredu irrad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral function therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92526","description":"Oral function therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pdgfra gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81314","description":"Pdgfra gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4928","description":"Surgical mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC50","description":"HIPPS-RVC50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8014","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8014","description":"HCPCS-C8014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alloderm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4116","description":"Alloderm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE141","description":"HIPPS-CE141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA03","description":"HIPPS-RUA03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP3","description":"HIPPS-1CFP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD134","description":"HIPPS-PD134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin cartridge 150 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5565","description":"Insulin cartridge 150 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abscess drainage under x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75989","description":"Abscess drainage under x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of fetal fibronectin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82731","description":"Assay of fetal fibronectin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leuprolide Injectable_ Camcevi_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1952","description":"Leuprolide Injectable_ Camcevi_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hi enrgy eswt plantar fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28890","description":"Hi enrgy eswt plantar fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1449","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1449","description":"HCPCS-M1449","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sciatic nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64786","description":"Remove sciatic nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMV","description":"HIPPS-2BHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88005","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Placement And Subsequent Removal Of Cerebral Embolic Protection Device(S)_ Including Arterial Access_ Catheterization_ Imaging_ And Radiological Supervision And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33370","description":"Transcatheter Placement And Subsequent Removal Of Cerebral Embolic Protection Device(S)_ Including Arterial Access_ Catheterization_ Imaging_ And Radiological Supervision And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace cvad cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36580","description":"Replace cvad cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat recline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1003","description":"Pwr seat recline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult foster care per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5141","description":"Adult foster care per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imaging Of Retina For Detection Or Monitoring Of Disease; Point-Of-Care Automated Analysis And Report_ Unilateral Or Bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92229","description":"Imaging Of Retina For Detection Or Monitoring Of Disease; Point-Of-Care Automated Analysis And Report_ Unilateral Or Bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrical care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59400","description":"Obstetrical care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/ch access det adj armrest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0973","description":"W/ch access det adj armrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Stent Repair Of Coarctation Of The Ascending_ Transverse_ Or Descending Thoracic Or Abdominal Aorta_ Involving Stent Placement; Across Major Side Branches","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33894","description":"Endovascular Stent Repair Of Coarctation Of The Ascending_ Transverse_ Or Descending Thoracic Or Abdominal Aorta_ Involving Stent Placement; Across Major Side Branches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-explore parathyroids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60502","description":"Re-explore parathyroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria_ tetanus toxoids_ and acellular pertussis vaccine andhemophilus influenza b vaccine (dtap-hib)_ for intramsucular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90721","description":"Diphtheria_ tetanus toxoids_ and acellular pertussis vaccine andhemophilus influenza b vaccine (dtap-hib)_ for intramsucular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tap block uni by infusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64487","description":"Tap block uni by infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28I","description":"HIPPS-BB28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 3-4 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98926","description":"Osteopath manj 3-4 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen system liquid portabl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0435","description":"Oxygen system liquid portabl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB3D","description":"HIPPS-RUB3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aurothioglucose injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2910","description":"Aurothioglucose injeciton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB22C","description":"HIPPS-LB22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xcm biologic tiss matrix 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4142","description":"Xcm biologic tiss matrix 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroesophageal reflux test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91034","description":"Gastroesophageal reflux test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8D","description":"HIPPS-RMA8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic wrist rotator any","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7259","description":"Electronic wrist rotator any","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM1","description":"HIPPS-1CFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec sz spec ht b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1228","description":"Wheelchair spec sz spec ht b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL5B","description":"HIPPS-RVL5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES34C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES34C","description":"HIPPS-ES34C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore neck vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35800","description":"Explore neck vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trauma respons w/hosp criti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0390","description":"Trauma respons w/hosp criti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB260","description":"HIPPS-HB260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral mr contrast_ 100 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9954","description":"Oral mr contrast_ 100 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subepithelial tissue graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4273","description":"Subepithelial tissue graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29886","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD231","description":"HIPPS-HD231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC22","description":"HIPPS-RVC22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1705","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1705","description":"HCPCS-A1705","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral place of fix dev","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7998","description":"Intraoral place of fix dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK6","description":"HIPPS-5AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of thigh brace","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20663","description":"Application of thigh brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Duplicate/copy patient_s records","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9961","description":"Duplicate/copy patient_s records","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6072","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wearable artificial kidney","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1632","description":"Wearable artificial kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor speech current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8999","description":"Motor speech current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Washed red blood cells unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9022","description":"Washed red blood cells unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemipelvect canad sing axis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5280","description":"Hemipelvect canad sing axis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not respond to the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1241","description":"Patient did not respond to the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC115","description":"HIPPS-CC115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iodine i-125 sodium iodide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9527","description":"Iodine i-125 sodium iodide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX14","description":"HIPPS-RMX14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of low back nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64862","description":"Repair of low back nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sirolimus protein-bound particles_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9331","description":"Injection_ sirolimus protein-bound particles_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove elbow lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24120","description":"Remove elbow lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Face bone graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21210","description":"Face bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath indw foley 3 way","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4346","description":"Cath indw foley 3 way","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNX","description":"HIPPS-3CFNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Root canal therapy 2 canals","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3320","description":"Root canal therapy 2 canals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Approp ace/arb tstng done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4188F","description":"Approp ace/arb tstng done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompressive craniotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61322","description":"Decompressive craniotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intranasal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30117","description":"Removal of intranasal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX4A","description":"HIPPS-RMX4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59840","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28102","description":"Remove/graft foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC06","description":"HIPPS-RUC06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFM2","description":"HIPPS-2BFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intrvl 3/>yr pts clnscp docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0529F","description":"Intrvl 3/>yr pts clnscp docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28705","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srn clin dep doc no f/u pln","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8940","description":"Srn clin dep doc no f/u pln","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy remove for body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46608","description":"Anoscopy remove for body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interventional Radiology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4012","description":"Interventional Radiology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct upper jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21206","description":"Reconstruct upper jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Didanosine_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0137","description":"Didanosine_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE23B","description":"HIPPS-PE23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc tb scrng-rslts interpd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3510F","description":"Doc tb scrng-rslts interpd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27610","description":"Explore/treat ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25270","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD240","description":"HIPPS-CD240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct neck spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72125","description":"Ct neck spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8B","description":"HIPPS-RHB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB13D","description":"HIPPS-PB13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4032","description":"Rheumatology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sach foot_ replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5971","description":"Sach foot_ replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0764T","description":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc skin abd add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15847","description":"Exc skin abd add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75831","description":"Vein x-ray kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rcmnd flw-up 10 yrs docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0528F","description":"Rcmnd flw-up 10 yrs docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPS","description":"HIPPS-3CFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC23D","description":"HIPPS-HC23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zidovudine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3485","description":"Zidovudine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rubeola ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87283","description":"Rubeola ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ full gene sequence (List separately in addition to code for primary procedu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0071U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ full gene sequence (List separately in addition to code for primary procedu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Hyperbaric Oxygen Treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X2061","description":"Hospital Special Treatment Room Support Component (Hstrsc) Hyperbaric Oxygen Treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay quant nos nonab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83520","description":"Immunoassay quant nos nonab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had anaphylaxis due to the tetanus_ diphtheria or pertussis vaccine any time on or before the patient_s 13th birthday","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1161","description":"Patient had anaphylaxis due to the tetanus_ diphtheria or pertussis vaccine any time on or before the patient_s 13th birthday","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL2","description":"HIPPS-2CFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza imm status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1030F","description":"Influenza imm status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52235","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cough stimulating device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0482","description":"Cough stimulating device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neurostim arrays","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61886","description":"Implant neurostim arrays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of a-v fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37607","description":"Ligation of a-v fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD234","description":"HIPPS-CD234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75827","description":"Vein x-ray chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel pad removable for","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3485","description":"Shoe heel pad removable for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of body section","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76100","description":"X-ray exam of body section","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Function stat assessed rvwd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1175F","description":"Function stat assessed rvwd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99222","description":"Initial hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial psychiatric collaborative care management_ first 70 minutes in the first calendar month of behavioral health care manager activities_ in consultation with a psychiatri","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99492","description":"Initial psychiatric collaborative care management_ first 70 minutes in the first calendar month of behavioral health care manager activities_ in consultation with a psychiatri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB12B","description":"HIPPS-LB12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35013","description":"Repair artery rupture arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biological materials","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3431","description":"Biological materials","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNU","description":"HIPPS-3AFNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifocal 4.25-7/>6","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2310","description":"Lens sphc trifocal 4.25-7/>6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apc gene dup/delet variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81203","description":"Apc gene dup/delet variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Case management","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1016","description":"Case management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"History of preoperative posterior capsule rupture","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9759","description":"History of preoperative posterior capsule rupture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26075","description":"Explore/treat finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation; wit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7552","description":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation; wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM4","description":"HIPPS-4AHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10121","description":"Remove foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multi-durometer below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5665","description":"Multi-durometer below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27500","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp axill-fem-femoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35654","description":"Art byp axill-fem-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qual card diag prior 12 mons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1460F","description":"Qual card diag prior 12 mons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid dispensing fee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5090","description":"Hearing aid dispensing fee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37267","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37267","description":"CPT-37267","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"4-bar link above knee w/swng","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5614","description":"4-bar link above knee w/swng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skn sub grft t/a/l child add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15274","description":"Skn sub grft t/a/l child add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX2A","description":"HIPPS-RUX2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R & l heart cath congenital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93532","description":"R & l heart cath congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disability examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99456","description":"Disability examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology (Barrett’s esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 methylation analysis_ prognostic and predictive algorithm reported as a risk score for progression to high-g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0386U","description":"Gastroenterology (Barrett’s esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 methylation analysis_ prognostic and predictive algorithm reported as a risk score for progression to high-g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24615","description":"Treat elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Provisional retainer crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6793","description":"Provisional retainer crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune diseases (systemic lupus erythematosus [SLE])_ analysis of 11 cytokine soluble mediator biomarkers by immunoassay_ plasma_ individual components reported with an al","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0447U","description":"Autoimmune diseases (systemic lupus erythematosus [SLE])_ analysis of 11 cytokine soluble mediator biomarkers by immunoassay_ plasma_ individual components reported with an al","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit chemo per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9329","description":"Hit chemo per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cane adjust/fixed with tip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0100","description":"Cane adjust/fixed with tip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained without concurrent CT examination of any structure contained in pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0721T","description":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained without concurrent CT examination of any structure contained in pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26755","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL1","description":"HIPPS-2BHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES35C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES35C","description":"HIPPS-ES35C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig neg scrn depres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8510","description":"Pt inelig neg scrn depres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of subcutaneous peritoneal ascites pump system_ percutaneous_ including pump-pocket creation_ insertion of tunneled indwelling bladder and peritoneal catheters wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0870T","description":"Implantation of subcutaneous peritoneal ascites pump system_ percutaneous_ including pump-pocket creation_ insertion of tunneled indwelling bladder and peritoneal catheters wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0235","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0235","description":"HCPCS-Q0235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electric current therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97033","description":"Electric current therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64581","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1022","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1022","description":"HCPCS-E1022","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC50","description":"HIPPS-RUC50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mtms by pharm est 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99606","description":"Mtms by pharm est 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC213","description":"HIPPS-CC213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3291","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3291","description":"HCPCS-J3291","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant femur ridge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27140","description":"Transplant femur ridge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-81515","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81515","description":"CPT-81515","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7566","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7566","description":"HCPCS-C7566","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No antihist/decong rx/recom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4134F","description":"No antihist/decong rx/recom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2291","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2291","description":"HCPCS-J2291","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC260","description":"HIPPS-LC260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHM2","description":"HIPPS-1AHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3d render w/intrp postproces","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76377","description":"3d render w/intrp postproces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dactinomycin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9120","description":"Dactinomycin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22840","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal foot fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28060","description":"Partial removal foot fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limb muscle testing manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95831","description":"Limb muscle testing manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic vein harvest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33508","description":"Endoscopic vein harvest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair elbow w/deb open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24358","description":"Repair elbow w/deb open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg_ touch preparation_ squash preparation)_ each additional site (Lis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0844T","description":"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg_ touch preparation_ squash preparation)_ each additional site (Lis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 180 day implantable sensor_ including s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0309","description":"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 180 day implantable sensor_ including s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 2 piece rigid shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0491","description":"Tlso 2 piece rigid shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac output measurement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93561","description":"Cardiac output measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orbitocranial approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61584","description":"Orbitocranial approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lsh w/t/o uterus above 250 g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58544","description":"Lsh w/t/o uterus above 250 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD22C","description":"HIPPS-HD22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy salpingostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58673","description":"Laparoscopy salpingostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6065","description":"Implant supported crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for hip x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27095","description":"Injection for hip x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK5","description":"HIPPS-3AFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rigid ped w/c tilt-in-space","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1231","description":"Rigid ped w/c tilt-in-space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iv oct for proc addl vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0292T","description":"Iv oct for proc addl vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No assess bone loss","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8863","description":"No assess bone loss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00914","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00914","description":"CPT-00914","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coagulation time activated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85347","description":"Coagulation time activated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNX","description":"HIPPS-1BFNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurawrap nerve protector_cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9353","description":"Neurawrap nerve protector_cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe dennis browne splint bo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3640","description":"Shoe dennis browne splint bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tempr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0278T","description":"Tempr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rgd ped wc adjstabl w/o seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1237","description":"Rgd ped wc adjstabl w/o seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immntx 1 sting insect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95130","description":"Immntx 1 sting insect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for elbow x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24220","description":"Injection for elbow x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery for hearing device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5266","description":"Battery for hearing device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGKU","description":"HIPPS-2CGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27530","description":"Treat knee fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHPX","description":"HIPPS-1AHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v interpret","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88141","description":"Cytopath c/v interpret","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj desmopressin acetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2597","description":"Inj desmopressin acetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulpal regeneration complete","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3357","description":"Pulpal regeneration complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lithium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80178","description":"Assay of lithium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inhibin a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86336","description":"Inhibin a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye Imaging Validated To Match Diagnosis From Seven Standard Field Stereoscopic Photos Results Documented And Reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2104","description":"Eye Imaging Validated To Match Diagnosis From Seven Standard Field Stereoscopic Photos Results Documented And Reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surg reduct osseoustuberosit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7485","description":"Surg reduct osseoustuberosit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA154","description":"HIPPS-CA154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES214","description":"HIPPS-ES214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKW","description":"HIPPS-4BGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of lymph channels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38308","description":"Incision of lymph channels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iliac revasc add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37222","description":"Iliac revasc add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhc occup therapy ea 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0160","description":"Hhc occup therapy ea 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In morphine preservativ free","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2274","description":"In morphine preservativ free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of donor heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33940","description":"Removal of donor heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ inebilizumab-cdon_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1823","description":"Injection_ inebilizumab-cdon_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Habil res waiver 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2017","description":"Habil res waiver 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1503","description":"HCPCS-A1503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHK3","description":"HIPPS-3BHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8I","description":"HIPPS-RLX8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus (SARS-CoV-2) (coronavirus disease [COVID-19]) mutation identification in targeted region(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87913","description":"Severe acute respiratory syndrome coronavirus (SARS-CoV-2) (coronavirus disease [COVID-19]) mutation identification in targeted region(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/o&w/dye_ upper extr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8936","description":"Mra_ w/o&w/dye_ upper extr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27306","description":"Incision of thigh tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed total electr w/ mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0265","description":"Hosp bed total electr w/ mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surv score no improv w/tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9605","description":"Surv score no improv w/tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behav chng smoking 3-10 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99406","description":"Behav chng smoking 3-10 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy_ with ureteroscopy and/or pyeloscopy_ with lithotripsy (ureteral catheterization is included) and vacuum aspiration of the kidney_ collecting system and uret","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9761","description":"Cystourethroscopy_ with ureteroscopy and/or pyeloscopy_ with lithotripsy (ureteral catheterization is included) and vacuum aspiration of the kidney_ collecting system and uret","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC111","description":"HIPPS-PC111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1829","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1829","description":"HCPCS-E1829","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42831","description":"Removal of adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chorionic gonadotropin/1000u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0725","description":"Chorionic gonadotropin/1000u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB211","description":"HIPPS-CB211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18B","description":"HIPPS-CE18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0503","description":"HCPCS-A0503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ 50 mcg/0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91322","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ 50 mcg/0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor hysterectomy (including cold preservation); laparoscopic or robotic_ from living donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0666T","description":"Donor hysterectomy (including cold preservation); laparoscopic or robotic_ from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0403","description":"HCPCS-C0403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each multiplex probe stain p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0853T","description":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each multiplex probe stain p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo_ walk boot type_ cus fab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4631","description":"Afo_ walk boot type_ cus fab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ank symes mold sckt sach ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5050","description":"Ank symes mold sckt sach ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacemnt lithium ionbatter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7367","description":"Replacemnt lithium ionbatter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone replce graft first site","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4263","description":"Bone replce graft first site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; implantable monitor only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0532T","description":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; implantable monitor only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0642U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0642U","description":"CPT-0642U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc lack perm&cont&parox fib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1061F","description":"Doc lack perm&cont&parox fib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15221","description":"Skin full graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palliative Care Services Given To Patient Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0031","description":"Palliative Care Services Given To Patient Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Not initial eval for cond","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1501F","description":"Not initial eval for cond","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB106","description":"HIPPS-HB106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30150","description":"Partial removal of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA16","description":"HIPPS-RMA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-97008","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97008","description":"CPT-97008","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak/knee disartic pelvic join","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5696","description":"Ak/knee disartic pelvic join","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antinomyces antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86602","description":"Antinomyces antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad w/o backup non-inv intfc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0470","description":"Rad w/o backup non-inv intfc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB13D","description":"HIPPS-BB13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism curbside clinical augmented workflow_ as defined by the medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1020","description":"Clinical decision support mechanism curbside clinical augmented workflow_ as defined by the medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray spleen/liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75810","description":"Vein x-ray spleen/liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control of nosebleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30905","description":"Control of nosebleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC25C","description":"HIPPS-PC25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFL6","description":"HIPPS-1CFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lamellar bdy fetal lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83664","description":"Lamellar bdy fetal lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert idrl body crvcl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63304","description":"Remove vert idrl body crvcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of vein clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34490","description":"Removal of vein clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex for nonspeech device rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92605","description":"Ex for nonspeech device rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped home apnea rec downld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94776","description":"Ped home apnea rec downld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gauze <= 16 sq in w/border","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6219","description":"Gauze <= 16 sq in w/border","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal cancer)_ cell-free DNA (cfDNA)_ methylation-based quantitative PCR assay (SEPTIN9_ IKZF1_ BCAT1_ Septin9-2_ VAV3_ BCAN)_ plasma_ reported as presence or a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0453U","description":"Oncology (colorectal cancer)_ cell-free DNA (cfDNA)_ methylation-based quantitative PCR assay (SEPTIN9_ IKZF1_ BCAT1_ Septin9-2_ VAV3_ BCAN)_ plasma_ reported as presence or a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK1","description":"HIPPS-3BFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8X","description":"HIPPS-RLX8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51050","description":"Removal of bladder stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tap block bi by infusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64489","description":"Tap block bi by infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA260","description":"HIPPS-BA260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18A","description":"HIPPS-CE18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE14C","description":"HIPPS-LE14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-exploration of chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32120","description":"Re-exploration of chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch on barr w/flng","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5073","description":"Urinary pouch on barr w/flng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31577","description":"Remove foreign body larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiof trsmtr implt scrl neu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8684","description":"Radiof trsmtr implt scrl neu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of jaw nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64738","description":"Incision of jaw nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE131","description":"HIPPS-LE131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IFNL3 (interferon_ lambda 3) (eg_ drug response)_ gene analysis_ rs12979860 variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81283","description":"IFNL3 (interferon_ lambda 3) (eg_ drug response)_ gene analysis_ rs12979860 variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFM6","description":"HIPPS-1BFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB21B","description":"HIPPS-CB21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal tear gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68505","description":"Partial removal tear gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFL2","description":"HIPPS-2BFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0806","description":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGLT","description":"HIPPS-1AGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ bal tis dis_ non-vas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1727","description":"Cath_ bal tis dis_ non-vas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc first line amox","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9315","description":"Doc first line amox","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colorectal cancer screening; blood-based biomarker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0327","description":"Colorectal cancer screening; blood-based biomarker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54500","description":"Biopsy of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy intracavitary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96440","description":"Chemotherapy intracavitary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML36","description":"HIPPS-RML36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8X","description":"HIPPS-RLB8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autotransplant parathyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60512","description":"Autotransplant parathyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo ia infuse each addl hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96423","description":"Chemo ia infuse each addl hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Approp diuretic tstng done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4190F","description":"Approp diuretic tstng done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80420","description":"Dexamethasone panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48154","description":"Pancreatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oscillating tracking test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92545","description":"Oscillating tracking test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meperidine hydrochl /100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2175","description":"Meperidine hydrochl /100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9455","description":"Diabetic management program_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma scrn hgh risk direc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0117","description":"Glaucoma scrn hgh risk direc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB115","description":"HIPPS-LB115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cannula nasal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4615","description":"Cannula nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61534","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93015","description":"Cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supra SDRM_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2011","description":"Supra SDRM_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49616","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of tibia nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28035","description":"Decompression of tibia nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group psychotherapy service for diagnosis_ evaluation_ or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7903","description":"Group psychotherapy service for diagnosis_ evaluation_ or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dm meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8494","description":"Dm meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dimethadione","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6048","description":"Dimethadione","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01484","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01484","description":"CPT-01484","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX16","description":"HIPPS-RLX16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrig drug delivery device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96523","description":"Irrig drug delivery device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bevacizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9035","description":"Bevacizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Octagam injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1568","description":"Octagam injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18E","description":"HIPPS-PC18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB236","description":"HIPPS-HB236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"von Willebrand factor (VWF)_ type 2N_ factor VIII and VWF binding evaluation_ enzyme-linked immunosorbent assays (ELISA)_ plasma (Versiti™ VWD Type 2N Binding)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0284U","description":"von Willebrand factor (VWF)_ type 2N_ factor VIII and VWF binding evaluation_ enzyme-linked immunosorbent assays (ELISA)_ plasma (Versiti™ VWD Type 2N Binding)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stool cultr aerobic bact ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87046","description":"Stool cultr aerobic bact ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not prescribing or administering corticosteroid or immunosuppressant treatment (e.g._ allergy_ intolerance_ infectious etiology_ pancrea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1184","description":"Documentation of medical reason(s) for not prescribing or administering corticosteroid or immunosuppressant treatment (e.g._ allergy_ intolerance_ infectious etiology_ pancrea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC23","description":"HIPPS-RUC23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC10D","description":"HIPPS-HC10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery angio s&i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93454","description":"Coronary artery angio s&i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of hand or finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29280","description":"Strapping of hand or finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/o dysphag/wt loss/nutr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3761F","description":"Pt w/o dysphag/wt loss/nutr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33781","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retainer Crown - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6753","description":"Retainer Crown - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX5D","description":"HIPPS-RMX5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27818","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carcinoembryonic antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82378","description":"Carcinoembryonic antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA234","description":"HIPPS-BA234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat spinal canal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62282","description":"Treat spinal canal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE235","description":"HIPPS-CE235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pvb thoracic single inj site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64461","description":"Pvb thoracic single inj site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Accessory for gradient compression garment or wrap with adjustable straps_ non-otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6593","description":"Accessory for gradient compression garment or wrap with adjustable straps_ non-otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm ped fbrglas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4012","description":"Cast sup sht arm ped fbrglas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25800","description":"Fusion of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"2vhpv vaccine 3 dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90650","description":"2vhpv vaccine 3 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-sterile gauze>16<=48 sq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6217","description":"Non-sterile gauze>16<=48 sq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL4C","description":"HIPPS-RVL4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC206","description":"HIPPS-PC206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Cardiac Catheterization Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0622","description":"Hospital Special Treatment Room Support Component (Hstrsc) Cardiac Catheterization Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telehealth facility fee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q3014","description":"Telehealth facility fee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathogen reduced plasma pool","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9070","description":"Pathogen reduced plasma pool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4384","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4384","description":"HCPCS-Q4384","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application long leg splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29505","description":"Application long leg splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFKX","description":"HIPPS-4AFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8X","description":"HIPPS-RVC8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq revasc byp graft addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92938","description":"Prq revasc byp graft addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace g/c tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49450","description":"Replace g/c tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreserve testicular tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89335","description":"Cryopreserve testicular tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB54","description":"HIPPS-RMB54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt neurostim radiofq rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8682","description":"Implt neurostim radiofq rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE14B","description":"HIPPS-LE14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of b hexosaminidase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83080","description":"Assay of b hexosaminidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis or past history of total colectomy or colorectal cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9711","description":"Patients with a diagnosis or past history of total colectomy or colorectal cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath indw foley 2 way silicn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4344","description":"Cath indw foley 2 way silicn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain shoulder lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23030","description":"Drain shoulder lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc scr uter mal or us/samp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9618","description":"Doc scr uter mal or us/samp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0169","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0169","description":"HCPCS-J0169","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX25","description":"HIPPS-RHX25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC105","description":"HIPPS-LC105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar spine proces distract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0171T","description":"Lumbar spine proces distract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam of head and neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76536","description":"Us exam of head and neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43633","description":"Removal of stomach partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct metacarpal flaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26565","description":"Correct metacarpal flaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE15D","description":"HIPPS-PE15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD15B","description":"HIPPS-HD15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dyspnea not screened","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3452F","description":"Dyspnea not screened","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC145","description":"HIPPS-PC145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFLV","description":"HIPPS-1BFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove electrode/thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33236","description":"Remove electrode/thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB12","description":"HIPPS-RHB12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Con tissue w dble ped graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4276","description":"Con tissue w dble ped graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal scalp blood sample","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59030","description":"Fetal scalp blood sample","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ single_ rate-resp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1786","description":"Pmkr_ single_ rate-resp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plastazote sandal each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3265","description":"Plastazote sandal each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1 pc ost pouch w filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5056","description":"1 pc ost pouch w filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing facility care init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99304","description":"Nursing facility care init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reagent strip/blood glucose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82948","description":"Reagent strip/blood glucose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exsufflation belt_ includes all supplies and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1021","description":"Exsufflation belt_ includes all supplies and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ ziv-aflibercept_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9400","description":"Inj_ ziv-aflibercept_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Misc dialysis supplies noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4913","description":"Misc dialysis supplies noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strep a dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87652","description":"Strep a dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine implant_ 74.2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0570","description":"Buprenorphine implant_ 74.2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8H","description":"HIPPS-RMB8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX2D","description":"HIPPS-RVX2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipoprotein_ direct measurement; small dense LDL cholesterol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83722","description":"Lipoprotein_ direct measurement; small dense LDL cholesterol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB221","description":"HIPPS-BB221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Soft tissue graft addl tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4278","description":"Soft tissue graft addl tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE240","description":"HIPPS-PE240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo-vag hyst w/t/o compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58554","description":"Laparo-vag hyst w/t/o compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18I","description":"HIPPS-HD18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP5","description":"HIPPS-3AHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No unheal etoh user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9622","description":"No unheal etoh user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual evoked potential_ testing for glaucoma_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0464T","description":"Visual evoked potential_ testing for glaucoma_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Chlamydia trachomatis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87810","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Chlamydia trachomatis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25240","description":"Partial removal of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9898","description":"Patient age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL34","description":"HIPPS-RHL34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy infusion method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96425","description":"Chemotherapy infusion method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove elbow bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24138","description":"Remove elbow bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6516","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6516","description":"HCPCS-A6516","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/o us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20605","description":"Drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18D","description":"HIPPS-CC18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17107","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Positional change of finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26555","description":"Positional change of finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1901","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1901","description":"CDT-D1901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA112","description":"HIPPS-CA112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0506","description":"Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cavopulmonary shunting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33768","description":"Cavopulmonary shunting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No sleep apnea assess","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8841","description":"No sleep apnea assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fungi identification mold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87107","description":"Fungi identification mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD24D","description":"HIPPS-LD24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst w/enterocele repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58270","description":"Vag hyst w/enterocele repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65426","description":"Removal of eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES336","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES336","description":"HIPPS-ES336","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX02","description":"HIPPS-RHX02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27602","description":"Decompression of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infrared ht sys replcmnt pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4639","description":"Infrared ht sys replcmnt pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA244","description":"HIPPS-BA244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8B","description":"HIPPS-RUC8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total hip arthroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27132","description":"Total hip arthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endometrial sampling or hysteroscopy with biopsy and results documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9823","description":"Endometrial sampling or hysteroscopy with biopsy and results documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB53","description":"HIPPS-RMB53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0589U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0589U","description":"CPT-0589U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile_ tandem mass spectrometry (MS/MS)_ urine_ with algorithmic analysis and interpretive report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0256U","description":"Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile_ tandem mass spectrometry (MS/MS)_ urine_ with algorithmic analysis and interpretive report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysat sol fld vol > 999cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4721","description":"Dialysat sol fld vol > 999cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE145","description":"HIPPS-LE145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0671","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0671","description":"HCPCS-G0671","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGK4","description":"HIPPS-4AGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urokinase 250_000 iu inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3365","description":"Urokinase 250_000 iu inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL60","description":"HIPPS-RHL60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL31","description":"HIPPS-RVL31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AJCC stage at breast cancer diagnosis = II or III","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9831","description":"AJCC stage at breast cancer diagnosis = II or III","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1602","description":"HCPCS-A1602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"T3 reverse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84482","description":"T3 reverse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complement/function activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86161","description":"Complement/function activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients using hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9688","description":"Patients using hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Co57 cyano","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9559","description":"Co57 cyano","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGNV","description":"HIPPS-3BGNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA3B","description":"HIPPS-AAA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB106","description":"HIPPS-LB106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-ionizing diagnostic procedure capable of quantifying_ monitoring_ and recording changes in structure of enamel_ dentin_ and cementum","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0600","description":"Non-ionizing diagnostic procedure capable of quantifying_ monitoring_ and recording changes in structure of enamel_ dentin_ and cementum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of middle ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70134","description":"X-ray exam of middle ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKS","description":"HIPPS-4AGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o cont_ abd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8901","description":"Mra w/o cont_ abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tezepelumab-ekko_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2356","description":"Injection_ tezepelumab-ekko_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient died at any time during the 24-month measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9751","description":"Patient died at any time during the 24-month measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Regional block anesthesia","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9211","description":"Regional block anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64575","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ hematolymphoid neoplasm or disorder_ 5-50 genes (eg_ BRAF_ CEBPA_ DNMT3A_ EZH2_ FLT3_ IDH1_ IDH2_ JAK2_ KIT_ KRAS_ MLL_ NOTCH1_ NPM1_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81451","description":"Targeted genomic sequence analysis panel_ hematolymphoid neoplasm or disorder_ 5-50 genes (eg_ BRAF_ CEBPA_ DNMT3A_ EZH2_ FLT3_ IDH1_ IDH2_ JAK2_ KIT_ KRAS_ MLL_ NOTCH1_ NPM1_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4207","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4207","description":"HCPCS-Q4207","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pancreatic stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48020","description":"Removal of pancreatic stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Venous Arterialization_ Tibial Or Peroneal Vein_ With Transcatheter Placement Of Intravascular Stent Graft(S) And Closure By Any Method_ Including Percutaneous Or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0620T","description":"Endovascular Venous Arterialization_ Tibial Or Peroneal Vein_ With Transcatheter Placement Of Intravascular Stent Graft(S) And Closure By Any Method_ Including Percutaneous Or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty_ aortic valve_ open_ with cardiopulmonary bypass; complex (eg_ leaflet extension_ leaflet resection_ leaflet reconstruction_ or annuloplasty)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33391","description":"Valvuloplasty_ aortic valve_ open_ with cardiopulmonary bypass; complex (eg_ leaflet extension_ leaflet resection_ leaflet reconstruction_ or annuloplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC24C","description":"HIPPS-CC24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL03","description":"HIPPS-RVL03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN4","description":"HIPPS-3AGN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54115","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No rsk fac or 1 mod risk te","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8970","description":"No rsk fac or 1 mod risk te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD210","description":"HIPPS-HD210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ buprenorphine extended-release (Sublocade)_ greater than 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9992","description":"Injection_ buprenorphine extended-release (Sublocade)_ greater than 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Garamycin gentamicin inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1580","description":"Garamycin gentamicin inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLV","description":"HIPPS-2BGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0826T","description":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kelch-like protein 11 (KLHL11) antibody_ serum or cerebrospinal fluid (CSF)_ cell-binding assay_ qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0432U","description":"Kelch-like protein 11 (KLHL11) antibody_ serum or cerebrospinal fluid (CSF)_ cell-binding assay_ qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44369","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long qt synd known fam var","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81281","description":"Long qt synd known fam var","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKX","description":"HIPPS-1CHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28126","description":"Partial removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl nstim apnea pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0428T","description":"Rmvl nstim apnea pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; mechano-electrical skin interface","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0457T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; mechano-electrical skin interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9053","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9053","description":"HCPCS-J9053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of neurostimulator electrode array_ sacral_ with integrated neurostimulator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0787T","description":"Revision or removal of neurostimulator electrode array_ sacral_ with integrated neurostimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing serologic abo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86900","description":"Blood typing serologic abo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking thighlngth 30-40","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6534","description":"Gc stocking thighlngth 30-40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Athletic training evaluation_ low complexity_ requiring these components: A history and physical activity profile with no comorbidities that affect physical activity; An exami","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97169","description":"Athletic training evaluation_ low complexity_ requiring these components: A history and physical activity profile with no comorbidities that affect physical activity; An exami","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Viral culture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0416","description":"Viral culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso milwauke initial model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1000","description":"Ctlso milwauke initial model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy abdom method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58140","description":"Myomectomy abdom method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response)_ targeted sequence analysis_ 20 gene variants and CYP2D6 deletion or duplication analysis with reported genotype and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0380U","description":"Drug metabolism (adverse drug reactions and drug response)_ targeted sequence analysis_ 20 gene variants and CYP2D6 deletion or duplication analysis with reported genotype and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53661","description":"Dilation of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21435","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50240","description":"Partial removal of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had a suicide safety plan initiated_ reviewed_ or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1351","description":"Patients who had a suicide safety plan initiated_ reviewed_ or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr f/c/c/m/n/a/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14041","description":"Tis trnfr f/c/c/m/n/a/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound(s) care non-selective","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97602","description":"Wound(s) care non-selective","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trach/laryn tube stainless","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7522","description":"Trach/laryn tube stainless","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8I","description":"HIPPS-RUL8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert vad art&vein access","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33991","description":"Insert vad art&vein access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69646","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr angiography head w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70545","description":"Mr angiography head w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin intermed 5 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5552","description":"Insulin intermed 5 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy_ high resolution (hra) (with magnification and chemical agent enhancement); with biopsy(ies)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6028","description":"Anoscopy_ high resolution (hra) (with magnification and chemical agent enhancement); with biopsy(ies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18X","description":"HIPPS-HE18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero w/biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52354","description":"Cystouretero w/biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47120","description":"Partial removal of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of femur 2/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73552","description":"X-ray exam of femur 2/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appro rad ds dvcs techs docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6040F","description":"Appro rad ds dvcs techs docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1036T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1036T","description":"CPT-1036T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromatrix nerve cuff_ cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9355","description":"Neuromatrix nerve cuff_ cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99600","description":"Home visit nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthodontic rem appliance tx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8210","description":"Orthodontic rem appliance tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18D","description":"HIPPS-PE18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ftrst lower extension tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0043","description":"Ftrst lower extension tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein two","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33511","description":"Cabg vein two","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fractionation ketosteroids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83593","description":"Fractionation ketosteroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pne not given norsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9280","description":"Pne not given norsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHNV","description":"HIPPS-1CHNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40761","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8G","description":"HIPPS-RHX8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35506","description":"Art byp grft subclav-carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Camp day waiver/session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2037","description":"Camp day waiver/session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree_ derived from coronary angiogram data_ for re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0523T","description":"Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree_ derived from coronary angiogram data_ for re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hand bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26034","description":"Treat hand bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray liver w/hemodynam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75889","description":"Vein x-ray liver w/hemodynam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX0D","description":"HIPPS-RHX0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mobilization of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44139","description":"Mobilization of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ non-small cell lung neoplasia_ DN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0136U","description":"Targeted genomic sequence analysis panel_ non-small cell lung neoplasia_ DN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flt3 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81245","description":"Flt3 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g._ inadequate time for follow-up_ patients who received a prior intravitreal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1325","description":"Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g._ inadequate time for follow-up_ patients who received a prior intravitreal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neonatal emergency transport","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0225","description":"Neonatal emergency transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ romidepsin_ non-lypohilized (e.g. liquid)_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9065","description":"Injection_ romidepsin_ non-lypohilized (e.g. liquid)_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove knee joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27334","description":"Remove knee joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHPX","description":"HIPPS-1CHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription digital behavioral therapy_ FDA-cleared_ per course of treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9291","description":"Prescription digital behavioral therapy_ FDA-cleared_ per course of treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65285","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMV","description":"HIPPS-1AGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No tob assess or cess inter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9460","description":"No tob assess or cess inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55845","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onsite Ac C Tx Nsg Fac Res Uti  Bill Sid-Benef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9684","description":"Onsite Ac C Tx Nsg Fac Res Uti  Bill Sid-Benef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC241","description":"HIPPS-LC241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE250","description":"HIPPS-CE250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological testing (includes psychodiagnostic assessment of emotionality_ intellectual abilities_ personality and psychopathology_ eg_ MMPI_ Rorschach_ WAIS)_ per hour of t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96101","description":"Psychological testing (includes psychodiagnostic assessment of emotionality_ intellectual abilities_ personality and psychopathology_ eg_ MMPI_ Rorschach_ WAIS)_ per hour of t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergent Cases","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1142","description":"Emergent Cases","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insemination of oocytes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89268","description":"Insemination of oocytes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMT","description":"HIPPS-3BFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy speaking valve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8501","description":"Tracheostomy speaking valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rsect hip tum incl femur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27078","description":"Rsect hip tum incl femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL3","description":"HIPPS-2BGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Etoposide oral 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8560","description":"Etoposide oral 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX4C","description":"HIPPS-RUX4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anaphylaxis due to the vaccine on or before the date of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1311","description":"Anaphylaxis due to the vaccine on or before the date of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Hyalgan_ Supartz or Visco-3_ for intra-articular injection_ per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7321","description":"Hyaluronan or derivative_ Hyalgan_ Supartz or Visco-3_ for intra-articular injection_ per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occult bld feces 1-3 tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82272","description":"Occult bld feces 1-3 tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKW","description":"HIPPS-5BFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dna/rna direct probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87149","description":"Dna/rna direct probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC5B","description":"HIPPS-RHC5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prothrombin complex concentrate (human)_ kcentra_ per i.u. of factor ix activity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7168","description":"Prothrombin complex concentrate (human)_ kcentra_ per i.u. of factor ix activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33015","description":"Incision of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bilat dil retinal exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3000","description":"Bilat dil retinal exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit chelation diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9355","description":"Hit chelation diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exchange nephrostomy cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50435","description":"Exchange nephrostomy cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fmr1 gene detection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81243","description":"Fmr1 gene detection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment_ (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2080","description":"Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment_ (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29015","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25272","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis c ab test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86803","description":"Hepatitis c ab test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC211","description":"HIPPS-CC211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tacrine hydrochloride_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0014","description":"Tacrine hydrochloride_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0497U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0497U","description":"CPT-0497U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above knee wood socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5644","description":"Above knee wood socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply long leg cast brace","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29358","description":"Apply long leg cast brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26992","description":"Drainage of bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnioamp-mp_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4250","description":"Amnioamp-mp_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1828","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1828","description":"HCPCS-E1828","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23625","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipoprotein_ blood_ high resolution fractionation and quantitation of lipoproteins_ including all five major lipoprotein classes and subclasses of HDL_ LDL_ and VLDL by vertic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0052U","description":"Lipoprotein_ blood_ high resolution fractionation and quantitation of lipoproteins_ including all five major lipoprotein classes and subclasses of HDL_ LDL_ and VLDL by vertic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Loudness balance test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92562","description":"Loudness balance test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No f/u eval q3mo opiod tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9563","description":"No f/u eval q3mo opiod tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL5C","description":"HIPPS-RUL5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate t3b-t4noprog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9079","description":"Onc dx prostate t3b-t4noprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy thru stoma spx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44388","description":"Colonoscopy thru stoma spx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief communication technology-based service_ e.g._ virtual check-in_ by a physician or other qualified health care professiona","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2012","description":"Brief communication technology-based service_ e.g._ virtual check-in_ by a physician or other qualified health care professiona","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of acth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82024","description":"Assay of acth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pain assessment documented as positive_ follow-up plan not documented_ documentation the patient is not eligible at the time of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8939","description":"Pain assessment documented as positive_ follow-up plan not documented_ documentation the patient is not eligible at the time of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus and fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43312","description":"Repair esophagus and fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL42","description":"HIPPS-RUL42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA235","description":"HIPPS-BA235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroplasty duodenal switch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43845","description":"Gastroplasty duodenal switch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB2B","description":"HIPPS-RHB2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES160","description":"HIPPS-ES160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shrt leg fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4038","description":"Cast sup shrt leg fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK1","description":"HIPPS-2AGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB110","description":"HIPPS-CB110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger_ single mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2366","description":"Battery charger_ single mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev breast 1st us imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19285","description":"Perq dev breast 1st us imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33710","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise two eye muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67312","description":"Revise two eye muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect face/scalp tum 2 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21016","description":"Resect face/scalp tum 2 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00102","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00102","description":"CPT-00102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exposure impact tooth orthod","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7280","description":"Exposure impact tooth orthod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cranial bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21184","description":"Reconstruct cranial bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64580","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Th/wght bear quad-lat brim m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2510","description":"Th/wght bear quad-lat brim m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath smear other source","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88162","description":"Cytopath smear other source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sbsq nb em per day hosp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99462","description":"Sbsq nb em per day hosp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ targeted genomic sequence analysis panel of 361 genes_ interrogation for gene fusions_ translocations_ or other rearrangements_ using DNA fro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0444U","description":"Oncology (solid organ neoplasia)_ targeted genomic sequence analysis panel of 361 genes_ interrogation for gene fusions_ translocations_ or other rearrangements_ using DNA fro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ortho shoe add half sole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3530","description":"Ortho shoe add half sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise spinal cord ligaments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63182","description":"Revise spinal cord ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education_ include microprocessor_ all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0738","description":"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education_ include microprocessor_ all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Intermittent Monitoring And Maintenan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95709","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Intermittent Monitoring And Maintenan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43121","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect distal humerus tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24150","description":"Resect distal humerus tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA17","description":"HIPPS-RLA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Singl visn sphere 7.12-20.00","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2102","description":"Singl visn sphere 7.12-20.00","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD25A","description":"HIPPS-LD25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug assess","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0001","description":"Alcohol and/or drug assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not eligible due to active diagnosis of hypertension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1290","description":"Patient not eligible due to active diagnosis of hypertension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dxa bone density/peripheral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77081","description":"Dxa bone density/peripheral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero w/excise tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52355","description":"Cystouretero w/excise tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vert bitewings-sev to eight","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0277","description":"Vert bitewings-sev to eight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP10","description":"HIPPS-ATP10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX5C","description":"HIPPS-RHX5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27725","description":"Repair of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/tr/ext >30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12037","description":"Intmd rpr s/tr/ext >30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB124","description":"HIPPS-LB124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB12A","description":"HIPPS-BB12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of fb reaction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7540","description":"Removal of fb reaction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection into brain canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61055","description":"Injection into brain canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18D","description":"HIPPS-HE18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of hand bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25820","description":"Fusion of hand bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM3","description":"HIPPS-1AFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70250","description":"X-ray exam of skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status was measured by the Oxford Knee Score (OKS) patient reported outcome tool within three months preoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1047","description":"Functional status was measured by the Oxford Knee Score (OKS) patient reported outcome tool within three months preoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB156","description":"HIPPS-PB156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epstein-barr antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86663","description":"Epstein-barr antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Outrigger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1080","description":"Outrigger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mandibular flange prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5934","description":"Mandibular flange prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dxa bone density study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77085","description":"Dxa bone density study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fall plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0518F","description":"Fall plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ margetuximab-cmkb_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9353","description":"Injection_ margetuximab-cmkb_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test 4 limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95864","description":"Muscle test 4 limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0693U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0693U","description":"CPT-0693U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc foot/toe tum sc < 1.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28043","description":"Exc foot/toe tum sc < 1.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC06","description":"HIPPS-RHC06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wc planar back cush wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2621","description":"Wc planar back cush wd>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB4A","description":"HIPPS-RMB4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP12","description":"HIPPS-ATP12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1414","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1414","description":"HCPCS-J1414","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0533U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0533U","description":"CPT-0533U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE101","description":"HIPPS-LE101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHM3","description":"HIPPS-1CHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of protein serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84155","description":"Assay of protein serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flu immunize no admin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8484","description":"Flu immunize no admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1401","description":"HCPCS-B1401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1082T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1082T","description":"CPT-1082T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6073","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scr unheal etoh w/counsel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9621","description":"Scr unheal etoh w/counsel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reposition venous catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36597","description":"Reposition venous catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sysrsn no dicom srch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9344","description":"Sysrsn no dicom srch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28X","description":"HIPPS-PA28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway pressure tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7037","description":"Pos airway pressure tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFM2","description":"HIPPS-3BFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg strap each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0038","description":"Leg strap each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD10D","description":"HIPPS-PD10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of temporary anchorage device_ requiring flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7299","description":"Removal of temporary anchorage device_ requiring flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0705","description":"Transfer device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery translocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33506","description":"Repair artery translocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"implant/abutment supported interim fixed denture for edentulous arch - mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6118","description":"implant/abutment supported interim fixed denture for edentulous arch - mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain breast lesion add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19001","description":"Drain breast lesion add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pressure pneum appl full leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0671","description":"Pressure pneum appl full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of ileostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44312","description":"Revision of ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Position seat spec orth need","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T5001","description":"Position seat spec orth need","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment by protocol_ administered by technician_ face-to-face with one patient; each additional 30 minutes of technician time (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0365T","description":"Adaptive behavior treatment by protocol_ administered by technician_ face-to-face with one patient; each additional 30 minutes of technician time (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0103","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0103","description":"HCPCS-B0103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Insertion Of New Or Replacement Of Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including An Implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0674T","description":"Laparoscopic Insertion Of New Or Replacement Of Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including An Implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext amb infusn pump insulin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0784","description":"Ext amb infusn pump insulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18X","description":"HIPPS-BB18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt neurostim elctr each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8680","description":"Implt neurostim elctr each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59515","description":"Cesarean delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHNS","description":"HIPPS-3CHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress fingers/hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26037","description":"Decompress fingers/hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extraosseous joint stblztion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0335T","description":"Extraosseous joint stblztion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc renal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50549","description":"Laparoscope proc renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ho bi thighcuffs w sprdr bar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1652","description":"Ho bi thighcuffs w sprdr bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald transmitter microphone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5290","description":"Ald transmitter microphone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56631","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conform band s w <3in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6445","description":"Conform band s w <3in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bp sys>=140 and/or dias >=90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8477","description":"Bp sys>=140 and/or dias >=90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA0D","description":"HIPPS-RMA0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Activity therapy_ per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2032","description":"Activity therapy_ per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ferric pyrophosphate citrate powder_ 0.1mg of iron","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1444","description":"Injection_ ferric pyrophosphate citrate powder_ 0.1mg of iron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sign lang/oral interpreter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1013","description":"Sign lang/oral interpreter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis_ including small sequence changes_ copy number variants_ deletions_ duplications_ mobile e","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0336U","description":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis_ including small sequence changes_ copy number variants_ deletions_ duplications_ mobile e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50280","description":"Removal of kidney lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx cesium-131 chloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2644","description":"Brachytx cesium-131 chloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace picvad cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36585","description":"Replace picvad cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare fecal microbiota","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44705","description":"Prepare fecal microbiota","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc taa repr incl subcl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33880","description":"Endovasc taa repr incl subcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Genome Sequencing Of Paired Malignant And Normal Dna Specimens_ Fresh Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Blood Or Bone Marrow_ Comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0297U","description":"Oncology (Pan Tumor)_ Whole Genome Sequencing Of Paired Malignant And Normal Dna Specimens_ Fresh Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Blood Or Bone Marrow_ Comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary prostate cancer-related disorders_ genomic sequence analysis panel using next-generation sequencing (NGS)_ Sanger sequencing_ multiplex ligation-dependent probe amp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0475U","description":"Hereditary prostate cancer-related disorders_ genomic sequence analysis panel using next-generation sequencing (NGS)_ Sanger sequencing_ multiplex ligation-dependent probe amp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extraction of lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66920","description":"Extraction of lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrics (pre-implantation genetic testing)_ evaluation of 300000 DNA single-nucleotide polymorphisms (SNPs) by microarray_ embryonic tissue_ algorithm reported as a probabi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0396U","description":"Obstetrics (pre-implantation genetic testing)_ evaluation of 300000 DNA single-nucleotide polymorphisms (SNPs) by microarray_ embryonic tissue_ algorithm reported as a probabi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of infusion pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36261","description":"Revision of infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy rem totl cortex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32652","description":"Thoracoscopy rem totl cortex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA21B","description":"HIPPS-BA21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fqhc visit_ ippe or awv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0468","description":"Fqhc visit_ ippe or awv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger_ port conc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1357","description":"Battery charger_ port conc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx duod intub w/asp spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43756","description":"Dx duod intub w/asp spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-93896","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93896","description":"CPT-93896","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive testis surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54535","description":"Extensive testis surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2029","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2029","description":"HCPCS-A2029","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inter limb compress dev nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0676","description":"Inter limb compress dev nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tubing (oxygen) per foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4616","description":"Tubing (oxygen) per foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visualization adjunct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9968","description":"Visualization adjunct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate clinical met","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9133","description":"Onc dx prostate clinical met","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0552U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0552U","description":"CPT-0552U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC43","description":"HIPPS-RMC43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (thyroid)_ DNA and mRNA of 112 genes_ next-generation sequencing_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0138U","description":"Oncology (thyroid)_ DNA and mRNA of 112 genes_ next-generation sequencing_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGNS","description":"HIPPS-1AGNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair anti-tipping devi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0971","description":"Wheelchair anti-tipping devi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE245","description":"HIPPS-CE245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ plazomicin_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9039","description":"Injection_ plazomicin_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthesis modification","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5875","description":"Prosthesis modification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr umbil hern reduc > 5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49585","description":"Rpr umbil hern reduc > 5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dry pressure pad for mattres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0199","description":"Dry pressure pad for mattres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKS","description":"HIPPS-5BHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28116","description":"Revision of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft peri per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3428","description":"Bone graft peri per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB4C","description":"HIPPS-RHB4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15018","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15018","description":"CPT-15018","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00906","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00906","description":"CPT-00906","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC0B","description":"HIPPS-RUC0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Accession of brush biopsy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0486","description":"Accession of brush biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prostatic microwave thermotx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53850","description":"Prostatic microwave thermotx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation stating the patient has an active diagnosis of depression or has diagnosed bipolar disorder_ therefore screening or follow-up not required","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9717","description":"Documentation stating the patient has an active diagnosis of depression or has diagnosed bipolar disorder_ therefore screening or follow-up not required","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng periton dialysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4055F","description":"Pt rcvng periton dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver image (3d) with flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78206","description":"Liver image (3d) with flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg filler paste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6240","description":"Hydrocolld drg filler paste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX2A","description":"HIPPS-RVX2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA204","description":"HIPPS-CA204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test one limb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95860","description":"Muscle test one limb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL25","description":"HIPPS-RUL25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort iii w/fhd w/ lefort i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21160","description":"Lefort iii w/fhd w/ lefort i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg dev eval impltbl sys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93260","description":"Prgrmg dev eval impltbl sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst w/uro repair compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58293","description":"Vag hyst w/uro repair compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Right ventricular recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93603","description":"Right ventricular recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX1B","description":"HIPPS-RMX1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tibiofibular joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27871","description":"Fusion of tibiofibular joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy irrigation set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4400","description":"Ostomy irrigation set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genvisc_ inj_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9980","description":"Genvisc_ inj_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blastomyces antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86612","description":"Blastomyces antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sympathectomy digital artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64820","description":"Sympathectomy digital artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA)_ Chlamydia trachomatis and Neisseria gonorrhoeae_ multiplex amplified probe technique_ urine_ vaginal_ pharyngeal_ or rectal_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0353U","description":"Infectious agent detection by nucleic acid (DNA)_ Chlamydia trachomatis and Neisseria gonorrhoeae_ multiplex amplified probe technique_ urine_ vaginal_ pharyngeal_ or rectal_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-str_yttrium-90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2616","description":"Brachytx_ non-str_yttrium-90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC3D","description":"HIPPS-RVC3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravasc us heart add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92979","description":"Intravasc us heart add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Root surgery molar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3425","description":"Root surgery molar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFMS","description":"HIPPS-3AFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alginate drsg wound filler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6199","description":"Alginate drsg wound filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphere bifocal 4.12-7.0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2201","description":"Lens sphere bifocal 4.12-7.0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1 cc sterile syringe&needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4206","description":"1 cc sterile syringe&needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tear duct system surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68899","description":"Tear duct system surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise prosth vag graft lap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57426","description":"Revise prosth vag graft lap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnicore pro+_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4299","description":"Amnicore pro+_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8A","description":"HIPPS-RUL8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk_ Breasts_ Scalp_ Arms_ And/Or Legs; Each Additional 50 Cc Injectate_ Or Part Thereof (List Separately In","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15772","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk_ Breasts_ Scalp_ Arms_ And/Or Legs; Each Additional 50 Cc Injectate_ Or Part Thereof (List Separately In","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27259","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI fetal sngl/1st gestation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74712","description":"MRI fetal sngl/1st gestation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0563","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0563","description":"HCPCS-G0563","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allogen_ per cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4212","description":"Allogen_ per cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth skull drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21451","description":"Anesth skull drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE111","description":"HIPPS-CE111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27720","description":"Repair of tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acoustic refl threshold tst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92568","description":"Acoustic refl threshold tst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4649","description":"Surgical supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychophysiological therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90876","description":"Psychophysiological therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD124","description":"HIPPS-LD124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coll-e-Derm_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4193","description":"Coll-e-Derm_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Design custom breast implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19396","description":"Design custom breast implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0485U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0485U","description":"CPT-0485U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove rectum w/reservoir","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45119","description":"Remove rectum w/reservoir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection of pre-exposure prophylaxis (prep) drug for hiv prevention_ under skin or into muscle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0012","description":"Injection of pre-exposure prophylaxis (prep) drug for hiv prevention_ under skin or into muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of omentum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49255","description":"Removal of omentum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1159","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bp out of nrml limits","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9274","description":"Bp out of nrml limits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0953T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0953T","description":"CPT-0953T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; Each Additional 25 Cc Injectate_ Or P","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15774","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; Each Additional 25 Cc Injectate_ Or P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40820","description":"Treatment of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No eval opi use instr/intv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9585","description":"No eval opi use instr/intv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18D","description":"HIPPS-LC18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL5","description":"HIPPS-1AGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of skull/sutures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61558","description":"Excision of skull/sutures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain ovary abscess percut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58822","description":"Drain ovary abscess percut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ triluron_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7332","description":"Hyaluronan or derivative_ triluron_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81336","description":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cebpa gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81218","description":"Cebpa gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urea nitrogen semi-quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84525","description":"Urea nitrogen semi-quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of big toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28310","description":"Revision of big toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger)_ including ultrasound guidance_ when performed_ unilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34713","description":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger)_ including ultrasound guidance_ when performed_ unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl imed lesn cervl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63285","description":"Bx/exc idrl imed lesn cervl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy snare les remv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43217","description":"Esophagoscopy snare les remv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ epoetin alfa_ biosimilar_ (Retacrit) (for ESRD on dialysis)_ 100 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5105","description":"Injection_ epoetin alfa_ biosimilar_ (Retacrit) (for ESRD on dialysis)_ 100 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam pituitary saddle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70240","description":"X-ray exam pituitary saddle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod sed diff phys/qhp add on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99150","description":"Mod sed diff phys/qhp add on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of eyelid abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67700","description":"Drainage of eyelid abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Embolization protect syst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1884","description":"Embolization protect syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8645","description":"Asthma measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MDPP session reported as a line-item on a claim for a payable MDPP Expanded Model (EM) HCPCS code for a session furnished by the billing supplier under the MDPP Expanded Model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9891","description":"MDPP session reported as a line-item on a claim for a payable MDPP Expanded Model (EM) HCPCS code for a session furnished by the billing supplier under the MDPP Expanded Model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC14A","description":"HIPPS-PC14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35351","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0558","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0558","description":"HCPCS-G0558","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1603","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1603","description":"CDT-D1603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA226","description":"HIPPS-CA226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gemtuzumab ozogamicin inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9300","description":"Gemtuzumab ozogamicin inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Car seat/bed test + 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94781","description":"Car seat/bed test + 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ high density foam sheet_ per 250 square centimeters_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6600","description":"Gradient compression bandaging supply_ high density foam sheet_ per 250 square centimeters_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repeat thyroid surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60260","description":"Repeat thyroid surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mlh1 gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81292","description":"Mlh1 gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj suprascapular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64418","description":"N block inj suprascapular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TERT (telomerase reverse transcriptase) (eg_ thyroid carcinoma_ glioblastoma multiforme) gene analysis_ targeted sequence analysis (eg_ promoter region)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81345","description":"TERT (telomerase reverse transcriptase) (eg_ thyroid carcinoma_ glioblastoma multiforme) gene analysis_ targeted sequence analysis (eg_ promoter region)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj_ maintenance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9005","description":"Mccd_ risk adj_ maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0672","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0672","description":"HCPCS-G0672","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA111","description":"HIPPS-BA111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone srgry cmptr fluor image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0054T","description":"Bone srgry cmptr fluor image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA01","description":"HIPPS-RMA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01962","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01962","description":"CPT-01962","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Herpes simplex type 1 test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86695","description":"Herpes simplex type 1 test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFL3","description":"HIPPS-2AFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01782","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01782","description":"CPT-01782","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD15A","description":"HIPPS-CD15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted misc prosthetic ser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8499","description":"Unlisted misc prosthetic ser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon t1-3_n1-2_no pr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9084","description":"Onc dx colon t1-3_n1-2_no pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0608U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0608U","description":"CPT-0608U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30200","description":"Injection treatment of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88000","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKT","description":"HIPPS-4BHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-care ed provided to pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4450F","description":"Self-care ed provided to pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC256","description":"HIPPS-HC256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21084","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of calcitonin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82308","description":"Assay of calcitonin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromatogram assay sugars","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84375","description":"Chromatogram assay sugars","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed hvy dty xtra wide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0303","description":"Hosp bed hvy dty xtra wide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy l/s facet jnt addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64636","description":"Destroy l/s facet jnt addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ace/arb therapy rxd/taken","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4010F","description":"Ace/arb therapy rxd/taken","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg myelomeningo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2404","description":"Fetal surg myelomeningo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment aid(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77333","description":"Radiation treatment aid(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"So vest canvas/web pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3675","description":"So vest canvas/web pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB22","description":"HIPPS-RHB22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx gastric unknown nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9104","description":"Onc dx gastric unknown nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suspension sleeve lower ext","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2397","description":"Suspension sleeve lower ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC216","description":"HIPPS-LC216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc membranes fatty acids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0111T","description":"Rbc membranes fatty acids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed total elect w/o mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0297","description":"Hosp bed total elect w/o mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB11B","description":"HIPPS-CB11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ meloxicam_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1738","description":"Injection_ meloxicam_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit new age 18-39","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99385","description":"Prev visit new age 18-39","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01190","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01190","description":"CPT-01190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cl mult vsd w/rem pul band","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33677","description":"Cl mult vsd w/rem pul band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD244","description":"HIPPS-PD244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair prosth valve clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33496","description":"Repair prosth valve clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC112","description":"HIPPS-LC112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace vad pump ext","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33981","description":"Replace vad pump ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obinutuzumab inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9301","description":"Obinutuzumab inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB14C","description":"HIPPS-BB14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB35","description":"HIPPS-RVB35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0144A","description":"IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiolipin antibody ea ig","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86147","description":"Cardiolipin antibody ea ig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot lamin/prepreg composite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3031","description":"Foot lamin/prepreg composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temozolomide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8700","description":"Temozolomide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transection or ligation_ carotid artery in petrous canal; with repair by anastomosis or graft (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61612","description":"Transection or ligation_ carotid artery in petrous canal; with repair by anastomosis or graft (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA2A","description":"HIPPS-AAA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; interpretation and report (List separately in addition to code for primary proce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0837T","description":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; interpretation and report (List separately in addition to code for primary proce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Drug-Delivery Device(S)_ Intra-Articular (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20705","description":"Removal Of Drug-Delivery Device(S)_ Intra-Articular (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27062","description":"Remove femur lesion/bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for brain wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61458","description":"Incise skull for brain wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RAS (KRAS and NRAS) gene mutation testing performed before initiation of anti-EGFR MoAb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9840","description":"RAS (KRAS and NRAS) gene mutation testing performed before initiation of anti-EGFR MoAb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete aa_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4303","description":"Complete aa_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruct premalg lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17000","description":"Destruct premalg lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHKT","description":"HIPPS-2CHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC05","description":"HIPPS-RMC05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tb test cell immun measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86480","description":"Tb test cell immun measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67903","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tongue fold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41115","description":"Excision of tongue fold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE13B","description":"HIPPS-HE13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical procedures that included the use of silicone oil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9757","description":"Surgical procedures that included the use of silicone oil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd accessory_ mounting sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2512","description":"Sgd accessory_ mounting sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25260","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thumb fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26665","description":"Treat thumb fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental recement crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2920","description":"Dental recement crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryotherapy of skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17340","description":"Cryotherapy of skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj meniscectomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7850","description":"Tmj meniscectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX5A","description":"HIPPS-RMX5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA23B","description":"HIPPS-BA23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA12C","description":"HIPPS-BA12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKU","description":"HIPPS-4BGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo bk ultra-light material","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5940","description":"Endo bk ultra-light material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise submaxillary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42440","description":"Excise submaxillary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4410","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4410","description":"HCPCS-Q4410","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB24C","description":"HIPPS-HB24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc back tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21933","description":"Exc back tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo plastic pediatric size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2035","description":"Kafo plastic pediatric size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGK4","description":"HIPPS-1AGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK5","description":"HIPPS-4CHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tte w or w/o fol w/cont_ com","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8921","description":"Tte w or w/o fol w/cont_ com","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ferritin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82728","description":"Assay of ferritin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services for patient provided any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9718","description":"Hospice services for patient provided any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct soft tissue neck w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70490","description":"Ct soft tissue neck w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1804","description":"HCPCS-A1804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML42","description":"HIPPS-RML42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21280","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rabies vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90675","description":"Rabies vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj cladribine per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9065","description":"Inj cladribine per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt c/t 2 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64491","description":"Inj paravert f jnt c/t 2 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0715T","description":"Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescribed anticoagulant medication during the performance period_ history of GI bleeding_ history of intracranial bleeding_ bl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1056","description":"Prescribed anticoagulant medication during the performance period_ history of GI bleeding_ history of intracranial bleeding_ bl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic propulsion tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2211","description":"Pneumatic propulsion tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC3B","description":"HIPPS-RHC3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE25A","description":"HIPPS-PE25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic surface emg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96002","description":"Dynamic surface emg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test one fiber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95872","description":"Muscle test one fiber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer tendon to pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27098","description":"Transfer tendon to pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of toe lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28108","description":"Removal of toe lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Miglustat_ oral_ 65 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1202","description":"Miglustat_ oral_ 65 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ spesolimab-sbzo_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1747","description":"Injection_ spesolimab-sbzo_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00211","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00211","description":"CPT-00211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interferon gamma 1-b inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9216","description":"Interferon gamma 1-b inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phone e/m phys/qhp 5-10 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99441","description":"Phone e/m phys/qhp 5-10 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy liver add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47001","description":"Needle biopsy liver add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB21B","description":"HIPPS-BB21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab-anns_ biosimilar_ (kanjinti)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5117","description":"Injection_ trastuzumab-anns_ biosimilar_ (kanjinti)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc comp or mort w in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9268","description":"Doc comp or mort w in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHLX","description":"HIPPS-3AHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair major blood vessel(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33322","description":"Repair major blood vessel(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE116","description":"HIPPS-LE116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aprepitant_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0185","description":"Injection_ aprepitant_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec knee-shin swing/stance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5856","description":"Elec knee-shin swing/stance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagus endoscopy/ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43205","description":"Esophagus endoscopy/ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA0A","description":"HIPPS-RMA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m depreotide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9536","description":"Tc99m depreotide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1030","description":"Patients with clinical indications for imaging of the head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tl201 thallium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9505","description":"Tl201 thallium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE12C","description":"HIPPS-PE12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB23B","description":"HIPPS-HB23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stnd wt pwr whlchr w control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0011","description":"Stnd wt pwr whlchr w control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compre audiometry evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0212T","description":"Compre audiometry evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28F","description":"HIPPS-BA28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Csit perf on low chd rsk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8965","description":"Csit perf on low chd rsk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17264","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age Or Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement Pe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2134","description":"Patients 66 Years Of Age Or Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement Pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caspofungin acetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0637","description":"Caspofungin acetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Angiotensin Converting Enzyme (Ace) Inhibitor Or Angiotensin Receptor Blocker (Arb) Or Angiotensin Receptor-Neprilysin Inhibitor (Arni) Therapy Prescribed Or Currently Being T","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2092","description":"Angiotensin Converting Enzyme (Ace) Inhibitor Or Angiotensin Receptor Blocker (Arb) Or Angiotensin Receptor-Neprilysin Inhibitor (Arni) Therapy Prescribed Or Currently Being T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18E","description":"HIPPS-CA18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ven thrombosis images bilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78458","description":"Ven thrombosis images bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I131 iodide sol_ rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9530","description":"I131 iodide sol_ rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX22","description":"HIPPS-RUX22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88029","description":"Autopsy (necropsy) complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHKU","description":"HIPPS-3BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28F","description":"HIPPS-CE28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture tiss condtin mandbl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5851","description":"Denture tiss condtin mandbl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29840","description":"Wrist arthroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Newborn metabolic screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3620","description":"Newborn metabolic screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28G","description":"HIPPS-HD28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1056T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1056T","description":"CPT-1056T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4357","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4357","description":"HCPCS-Q4357","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low-level laser trmt 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8948","description":"Low-level laser trmt 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Malig tumor exc to 1.25 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7440","description":"Malig tumor exc to 1.25 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calcitrol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0169","description":"Calcitrol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MECP2 (methyl CpG binding protein 2) (eg_ Rett syndrome)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ deletions_ duplications_ mobile","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0234U","description":"MECP2 (methyl CpG binding protein 2) (eg_ Rett syndrome)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ deletions_ duplications_ mobile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ bin_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5259","description":"Hearing aid_ digit_ bin_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy thigh soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27324","description":"Biopsy thigh soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/abn lvef inelig b-bloc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8451","description":"Pt w/abn lvef inelig b-bloc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB217","description":"HIPPS-HB217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive chemotherapy in the last 14 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9848","description":"Patient did not receive chemotherapy in the last 14 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC24","description":"HIPPS-RUC24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frame depth less than 22 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2203","description":"Frame depth less than 22 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.25d/2.12-4d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2108","description":"Spherocylinder 4.25d/2.12-4d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O2 saturation</=88%/pao</=55","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3035F","description":"O2 saturation</=88%/pao</=55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK6","description":"HIPPS-4AHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth heart surg <1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56151","description":"Anesth heart surg <1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES11C","description":"HIPPS-ES11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sr89 strontium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9600","description":"Sr89 strontium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blinded procedure for New York Heart Association (NYHA) Class II or III heart failure_ or Canadian Cardiovascular Society (CCS) Class III or IV chronic refractory angina; tran","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9782","description":"Blinded procedure for New York Heart Association (NYHA) Class II or III heart failure_ or Canadian Cardiovascular Society (CCS) Class III or IV chronic refractory angina; tran","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1602","description":"HCPCS-C1602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phlebotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99195","description":"Phlebotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of diaphragm hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39503","description":"Repair of diaphragm hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seat width 24-27 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2202","description":"Seat width 24-27 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esw wound healing addl wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0300T","description":"Esw wound healing addl wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic custom molded shoe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5501","description":"Diabetic custom molded shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Itch severity assessment score is reduced by 2 or more points from the initial (index) assessment score to the follow-up visit score","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1197","description":"Itch severity assessment score is reduced by 2 or more points from the initial (index) assessment score to the follow-up visit score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA40","description":"HIPPS-RLA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy dilate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45303","description":"Proctosigmoidoscopy dilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recd f/u w/in 7d disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9405","description":"Recd f/u w/in 7d disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proton trmt simple w/comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77522","description":"Proton trmt simple w/comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28A","description":"HIPPS-PE28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of windpipe defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31825","description":"Repair of windpipe defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramusc inj of (SARS-CoV-2) (coronavirus disease [COVID-19]) vacc_ mRNA-LNP_ spike protein_ preserv free_ 30mcg/0.3 mL dose_ tris-sucrose formula_ booster dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0054A","description":"Imm admin by intramusc inj of (SARS-CoV-2) (coronavirus disease [COVID-19]) vacc_ mRNA-LNP_ spike protein_ preserv free_ 30mcg/0.3 mL dose_ tris-sucrose formula_ booster dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX1A","description":"HIPPS-RUX1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular disease_ plasma_ analysis of protein biomarkers by aptamer-based microarray and algorithm reported as 4-year likelihood of coronary event in high-risk populatio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0019M","description":"Cardiovascular disease_ plasma_ analysis of protein biomarkers by aptamer-based microarray and algorithm reported as 4-year likelihood of coronary event in high-risk populatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialyzer_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4690","description":"Dialyzer_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo iv infus each addl seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96417","description":"Chemo iv infus each addl seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise thigh muscles/tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27400","description":"Revise thigh muscles/tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BMI is documented as being outside of normal limits_ follow-up plan is not completed for documented reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9716","description":"BMI is documented as being outside of normal limits_ follow-up plan is not completed for documented reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE112","description":"HIPPS-LE112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45110","description":"Removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0402","description":"HCPCS-C0402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA06","description":"HIPPS-RVA06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE251","description":"HIPPS-HE251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iiv no prsv increased ag im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90662","description":"Iiv no prsv increased ag im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of skull defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62115","description":"Reduction of skull defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope procedure liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47379","description":"Laparoscope procedure liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fern test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0114","description":"Fern test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML10","description":"HIPPS-RML10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53230","description":"Removal of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA23B","description":"HIPPS-CA23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNV","description":"HIPPS-1CFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect forarm/wrist tum 3cm>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25078","description":"Resect forarm/wrist tum 3cm>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy ligate perf veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37500","description":"Endoscopy ligate perf veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stereoisomer analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80374","description":"Stereoisomer analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cerv artif disc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22864","description":"Remove cerv artif disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart infarct image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78466","description":"Heart infarct image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kerecis Omega3_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4158","description":"Kerecis Omega3_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL4","description":"HIPPS-1AHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK2","description":"HIPPS-5AHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18B","description":"HIPPS-PB18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFMW","description":"HIPPS-4BFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL6","description":"HIPPS-2AGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair mngment training","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97542","description":"Wheelchair mngment training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr e/n/e/l 2.6-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13152","description":"Cmplx rpr e/n/e/l 2.6-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl ntrstl/icav brchtx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77770","description":"Hdr rdncl ntrstl/icav brchtx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tumor immunohistochem/manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88360","description":"Tumor immunohistochem/manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis_ administered by","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96202","description":"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis_ administered by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47051","description":"Anesth removal of rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLX","description":"HIPPS-4AHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28H","description":"HIPPS-PE28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of calcium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82310","description":"Assay of calcium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB24","description":"HIPPS-RLB24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In vivo lab service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88749","description":"In vivo lab service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB104","description":"HIPPS-LB104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1301","description":"Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular disease_ quantification of advanced serum or plasma lipoprotein profile_ by nuclear magnetic resonance (NMR) spectrometry with report of a lipoprotein profile (","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0377U","description":"Cardiovascular disease_ quantification of advanced serum or plasma lipoprotein profile_ by nuclear magnetic resonance (NMR) spectrometry with report of a lipoprotein profile (","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric emptying imag study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78265","description":"Gastric emptying imag study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMX","description":"HIPPS-3BFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd dilate stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43245","description":"Egd dilate stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls daily mgmt-venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33948","description":"Ecmo/ecls daily mgmt-venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nonunion hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26546","description":"Repair nonunion hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24665","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFM2","description":"HIPPS-4CFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX4A","description":"HIPPS-RHX4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin chromotography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83021","description":"Hemoglobin chromotography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch urine w lock flng/ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4434","description":"Ost pch urine w lock flng/ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB146","description":"HIPPS-LB146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heavy duty wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0006","description":"Heavy duty wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC14B","description":"HIPPS-LC14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01634","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01634","description":"CPT-01634","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bl exchange/transfuse nb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36450","description":"Bl exchange/transfuse nb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC23B","description":"HIPPS-PC23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ amplified probe techniq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87635","description":"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ amplified probe techniq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heterophile antibody screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86308","description":"Heterophile antibody screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO foot or ankle intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9731","description":"Patient unable to complete the FOTO foot or ankle intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99418","description":"Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable underpads","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4554","description":"Disposable underpads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA144","description":"HIPPS-CA144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB204","description":"HIPPS-HB204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device_ aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93591","description":"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device_ aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ace/arb not rxd; doc reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8474","description":"Ace/arb not rxd; doc reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone acet inj nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3301","description":"Triamcinolone acet inj nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <26.15 & Age >84.5_ comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0108","description":"Stroke with Motor <26.15 & Age >84.5_ comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4400","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4400","description":"HCPCS-Q4400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were deceased when the hu survey reached them","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1254","description":"Patients who were deceased when the hu survey reached them","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0260U","description":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lingual frenectomy (frenulectomy)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7962","description":"Lingual frenectomy (frenulectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cabg w/o pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56651","description":"Anesth cabg w/o pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE256","description":"HIPPS-PE256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ hydroxyprogesterone caproate_ not otherwise specified_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1729","description":"Injection_ hydroxyprogesterone caproate_ not otherwise specified_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35142","description":"Repair artery rupture thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild eardrum structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69633","description":"Rebuild eardrum structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 hd sing pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0859","description":"Pwc gp3 hd sing pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Estradiol; Free_ Direct Measurement (Eg_ Equilibrium Dialysis)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82681","description":"Estradiol; Free_ Direct Measurement (Eg_ Equilibrium Dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0480U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0480U","description":"CPT-0480U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status measurement with score was obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1048","description":"Functional status measurement with score was obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin pedicle flap trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15570","description":"Skin pedicle flap trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rib and nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21616","description":"Removal of rib and nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (panzyga)_ intravenous_ non-lyophilized (e.g._ liquid)_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1576","description":"Injection_ immune globulin (panzyga)_ intravenous_ non-lyophilized (e.g._ liquid)_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD201","description":"HIPPS-HD201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evasc rpr iliac art bifr s&i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0255T","description":"Evasc rpr iliac art bifr s&i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse gallbladder & bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47740","description":"Fuse gallbladder & bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphere bifocal 7.12-20.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2202","description":"Lens sphere bifocal 7.12-20.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl trifocal 4.00/>6","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2306","description":"Lens sphcyl trifocal 4.00/>6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27235","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB20B","description":"HIPPS-HB20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ethmoid sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31205","description":"Removal of ethmoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including CT guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10010","description":"Fine needle aspiration biopsy_ including CT guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rvw meds by rx/dr in rcrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1160F","description":"Rvw meds by rx/dr in rcrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung perfusion imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78580","description":"Lung perfusion imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28B","description":"HIPPS-HC28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00635","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00635","description":"CPT-00635","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES25C","description":"HIPPS-ES25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiology port images(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77417","description":"Radiology port images(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL4","description":"HIPPS-2CFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA14A","description":"HIPPS-BA14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLT","description":"HIPPS-2CHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD21A","description":"HIPPS-LD21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cultr oocyte/embryo <4 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89251","description":"Cultr oocyte/embryo <4 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0215T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23655","description":"Treat shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophth us b & quant a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76510","description":"Ophth us b & quant a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA221","description":"HIPPS-CA221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainable plstic pch w/o fp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4377","description":"Drainable plstic pch w/o fp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of chin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21123","description":"Reconstruction of chin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of skin wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15829","description":"Removal of skin wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy nail unit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11755","description":"Biopsy nail unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44147","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB5B","description":"HIPPS-RMB5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES230","description":"HIPPS-ES230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient  compression arm sleeve_ custom_ medium weight_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6576","description":"Gradient  compression arm sleeve_ custom_ medium weight_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9154","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9154","description":"HCPCS-A9154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical food oral 100% nutr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9433","description":"Medical food oral 100% nutr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9979","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pros sock single ply bk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8470","description":"Pros sock single ply bk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ leuprolide acetate for depot suspension (lutrate)_ 7.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1954","description":"Injection_ leuprolide acetate for depot suspension (lutrate)_ 7.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0943T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0943T","description":"CPT-0943T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28E","description":"HIPPS-HE28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96133","description":"Neuropsychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt alkaline 1.5 v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0603","description":"Repl batt alkaline 1.5 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB13","description":"HIPPS-RLB13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed_ arterial approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0643T","description":"Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed_ arterial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a follow-up assessment within 120 days of the index assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1363","description":"Patients who did not have a follow-up assessment within 120 days of the index assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLX","description":"HIPPS-1AFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy w/neo-rectum pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44158","description":"Colectomy w/neo-rectum pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFMT","description":"HIPPS-2CFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of choroid lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67220","description":"Treatment of choroid lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5135","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5135","description":"HCPCS-Q5135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray urinary tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74410","description":"Contrst x-ray urinary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 xtra hd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0828","description":"Pwc gp 2 xtra hd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGM5","description":"HIPPS-4AGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig for ref oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8561","description":"Pt inelig for ref oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient use of hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9693","description":"Patient use of hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive mastoid surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69511","description":"Extensive mastoid surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53250","description":"Removal of urethra gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/bx infiltrate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32607","description":"Thoracoscopy w/bx infiltrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iris support intraoclr lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2631","description":"Iris support intraoclr lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lumasiran_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0224","description":"Injection_ lumasiran_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB16","description":"HIPPS-RUB16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33690","description":"Reinforce pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inlay porcelain/ceramic 1 su","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2610","description":"Inlay porcelain/ceramic 1 su","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Restore/remodel ventricle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33548","description":"Restore/remodel ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo partial nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50543","description":"Laparo partial nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreservation embryo(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89258","description":"Cryopreservation embryo(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB33","description":"HIPPS-RMB33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA14C","description":"HIPPS-PA14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB23","description":"HIPPS-RHB23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18E","description":"HIPPS-LC18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acupunct w/o stimul addl 15m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97811","description":"Acupunct w/o stimul addl 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunohisto antibody slide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88344","description":"Immunohisto antibody slide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN1","description":"HIPPS-3CGN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zrsr2 (Zinc Finger Ccch-Type_ Rna Binding Motif And Serine/Arginine-Rich 2) (Eg_ Myelodysplastic Syndrome_ Acute Myeloid Leukemia) Gene Analysis_ Common Variant(S) (Eg_ E65Fs_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81360","description":"Zrsr2 (Zinc Finger Ccch-Type_ Rna Binding Motif And Serine/Arginine-Rich 2) (Eg_ Myelodysplastic Syndrome_ Acute Myeloid Leukemia) Gene Analysis_ Common Variant(S) (Eg_ E65Fs_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc forearm les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25075","description":"Exc forearm les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA1B","description":"HIPPS-RVA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0666U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0666U","description":"CPT-0666U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymph vessel x-ray trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75805","description":"Lymph vessel x-ray trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN5","description":"HIPPS-1AGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc antibody screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86850","description":"Rbc antibody screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL54","description":"HIPPS-RVL54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve_ percutaneous approach_ including right heart catheterization_ temporary pacemaker insertio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0646T","description":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve_ percutaneous approach_ including right heart catheterization_ temporary pacemaker insertio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency tracheotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7990","description":"Emergency tracheotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFL6","description":"HIPPS-3BFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corneal transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65710","description":"Corneal transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel iu 13.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7301","description":"Levonorgestrel iu 13.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cyclophosphamide oral 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8530","description":"Cyclophosphamide oral 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Streptozocin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9320","description":"Streptozocin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB15","description":"HIPPS-RLB15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Utility services waiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2035","description":"Utility services waiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKX","description":"HIPPS-2BHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA5A","description":"HIPPS-AAA5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0907T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0907T","description":"CPT-0907T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sm 153 lexidronam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9604","description":"Sm 153 lexidronam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd srv 4 vsts p mo 12-19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90957","description":"Esrd srv 4 vsts p mo 12-19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anterior colporrhaphy_ repair of cystocele with or without repair of urethrocele_ including cystourethroscopy_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57240","description":"Anterior colporrhaphy_ repair of cystocele with or without repair of urethrocele_ including cystourethroscopy_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abut support crown titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6094","description":"Abut support crown titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nsclc stg3a no progre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9065","description":"Onc dx nsclc stg3a no progre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0238","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0238","description":"HCPCS-Q0238","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51060","description":"Removal of ureter stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supply/accessory/service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9900","description":"Supply/accessory/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dvt prophylx recvd day 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4070F","description":"Dvt prophylx recvd day 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal donor liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47140","description":"Partial removal donor liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA26","description":"HIPPS-RVA26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL36","description":"HIPPS-RHL36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5141","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5141","description":"HCPCS-Q5141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMU","description":"HIPPS-2AHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flecainide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80181","description":"Flecainide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/lesion removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45385","description":"Colonoscopy w/lesion removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periodic Assessment; Assessing Periodically By Qualified Personnel To Determine The Most Appropriate Combination Of Services And Treatment (Provision Of The Services By A Medi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2077","description":"Periodic Assessment; Assessing Periodically By Qualified Personnel To Determine The Most Appropriate Combination Of Services And Treatment (Provision Of The Services By A Medi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No sig dep symp by dep tool","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3352F","description":"No sig dep symp by dep tool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI neck spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72142","description":"MRI neck spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep b surface antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86706","description":"Hep b surface antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21088","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise leg vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37700","description":"Revise leg vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL6","description":"HIPPS-3BHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy_ distal two-thirds_ with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy_ with laparoscopic pyloric drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43287","description":"Esophagectomy_ distal two-thirds_ with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy_ with laparoscopic pyloric drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Select picture audiometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92583","description":"Select picture audiometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD141","description":"HIPPS-LD141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC22B","description":"HIPPS-CC22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transdermal gfr measurements","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0602T","description":"Transdermal gfr measurements","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8008","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8008","description":"HCPCS-C8008","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture bacterial urine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P7001","description":"Culture bacterial urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66155","description":"Glaucoma surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test sock wrist disart/bel e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6680","description":"Test sock wrist disart/bel e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD226","description":"HIPPS-HD226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acne surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10040","description":"Acne surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mandible graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7950","description":"Mandible graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous laser vein addon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36479","description":"Endovenous laser vein addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8X","description":"HIPPS-RVL8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB135","description":"HIPPS-BB135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGM6","description":"HIPPS-1BGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Talk re uv light pt/crgvr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4176F","description":"Talk re uv light pt/crgvr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit im injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99506","description":"Home visit im injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lower extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93925","description":"Lower extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA16","description":"HIPPS-RVA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radio/surgical implant index","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6190","description":"Radio/surgical implant index","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot inhibit prot s free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85306","description":"Clot inhibit prot s free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth spine cord surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67051","description":"Anesth spine cord surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen crosslinks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82523","description":"Collagen crosslinks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFMV","description":"HIPPS-4BFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ra tracer id of sentinl node","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38792","description":"Ra tracer id of sentinl node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening performed and positive and provision of recommendations","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9919","description":"Screening performed and positive and provision of recommendations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/graft eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68326","description":"Revise/graft eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81400","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect neck tumor 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21558","description":"Resect neck tumor 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion/graft of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25810","description":"Fusion/graft of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; anomalous or persistent superior vena cava when it ex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93584","description":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; anomalous or persistent superior vena cava when it ex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87420","description":"IAAD IA RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_Nivolumab_ 1mg (Opdivo)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9453","description":"Injection_Nivolumab_ 1mg (Opdivo)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMU","description":"HIPPS-1AFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00754","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00754","description":"CPT-00754","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brexucabtagene autoleucel_ up to 200 million autologous anti-cd19 car positive viable t cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9073","description":"Brexucabtagene autoleucel_ up to 200 million autologous anti-cd19 car positive viable t cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE15B","description":"HIPPS-CE15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98002","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98002","description":"CPT-98002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27350","description":"Removal of kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wet-dry dressings rx recmd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4265F","description":"Wet-dry dressings rx recmd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of fibula epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27732","description":"Repair of fibula epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repr pul art unifocal w/cpb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33926","description":"Repr pul art unifocal w/cpb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol wipes per box","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4245","description":"Alcohol wipes per box","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9302","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9302","description":"HCPCS-C9302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; first 30-74 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0188T","description":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; first 30-74 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA2D","description":"HIPPS-RHA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Md inr test revie inter mgmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0250","description":"Md inr test revie inter mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of burn scab initi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16035","description":"Incision of burn scab initi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD25A","description":"HIPPS-CD25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat/graft heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28420","description":"Treat/graft heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remov vert idrl bdy lmbr/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63307","description":"Remov vert idrl bdy lmbr/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling indiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99404","description":"Preventive counseling indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln part mand lab","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5761","description":"Denture reln part mand lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGN2","description":"HIPPS-1BGN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of chromium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82495","description":"Assay of chromium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln cmplt maxil ch","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5730","description":"Denture reln cmplt maxil ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Facial moulage complete","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5912","description":"Facial moulage complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plastic surgery neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15819","description":"Plastic surgery neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB25D","description":"HIPPS-LB25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD23A","description":"HIPPS-HD23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18I","description":"HIPPS-LC18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dimenhydrinate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1240","description":"Dimenhydrinate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHL5","description":"HIPPS-3AHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supported employ_ per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2023","description":"Supported employ_ per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional_ two or more tests_ any method; first 30 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96136","description":"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional_ two or more tests_ any method; first 30 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK1","description":"HIPPS-3AHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tongue to lip surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41510","description":"Tongue to lip surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewhfo airplane w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3976","description":"Sewhfo airplane w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99341","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor inhibitor test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85335","description":"Factor inhibitor test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37261","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37261","description":"CPT-37261","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33430","description":"Replacement of mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tagraxofusp-erzs_ 10mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9049","description":"Injection_ tagraxofusp-erzs_ 10mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM2","description":"HIPPS-2BHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE15C","description":"HIPPS-LE15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB33","description":"HIPPS-RHB33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE246","description":"HIPPS-CE246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision Of Chest Wall Tumor Including Rib(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21601","description":"Excision Of Chest Wall Tumor Including Rib(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1444","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1444","description":"HCPCS-M1444","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of galactose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82760","description":"Assay of galactose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc rect tum transanal full","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45172","description":"Exc rect tum transanal full","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA146","description":"HIPPS-BA146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv col supp adj bar & thor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0200","description":"Cerv col supp adj bar & thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA06","description":"HIPPS-RMA06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA115","description":"HIPPS-CA115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caloric vstblr test w/rec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92538","description":"Caloric vstblr test w/rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abo rh blood typing docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3293F","description":"Abo rh blood typing docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML30","description":"HIPPS-RML30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26499","description":"Revision of finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prior dx/active clin ascvd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9662","description":"Prior dx/active clin ascvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01260","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01260","description":"CPT-01260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-routine bl draw 3/> yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36410","description":"Non-routine bl draw 3/> yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB240","description":"HIPPS-CB240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP3","description":"HIPPS-3BGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not screening for tobacco use (e.g._ limited life expectancy_ other medical reason)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9904","description":"Documentation of medical reason(s) for not screening for tobacco use (e.g._ limited life expectancy_ other medical reason)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD13D","description":"HIPPS-CD13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of quinidine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80194","description":"Assay of quinidine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehicle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1230","description":"Power operated vehicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nafcillin sodium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0032","description":"Injection_ nafcillin sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy and biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45380","description":"Colonoscopy and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI lumbar spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72148","description":"MRI lumbar spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monitor cable elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0485","description":"Monitor cable elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Itraconazole injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1835","description":"Itraconazole injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder lock actuator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6647","description":"Shoulder lock actuator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFM4","description":"HIPPS-4CFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8E","description":"HIPPS-RHA8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28D","description":"HIPPS-LD28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Face tent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4619","description":"Face tent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC125","description":"HIPPS-CC125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB0D","description":"HIPPS-RHB0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0665U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0665U","description":"CPT-0665U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq transcath closure pda","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93582","description":"Perq transcath closure pda","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted preventive service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99429","description":"Unlisted preventive service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add ue prost be/wd_ ultlite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7400","description":"Add ue prost be/wd_ ultlite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; not otherwise specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0129U","description":"Anesthesia for intracranial procedures; not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of breast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40451","description":"Anesth surgery of breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine_ 21 valent (PCV21)_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90684","description":"Pneumococcal conjugate vaccine_ 21 valent (PCV21)_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer shoulder/arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23395","description":"Muscle transfer shoulder/arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB205","description":"HIPPS-CB205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso s/c shell/panel prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0639","description":"Lso s/c shell/panel prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES220","description":"HIPPS-ES220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr umbil hern block > 5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49587","description":"Rpr umbil hern block > 5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant of thigh tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27396","description":"Transplant of thigh tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA210","description":"HIPPS-PA210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice in lt/non-skilled nf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5003","description":"Hospice in lt/non-skilled nf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis_ including reported phenotypes and imp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0349U","description":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis_ including reported phenotypes and imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB134","description":"HIPPS-CB134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FMRI brain by tech","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70554","description":"FMRI brain by tech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dysphag test done b/4 eating","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6015F","description":"Dysphag test done b/4 eating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01850","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01850","description":"CPT-01850","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx esophag t1-t3 noprog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9096","description":"Onc dx esophag t1-t3 noprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1x scrn hcv infect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9451","description":"1x scrn hcv infect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4363","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4363","description":"HCPCS-Q4363","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA10","description":"HIPPS-RHA10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27601","description":"Decompression of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultraviolet light therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96900","description":"Ultraviolet light therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vascular graft_ synthetic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8670","description":"Vascular graft_ synthetic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet image w/ct full body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78816","description":"Pet image w/ct full body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain open abdom abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49040","description":"Drain open abdom abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sensorineural acuity test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92575","description":"Sensorineural acuity test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled nitric oxide meas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95012","description":"Exhaled nitric oxide meas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cephapirin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0710","description":"Cephapirin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27475","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE120","description":"HIPPS-CE120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD154","description":"HIPPS-PD154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB0B","description":"HIPPS-RMB0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-62330","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62330","description":"CPT-62330","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/plcmt stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45347","description":"Sigmoidoscopy w/plcmt stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of tear duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70170","description":"X-ray exam of tear duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01120","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01120","description":"CPT-01120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteogen ultrasound stimltor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0760","description":"Osteogen ultrasound stimltor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of gastrostomy tube_ percutaneous_ with magnetic gastropexy_ under ultrasound guidance_ image documentation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0647T","description":"Insertion of gastrostomy tube_ percutaneous_ with magnetic gastropexy_ under ultrasound guidance_ image documentation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary colon ca dsordrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81436","description":"Hereditary colon ca dsordrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ant resin-based cmpst crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2390","description":"Ant resin-based cmpst crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special eye exam initial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92225","description":"Special eye exam initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare donor intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44715","description":"Prepare donor intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7523","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc bla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51999","description":"Laparoscope proc bla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81545","description":"Oncology thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Florbetapir f18","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9586","description":"Florbetapir f18","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC05","description":"HIPPS-RVC05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj foramen epidural l/s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64483","description":"Inj foramen epidural l/s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99213","description":"Office/outpatient visit est","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGN6","description":"HIPPS-3BGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy br/wa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44381","description":"Small bowel endoscopy br/wa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of neck muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21700","description":"Revision of neck muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytomegalovirus imm iv /vial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0850","description":"Cytomegalovirus imm iv /vial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGMX","description":"HIPPS-2CGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of foot joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28022","description":"Exploration of foot joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0204","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0204","description":"CDT-D0204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE235","description":"HIPPS-HE235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Borrelia burgdorferi_ antibody detection of 12 recombinant protein groups_ by immunoblot_ IgG","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0042U","description":"Borrelia burgdorferi_ antibody detection of 12 recombinant protein groups_ by immunoblot_ IgG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other manual wheelchair/base","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0009","description":"Other manual wheelchair/base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25560","description":"Treat fracture radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0502","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0502","description":"CDT-D0502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq lumbosacral injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22511","description":"Perq lumbosacral injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of skin abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10060","description":"Drainage of skin abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (cutaneous melanoma)_ mRNA gene expression profiling by RT-PCR of 35 genes (32 content and 3 housekeeping)_ utilizing formalin-fixed paraffin-embedded (FFPE) tissue_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0314U","description":"Oncology (cutaneous melanoma)_ mRNA gene expression profiling by RT-PCR of 35 genes (32 content and 3 housekeeping)_ utilizing formalin-fixed paraffin-embedded (FFPE) tissue_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobramycin non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7682","description":"Tobramycin non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cln cncr stage 3 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3388F","description":"Ajcc cln cncr stage 3 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neomatrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2021","description":"Neomatrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin e","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84446","description":"Assay of vitamin e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGM2","description":"HIPPS-4AGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive management and care coordination for advanced illness_ per calendar month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0311","description":"Comprehensive management and care coordination for advanced illness_ per calendar month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tube_ pneumatic caster tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2385","description":"Tube_ pneumatic caster tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGK4","description":"HIPPS-4CGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18E","description":"HIPPS-LE18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of pregnanediol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84135","description":"Assay of pregnanediol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech/hearing therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92507","description":"Speech/hearing therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interv hlth/behav fam w/pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96154","description":"Interv hlth/behav fam w/pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SEPT9 (Septin9) (eg_ colorectal cancer) methylation analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81327","description":"SEPT9 (Septin9) (eg_ colorectal cancer) methylation analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open brachial artery exposure for delivery of endovascular prosthesis_ unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34834","description":"Open brachial artery exposure for delivery of endovascular prosthesis_ unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration_ including lead placement and removal_ upper extremity_ minimum of 10 minut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0882T","description":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration_ including lead placement and removal_ upper extremity_ minimum of 10 minut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hydroceles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55041","description":"Removal of hydroceles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Res_ nos waiver per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2033","description":"Res_ nos waiver per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin grft t/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15150","description":"Cult skin grft t/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0527T","description":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling group","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99412","description":"Preventive counseling group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ mon_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5245","description":"Hearing aid_ prog_ mon_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Docrsn for cath maint dia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9264","description":"Docrsn for cath maint dia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ pemivibart_ for the pre-exposure prophylaxis only_ for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known S","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0224","description":"Intravenous infusion_ pemivibart_ for the pre-exposure prophylaxis only_ for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known S","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relese_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4257","description":"Relese_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No neuropsych symptoms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8948","description":"No neuropsych symptoms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ATXN2 (ataxin 2) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81179","description":"ATXN2 (ataxin 2) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9172","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9172","description":"HCPCS-C9172","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient recorded spirometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94014","description":"Patient recorded spirometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kt/v >/= 1.7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3084F","description":"Kt/v >/= 1.7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carecoordination prenatal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1002","description":"Carecoordination prenatal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nipple exploration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19110","description":"Nipple exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression wrap with adjustable straps_ not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6584","description":"Gradient compression wrap with adjustable straps_ not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc comp or mort w in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9267","description":"Doc comp or mort w in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77412","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81404","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee disart expand wall sock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5653","description":"Knee disart expand wall sock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spinal Puncture_ Lumbar_ Diagnostic; With Fluoroscopic Or Ct Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62328","description":"Spinal Puncture_ Lumbar_ Diagnostic; With Fluoroscopic Or Ct Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rprt bone scint xref w xray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3570F","description":"Rprt bone scint xref w xray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0961T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0961T","description":"CPT-0961T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic endoscopic retrograde cholangiopancreatography (ercp)_ including collection of specimen(s) by brushing or washing_ when performed_ with endoscopic cannulation of pa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7541","description":"Diagnostic endoscopic retrograde cholangiopancreatography (ercp)_ including collection of specimen(s) by brushing or washing_ when performed_ with endoscopic cannulation of pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95149","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser tx skin 250-500 sq cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96921","description":"Laser tx skin 250-500 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apc gene known fam variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81202","description":"Apc gene known fam variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0963T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0963T","description":"CPT-0963T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX32","description":"HIPPS-RUX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xray place prox ext thor ao","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75958","description":"Xray place prox ext thor ao","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28H","description":"HIPPS-HE28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain image w/flow < 4 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78601","description":"Brain image w/flow < 4 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic aortic graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33875","description":"Thoracic aortic graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repr of anal fistula w/glue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46706","description":"Repr of anal fistula w/glue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of idh enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83570","description":"Assay of idh enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK6","description":"HIPPS-5BGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric febrile illness (Kawasaki disease [KD])_ interferon alpha-inducible protein 27 (IFI27) and mast cell-expressed membrane protein 1 (MCEMP1)_ RNA_ using reverse transc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0389U","description":"Pediatric febrile illness (Kawasaki disease [KD])_ interferon alpha-inducible protein 27 (IFI27) and mast cell-expressed membrane protein 1 (MCEMP1)_ RNA_ using reverse transc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Anal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1072","description":"Radiation Therapy For Anal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0407","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0407","description":"HCPCS-B0407","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67710","description":"Incision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PalinGen or PalinGen XPlus_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4173","description":"PalinGen or PalinGen XPlus_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0104","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0104","description":"CDT-D0104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noc retail items andsupplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1999","description":"Noc retail items andsupplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC220","description":"HIPPS-LC220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sipuleucel-t auto cd54+","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2043","description":"Sipuleucel-t auto cd54+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33660","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA3B","description":"HIPPS-RUA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brst prsths adhsv attchmnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4280","description":"Brst prsths adhsv attchmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33426","description":"Repair of mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28B","description":"HIPPS-CE28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL0D","description":"HIPPS-RUL0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC11","description":"HIPPS-RMC11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq vertebral augmentation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22514","description":"Perq vertebral augmentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of fascia for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20922","description":"Removal of fascia for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFK5","description":"HIPPS-4BFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixation of tongue_ mechanical_ other than suture (eg_ K-wire)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41500","description":"Fixation of tongue_ mechanical_ other than suture (eg_ K-wire)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidrm autogrft t/a/l add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15111","description":"Epidrm autogrft t/a/l add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recon_ cta for surg plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0288","description":"Recon_ cta for surg plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp carotid-vertebral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35642","description":"Art byp carotid-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood clot lysis time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85175","description":"Blood clot lysis time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX22","description":"HIPPS-RMX22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Volun service at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9476","description":"Volun service at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited dental tx transition","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8020","description":"Limited dental tx transition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt queried pain fxn w/ instr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1502F","description":"Pt queried pain fxn w/ instr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens_ hydrophilic_ spherical_ photochromic additive_ per lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2524","description":"Contact lens_ hydrophilic_ spherical_ photochromic additive_ per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKT","description":"HIPPS-2AFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9775","description":"Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Integrated filter & holder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7507","description":"Integrated filter & holder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood sulfhemoglobin assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83060","description":"Blood sulfhemoglobin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intens behave ther cardio dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0446","description":"Intens behave ther cardio dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test thor paraspinal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95869","description":"Muscle test thor paraspinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22847","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA4B","description":"HIPPS-RMA4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dressing change not for burn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15852","description":"Dressing change not for burn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cst noble mtl inlay >=3 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6607","description":"Cst noble mtl inlay >=3 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurobehavioral status exam (clinical assessment of thinking_ reasoning and judgment_ [eg_ acquired knowledge_ attention_ language_ memory_ planning and problem solving_ and v","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96121","description":"Neurobehavioral status exam (clinical assessment of thinking_ reasoning and judgment_ [eg_ acquired knowledge_ attention_ language_ memory_ planning and problem solving_ and v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat vagina infection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57150","description":"Treat vagina infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BellaCell HD or Surederm_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4220","description":"BellaCell HD or Surederm_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antipsychotics nos 1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80342","description":"Antipsychotics nos 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA126","description":"HIPPS-BA126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE15D","description":"HIPPS-HE15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA45","description":"HIPPS-RHA45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath abd/l-ext art addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36248","description":"Ins cath abd/l-ext art addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj testosterone cypionate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1071","description":"Inj testosterone cypionate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens trifocal add over 3.25d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2320","description":"Lens trifocal add over 3.25d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral administration ki","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4224","description":"Parenteral administration ki","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue homogenization cultr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87176","description":"Tissue homogenization cultr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC3A","description":"HIPPS-RVC3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKV","description":"HIPPS-5CHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydralazine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0360","description":"Hydralazine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer For Metal Fpd - Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6123","description":"Implant Supported Retainer For Metal Fpd - Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLT","description":"HIPPS-4AGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01656","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01656","description":"CPT-01656","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE21B","description":"HIPPS-CE21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"2d tte w or w/o fol w/con_fu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8924","description":"2d tte w or w/o fol w/con_fu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25441","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC22B","description":"HIPPS-PC22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ common and select rare variants (ie_ *2_ *3_ *4_ *4N_ *5_ *6_ *7_ *8_ *9_ *","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0070U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ common and select rare variants (ie_ *2_ *3_ *4_ *4N_ *5_ *6_ *7_ *8_ *9_ *","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA110","description":"HIPPS-PA110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of knee 1 or 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73560","description":"X-ray exam of knee 1 or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL4","description":"HIPPS-3CHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient with diagnosis of osteoporosis on date of encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1153","description":"Patient with diagnosis of osteoporosis on date of encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ semiquantitative measurement of thymidine kinase activity by immunoassay_ serum_ results reported as risk of disease progression","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0404U","description":"Oncology (breast)_ semiquantitative measurement of thymidine kinase activity by immunoassay_ serum_ results reported as risk of disease progression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tenofovir_ by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ urine_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0025U","description":"Tenofovir_ by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ urine_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC53","description":"HIPPS-RUC53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resp virus 6-11 targets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87632","description":"Resp virus 6-11 targets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKT","description":"HIPPS-4AGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gene test beta-thalassemia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3846","description":"Gene test beta-thalassemia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHK3","description":"HIPPS-1CHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP6","description":"HIPPS-1CFP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGL4","description":"HIPPS-4BGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA140","description":"HIPPS-BA140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"With maintenance hemodialysis (in-center and home hd) for the complete reporting month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0049","description":"With maintenance hemodialysis (in-center and home hd) for the complete reporting month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure_ endoscopic sleeve gastroplasty_ with esophagogastroduodenoscopy and intraluminal tube insertion_ if performed_ including all system and tissue a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9784","description":"Gastric restrictive procedure_ endoscopic sleeve gastroplasty_ with esophagogastroduodenoscopy and intraluminal tube insertion_ if performed_ including all system and tissue a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB17","description":"HIPPS-RUB17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16371","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16371","description":"CPT-16371","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC150","description":"HIPPS-CC150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrde addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61864","description":"Implant neuroelectrde addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53450","description":"Revision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA111","description":"HIPPS-PA111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0302","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0302","description":"CDT-D0302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sphyg/bp app w cuff and stet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4660","description":"Sphyg/bp app w cuff and stet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX03","description":"HIPPS-RLX03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo supramalleolar custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1907","description":"Afo supramalleolar custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE121","description":"HIPPS-CE121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application lower leg splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29515","description":"Application lower leg splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ plasma analysis of 388 proteins_ using aptamer-based proteomics technology_ predictive algorithm reported as clinical benefit from immune checkpoint inhibitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0436U","description":"Oncology (lung)_ plasma analysis of 388 proteins_ using aptamer-based proteomics technology_ predictive algorithm reported as clinical benefit from immune checkpoint inhibitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX07","description":"HIPPS-RVX07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA13","description":"HIPPS-RMA13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1318","description":"Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg_ anchor_ screw_ tack) and all associated radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34712","description":"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg_ anchor_ screw_ tack) and all associated radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko swedish type pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1850","description":"Ko swedish type pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syringe w/needle insulin 3cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4232","description":"Syringe w/needle insulin 3cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharm rx agent noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9699","description":"Radiopharm rx agent noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFKT","description":"HIPPS-4BFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmi documented outside normal parameters_ no follow-up plan documented_ no reason given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1276","description":"Bmi documented outside normal parameters_ no follow-up plan documented_ no reason given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA250","description":"HIPPS-BA250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prochlorperazine 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0183","description":"Prochlorperazine 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occlusal orthotic appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7880","description":"Occlusal orthotic appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temple bone implant revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69717","description":"Temple bone implant revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ isatuximab-irfc_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9227","description":"Injection_ isatuximab-irfc_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chore services per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5120","description":"Chore services per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap esophagomyotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2079","description":"Lap esophagomyotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx gastric unresectable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9102","description":"Onc dx gastric unresectable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD20B","description":"HIPPS-LD20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq cardiac angioplast 1 art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92920","description":"Prq cardiac angioplast 1 art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; vascular procedures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0133U","description":"Anesthesia for intracranial procedures; vascular procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB3D","description":"HIPPS-RMB3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01925","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01925","description":"CPT-01925","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration/repair of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45563","description":"Exploration/repair of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice care supervision","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0182","description":"Hospice care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES346","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES346","description":"HIPPS-ES346","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lt compres band >=3in <5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6449","description":"Lt compres band >=3in <5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00220","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00220","description":"CPT-00220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE126","description":"HIPPS-HE126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Daunorubicin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9150","description":"Daunorubicin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise stomach-bowel fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43855","description":"Revise stomach-bowel fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug interven","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0022","description":"Alcohol and/or drug interven","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD25C","description":"HIPPS-LD25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC20A","description":"HIPPS-CC20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27395","description":"Lengthening of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthosis (HO)_ bilateral hip joints and thigh cuffs_ adjustable flexion_ extension_ abduction control of hip joint_ postoperative hip abduction type_ prefabricated item th","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1681","description":"Hip orthosis (HO)_ bilateral hip joints and thigh cuffs_ adjustable flexion_ extension_ abduction control of hip joint_ postoperative hip abduction type_ prefabricated item th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vascular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93975","description":"Vascular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGN5","description":"HIPPS-3BGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Position back cush wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2614","description":"Position back cush wd>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ho abduction hip adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1650","description":"Ho abduction hip adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA10A","description":"HIPPS-CA10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ casirivimab and imdevimab_ 1200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0244","description":"Injection_ casirivimab and imdevimab_ 1200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27252","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK5","description":"HIPPS-2CHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc extend prosth init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34825","description":"Endovasc extend prosth init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levorphanol tartrate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1960","description":"Levorphanol tartrate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of neck wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15825","description":"Removal of neck wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00904","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00904","description":"CPT-00904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special reports or forms","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99080","description":"Special reports or forms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glucose blood test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82962","description":"Glucose blood test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iiv4 vaccine 6-35 months im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90687","description":"Iiv4 vaccine 6-35 months im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient achieves refraction +-1 d for the eye that underwent cataract surgery_ measured at the one month follow up visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9391","description":"Patient achieves refraction +-1 d for the eye that underwent cataract surgery_ measured at the one month follow up visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antineutrophil Cytoplasmic Antibody (Anca); Titer_ Each Antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86037","description":"Antineutrophil Cytoplasmic Antibody (Anca); Titer_ Each Antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc breast risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0008M","description":"Onc breast risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ureter & bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50810","description":"Fusion of ureter & bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLX","description":"HIPPS-4BHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive determination of absolute quantitation of myocardial blood flow (AQMBF)_ derived from augmentative algorithmic analysis of the dataset acquired via contrast cardia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0899T","description":"Noninvasive determination of absolute quantitation of myocardial blood flow (AQMBF)_ derived from augmentative algorithmic analysis of the dataset acquired via contrast cardia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat skull fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62000","description":"Treat skull fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC10C","description":"HIPPS-PC10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TDD","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5272","description":"TDD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKT","description":"HIPPS-2BHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monit store cryo embryo 30 d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4040","description":"Monit store cryo embryo 30 d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX1A","description":"HIPPS-RMX1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical site infection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9312","description":"Surgical site infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagus surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43499","description":"Esophagus surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt_ pn_ hist grade doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8721","description":"Pt_ pn_ hist grade doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD241","description":"HIPPS-HD241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML02","description":"HIPPS-RML02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8D","description":"HIPPS-RLB8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 hd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0850","description":"Pwc gp 3 hd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bladder wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51865","description":"Repair of bladder wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of femur epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27185","description":"Revision of femur epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of skull defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62117","description":"Reduction of skull defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1051T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1051T","description":"CPT-1051T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37294","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37294","description":"CPT-37294","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31235","description":"Nasal/sinus endoscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES221","description":"HIPPS-ES221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1421","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1421","description":"HCPCS-M1421","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier liquid per oz","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4369","description":"Skin barrier liquid per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve repair; with nerve allograft_ each additional strand (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64913","description":"Nerve repair; with nerve allograft_ each additional strand (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj ilio-ing/hypogi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64425","description":"N block inj ilio-ing/hypogi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crisis intervention mental h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9485","description":"Crisis intervention mental h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bld typing serologic rh phnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86906","description":"Bld typing serologic rh phnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat recline pwr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1005","description":"Pwr seat recline pwr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA25","description":"HIPPS-RLA25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair webbed toe(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28345","description":"Repair webbed toe(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Internal eye photography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92286","description":"Internal eye photography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoglobulin paraprotein (M-protein)_ qualitative_ immunoprecipitation and mass spectrometry_ blood or urine_ including isotype","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0077U","description":"Immunoglobulin paraprotein (M-protein)_ qualitative_ immunoprecipitation and mass spectrometry_ blood or urine_ including isotype","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other bone graft microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20962","description":"Other bone graft microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of insulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83525","description":"Assay of insulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegcetacoplan_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9151","description":"Injection_ pegcetacoplan_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC42","description":"HIPPS-RVC42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap part colectomy w/stoma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44206","description":"Lap part colectomy w/stoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGNU","description":"HIPPS-1BGNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj_ level 5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9011","description":"Mccd_ risk adj_ level 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg awake and drowsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95816","description":"Eeg awake and drowsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv trunk musc 6/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64647","description":"Chemodenerv trunk musc 6/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place device/marker_ non pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9728","description":"Place device/marker_ non pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc abdm/per/oment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49329","description":"Laparo proc abdm/per/oment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estrogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84233","description":"Assay of estrogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of fibula fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27781","description":"Treatment of fibula fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phenobarbital sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2560","description":"Phenobarbital sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21246","description":"Reconstruction of jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt serv p day 20+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90970","description":"Esrd home pt serv p day 20+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC2C","description":"HIPPS-RUC2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB03","description":"HIPPS-RVB03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl&rplcmt ss impl dfb pg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0614T","description":"Rmvl&rplcmt ss impl dfb pg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bile duct cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47715","description":"Excision of bile duct cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Habil ed waiver per hour","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2013","description":"Habil ed waiver per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9938","description":"Patients age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA136","description":"HIPPS-BA136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES210","description":"HIPPS-ES210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 50 mcg/0.5 mL dosage_ for int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91309","description":"Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 50 mcg/0.5 mL dosage_ for int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp geriatr assmt team","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0250","description":"Comp geriatr assmt team","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Procainamide hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2690","description":"Procainamide hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of feces for trypsin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84490","description":"Assay of feces for trypsin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis blood pressure cuff","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4663","description":"Dialysis blood pressure cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00474","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00474","description":"CPT-00474","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL25","description":"HIPPS-RVL25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27538","description":"Treat knee fracture(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17271","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess cyst contrast inject","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49424","description":"Assess cyst contrast inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB130","description":"HIPPS-LB130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had a completed suicide safety plan initiated_ reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical enc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1350","description":"Patients who had a completed suicide safety plan initiated_ reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical enc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx esophageal t4 no prog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9097","description":"Onc dx esophageal t4 no prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28I","description":"HIPPS-CB28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23630","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17282","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assist oocyte fertilization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89281","description":"Assist oocyte fertilization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL2D","description":"HIPPS-RVL2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC4C","description":"HIPPS-RVC4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0998T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0998T","description":"CPT-0998T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interdiscal perq aspir dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62267","description":"Interdiscal perq aspir dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD215","description":"HIPPS-CD215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Euflexxa inj per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7323","description":"Euflexxa inj per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cochlear implt f/up exam 7/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92603","description":"Cochlear implt f/up exam 7/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28H","description":"HIPPS-CB28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES234","description":"HIPPS-ES234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transposition ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58825","description":"Transposition ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ferumoxytol_ non-esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0138","description":"Ferumoxytol_ non-esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker variable wheel resist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0147","description":"Walker variable wheel resist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cefoxitin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0694","description":"Cefoxitin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr angio spine w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72159","description":"Mr angio spine w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mlh1 gene known variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81293","description":"Mlh1 gene known variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA2A","description":"HIPPS-RUA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gardner vag dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87512","description":"Gardner vag dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00792","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00792","description":"CPT-00792","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove part thorax vertebra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22101","description":"Remove part thorax vertebra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFKW","description":"HIPPS-1BFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE23D","description":"HIPPS-LE23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8G","description":"HIPPS-RMX8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD140","description":"HIPPS-LD140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHNX","description":"HIPPS-3CHNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suture small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44602","description":"Suture small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect tarsal tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28171","description":"Resect tarsal tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of implanted vestibular device_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0727T","description":"Removal and replacement of implanted vestibular device_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay phosphatidylglycerol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84081","description":"Assay phosphatidylglycerol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50130","description":"Removal of kidney stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Buttock fasciotomy w/dbrdmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27057","description":"Buttock fasciotomy w/dbrdmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28C","description":"HIPPS-BB28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise breast duct fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19112","description":"Excise breast duct fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37289","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37289","description":"CPT-37289","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Air ambulanc nonemerg fixed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9960","description":"Air ambulanc nonemerg fixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nudge control elbow lock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6637","description":"Nudge control elbow lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drugs unclassified injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3490","description":"Drugs unclassified injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interim implant crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6085","description":"Interim implant crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58210","description":"Extensive hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9128","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9128","description":"CDT-D9128","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES24C","description":"HIPPS-ES24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of spleen total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38102","description":"Removal of spleen total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ olanzapine_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2359","description":"Injection_ olanzapine_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc post surg anatomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9613","description":"Doc post surg anatomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD240","description":"HIPPS-PD240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8X","description":"HIPPS-RMX8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cinacalcet_ oral_ 1 mg_ (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0604","description":"Cinacalcet_ oral_ 1 mg_ (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth hernia repair < 1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83451","description":"Anesth hernia repair < 1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryoprecipitated fibrinogen complex_ pathogen reduced_ eachunit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9026","description":"Cryoprecipitated fibrinogen complex_ pathogen reduced_ eachunit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Statin therapy/currently tkn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4013F","description":"Statin therapy/currently tkn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace eye fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67025","description":"Replace eye fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retinal prosthesis_ includes all internal and external components; add-on to C1841","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1842","description":"Retinal prosthesis_ includes all internal and external components; add-on to C1841","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Annual gynecological examina","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0610","description":"Annual gynecological examina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluocinolone acetonide implt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7311","description":"Fluocinolone acetonide implt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine hemoglobin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83069","description":"Assay of urine hemoglobin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjustable chair for esrd pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1570","description":"Adjustable chair for esrd pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No admit req surg rev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9413","description":"No admit req surg rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bcr/abl1 gene major bp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81206","description":"Bcr/abl1 gene major bp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnio Wound_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4181","description":"Amnio Wound_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01444","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01444","description":"CPT-01444","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA20","description":"HIPPS-RLA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transection or ligation_ carotid artery in cavernous sinus_ with repair by anastomosis or graft (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61610","description":"Transection or ligation_ carotid artery in cavernous sinus_ with repair by anastomosis or graft (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Instillation_ ciprofloxacin otic suspension_ 6 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7342","description":"Instillation_ ciprofloxacin otic suspension_ 6 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject pulm art hrt cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93568","description":"Inject pulm art hrt cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL5","description":"HIPPS-3AGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of oxalate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83945","description":"Assay of oxalate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Who nontorsion jnts pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3916","description":"Who nontorsion jnts pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection glatiramer acetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1595","description":"Injection glatiramer acetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Large disposable underpad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4541","description":"Large disposable underpad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMX","description":"HIPPS-1BGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc compl inf antibio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9301","description":"Doc compl inf antibio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA22","description":"HIPPS-RMA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2032","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2032","description":"HCPCS-A2032","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHM5","description":"HIPPS-3AHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD10A","description":"HIPPS-CD10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ls < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8660","description":"Fun stat score ls < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound exam aaa screen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0389","description":"Ultrasound exam aaa screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHLT","description":"HIPPS-3AHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair rectum/remove sigmoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45550","description":"Repair rectum/remove sigmoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1055T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1055T","description":"CPT-1055T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ coagulation factor ix (recombinant)_ ixinity_ 1 i.u.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7213","description":"Injection_ coagulation factor ix (recombinant)_ ixinity_ 1 i.u.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE245","description":"HIPPS-HE245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise hand/foot nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64704","description":"Revise hand/foot nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth nose/sinus surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16051","description":"Anesth nose/sinus surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy tubal block","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58671","description":"Laparoscopy tubal block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1102","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1102","description":"CDT-D1102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42205","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove inner ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69970","description":"Remove inner ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0960T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0960T","description":"CPT-0960T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMX","description":"HIPPS-2BHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial or subsequent psychiatric collaborative care management_ each additional 30 minutes in a calendar month of behavioral health care manager activities_ in consultation w","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99494","description":"Initial or subsequent psychiatric collaborative care management_ each additional 30 minutes in a calendar month of behavioral health care manager activities_ in consultation w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA160","description":"HIPPS-CA160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of arm muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24331","description":"Revision of arm muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Large size footplate each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0041","description":"Large size footplate each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Water softening system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1625","description":"Water softening system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr hern preemie reduc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49491","description":"Rpr hern preemie reduc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0538U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0538U","description":"CPT-0538U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert plastazote or eq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3002","description":"Foot insert plastazote or eq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O2 saturation doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3028F","description":"O2 saturation doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0073A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1062T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1062T","description":"CPT-1062T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth nose/sinus surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16077","description":"Anesth nose/sinus surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD10C","description":"HIPPS-HD10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fo pip dip jnt/sprng pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3925","description":"Fo pip dip jnt/sprng pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ abdominal_ with contrast","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9744","description":"Ultrasound_ abdominal_ with contrast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0805","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0805","description":"HCPCS-B0805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGK6","description":"HIPPS-4CGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA20A","description":"HIPPS-PA20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGNT","description":"HIPPS-1AGNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitrectomy_ mechanical_ pars plana approach_ with subretinal injection of pharmacologic/biologic agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9770","description":"Vitrectomy_ mechanical_ pars plana approach_ with subretinal injection of pharmacologic/biologic agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE25B","description":"HIPPS-HE25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove unilat space maintain","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1520","description":"Remove unilat space maintain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mesh (implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1781","description":"Mesh (implantable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical boot each child","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3209","description":"Surgical boot each child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNX","description":"HIPPS-1AFNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0575","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0575","description":"HCPCS-G0575","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA3D","description":"HIPPS-AAA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec osteogen stim not spine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0747","description":"Elec osteogen stim not spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Image cath fluid peri/retro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49406","description":"Image cath fluid peri/retro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE10D","description":"HIPPS-PE10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37259","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37259","description":"CPT-37259","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0795T","description":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood viscosity examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85810","description":"Blood viscosity examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dxa ordered for osteo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8861","description":"Dxa ordered for osteo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apexification/recalc final","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3353","description":"Apexification/recalc final","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGKS","description":"HIPPS-4CGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0517F","description":"Glaucoma plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat pelvic ring fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27193","description":"Treat pelvic ring fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical boot each junior","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3211","description":"Surgical boot each junior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL45","description":"HIPPS-RHL45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC145","description":"HIPPS-CC145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoelectrophoresis assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86327","description":"Immunoelectrophoresis assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd us transmural injxn/mark","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43253","description":"Egd us transmural injxn/mark","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35091","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD244","description":"HIPPS-CD244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGKS","description":"HIPPS-5AGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0615","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0615","description":"HCPCS-J0615","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D7252","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D7252","description":"CDT-D7252","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autonomic nrv syst funj test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95923","description":"Autonomic nrv syst funj test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99239","description":"Hospital discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMW","description":"HIPPS-3BFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; pulse generator only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33280","description":"Removal of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; pulse generator only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove skull plate/flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62142","description":"Remove skull plate/flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4407","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4407","description":"HCPCS-Q4407","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ taliglucerase alfa_ 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3060","description":"Injection_ taliglucerase alfa_ 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD120","description":"HIPPS-PD120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dry pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0184","description":"Dry pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0651U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0651U","description":"CPT-0651U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart vessel fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33501","description":"Repair heart vessel fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMV","description":"HIPPS-3BFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18H","description":"HIPPS-CD18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physical therapy treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97039","description":"Physical therapy treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy_ shoulder_ surgi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2300","description":"Arthroscopy_ shoulder_ surgi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dna antibody single strand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86226","description":"Dna antibody single strand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0220","description":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tick-borne encephalitis virus vaccine_ inactivated; 0.25 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90626","description":"Tick-borne encephalitis virus vaccine_ inactivated; 0.25 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tendons at wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25300","description":"Fusion of tendons at wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA12A","description":"HIPPS-BA12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place cath xtrnl carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36227","description":"Place cath xtrnl carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKT","description":"HIPPS-5BHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57120","description":"Closure of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical opening of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43510","description":"Surgical opening of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1947","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1947","description":"HCPCS-J1947","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHKX","description":"HIPPS-5AHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ganciclovir long act implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7310","description":"Ganciclovir long act implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients receiving rrt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1199","description":"Patients receiving rrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ binaural_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5248","description":"Hearing aid_ binaural_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"(Blincyto)Injection_ Blinatumomab_ 1mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9449","description":"(Blincyto)Injection_ Blinatumomab_ 1mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL07","description":"HIPPS-RVL07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0930T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0930T","description":"CPT-0930T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess negative docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3341F","description":"Mammo assess negative docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX1A","description":"HIPPS-RVX1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conform band n/s w<3in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6442","description":"Conform band n/s w<3in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD22D","description":"HIPPS-LD22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Not ref for oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8858","description":"Not ref for oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoabdominal graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33877","description":"Thoracoabdominal graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj theophylline per 40 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2810","description":"Inj theophylline per 40 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transect pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33922","description":"Transect pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFKS","description":"HIPPS-2CFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Salivary gland imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78230","description":"Salivary gland imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/us guide bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45342","description":"Sigmoidoscopy w/us guide bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art trnsposj carotid subclav","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35695","description":"Art trnsposj carotid subclav","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder fb deep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23333","description":"Remove shoulder fb deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36582","description":"Replace tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision Or Removal Of Integrated Single Device Neurostimulation System Including Electrode Array And Receiver Or Pulse Generator_ Including Analysis_ Programming_ And Imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0588T","description":"Revision Or Removal Of Integrated Single Device Neurostimulation System Including Electrode Array And Receiver Or Pulse Generator_ Including Analysis_ Programming_ And Imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release knuckle contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26520","description":"Release knuckle contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gross exam prep & report","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0472","description":"Gross exam prep & report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18H","description":"HIPPS-LC18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1502","description":"HCPCS-M1502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25426","description":"Repair/graft radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1015T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1015T","description":"CPT-1015T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attendant Care Services_ per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1793","description":"Attendant Care Services_ per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC234","description":"HIPPS-CC234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"John cunningham antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86711","description":"John cunningham antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj aripiprazole ext rel 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0401","description":"Inj aripiprazole ext rel 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0202U","description":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit stoma care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99505","description":"Home visit stoma care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0625U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0625U","description":"CPT-0625U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"P32 chromic phosphate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9564","description":"P32 chromic phosphate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75658","description":"Artery x-rays arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair anorectal fist w/plug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46707","description":"Repair anorectal fist w/plug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spine disk surgery thorax","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63078","description":"Spine disk surgery thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c vent tray fixed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1029","description":"W/c vent tray fixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lidocaine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2001","description":"Lidocaine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL36","description":"HIPPS-RUL36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of shoulder cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29055","description":"Application of shoulder cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non cutaneous loc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9295","description":"Non cutaneous loc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML60","description":"HIPPS-RML60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise graft w/vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35879","description":"Revise graft w/vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body-worn bilat hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5100","description":"Body-worn bilat hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fx growth plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27519","description":"Treat thigh fx growth plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGK5","description":"HIPPS-2CGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removable Unilateral Partial Denture - One Piece Resin - Per Quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5286","description":"Removable Unilateral Partial Denture - One Piece Resin - Per Quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56633","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Order for ceph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9197","description":"Order for ceph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (heart transplant)_ cell-free DNA_ PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets)_ plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0055U","description":"Cardiology (heart transplant)_ cell-free DNA_ PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets)_ plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal placement of biodegradable material_ peri-prostatic_ single or multiple injection(s)_ including image guidance_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55874","description":"Transperineal placement of biodegradable material_ peri-prostatic_ single or multiple injection(s)_ including image guidance_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulm funct test oscillometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94728","description":"Pulm funct test oscillometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0556U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0556U","description":"CPT-0556U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis (KO)_ double upright_ thigh and calf_ with adjustable flexion and extension joint (unicentric or polycentric)_ medial-lateral and rotation control_ with or witho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1852","description":"Knee orthosis (KO)_ double upright_ thigh and calf_ with adjustable flexion and extension joint (unicentric or polycentric)_ medial-lateral and rotation control_ with or witho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise & drain bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51040","description":"Incise & drain bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"teledentistry - asynchronous; information stored and forwarded to dentist for subse","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9996","description":"teledentistry - asynchronous; information stored and forwarded to dentist for subse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31400","description":"Revision of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exoskeletal ak ultra-light m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5790","description":"Exoskeletal ak ultra-light m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay carbamazepine total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80156","description":"Assay carbamazepine total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA24","description":"HIPPS-RLA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0610U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0610U","description":"CPT-0610U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay total hydroxyproline","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83505","description":"Assay total hydroxyproline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0573U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0573U","description":"CPT-0573U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genotype dna hepatitis b","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87912","description":"Genotype dna hepatitis b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1080T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1080T","description":"CPT-1080T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop applicat rigid dsg on","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6388","description":"Postop applicat rigid dsg on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25450","description":"Revision of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Integra bmwd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4104","description":"Integra bmwd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1602","description":"HCPCS-B1602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 std sing pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0857","description":"Pwc gp3 std sing pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Finasteride_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0138","description":"Finasteride_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tte w/o doppler complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93307","description":"Tte w/o doppler complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB16","description":"HIPPS-RMB16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-sterile gauze<=16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6216","description":"Non-sterile gauze<=16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of suture from anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46754","description":"Removal of suture from anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Duplex scan of hemodialysis fistula_ computer-aided_ limited (volume flow_ diameter_ and depth_ including only body of fistula)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0876T","description":"Duplex scan of hemodialysis fistula_ computer-aided_ limited (volume flow_ diameter_ and depth_ including only body of fistula)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1802","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1802","description":"HCPCS-A1802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"L ventric pacing lead add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33225","description":"L ventric pacing lead add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 xhd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0855","description":"Pwc gp 3 xhd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of feces/urobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84577","description":"Assay of feces/urobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0529U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0529U","description":"CPT-0529U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay secretory type ii pla2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0423T","description":"Assay secretory type ii pla2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection jaw joint x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21116","description":"Injection jaw joint x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ mRNA_ gene expression profiling of 18 genes_ first-catch post-digital rectal examination urine (or processed first-catch urine)_ algorithm reported as per","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0403U","description":"Oncology (prostate)_ mRNA_ gene expression profiling of 18 genes_ first-catch post-digital rectal examination urine (or processed first-catch urine)_ algorithm reported as per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relieve inner eye pressure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65820","description":"Relieve inner eye pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oasis tri-layer wound matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4124","description":"Oasis tri-layer wound matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8I","description":"HIPPS-RHX8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0982T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0982T","description":"CPT-0982T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD24A","description":"HIPPS-PD24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62192","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainable rubber pch w fcplt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4376","description":"Drainable rubber pch w fcplt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0202","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0202","description":"HCPCS-A0202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died from cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9849","description":"Patients who died from cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL5","description":"HIPPS-4AGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of heel bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28118","description":"Removal of heel bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA and RNA)_ gastrointestinal pathogens_ 31 bacterial_ viral_ and parasitic organisms and identification of 21 associated antibiot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0369U","description":"Infectious agent detection by nucleic acid (DNA and RNA)_ gastrointestinal pathogens_ 31 bacterial_ viral_ and parasitic organisms and identification of 21 associated antibiot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE11C","description":"HIPPS-PE11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analyze sp inf pump w/reprog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62368","description":"Analyze sp inf pump w/reprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ chemotherapeutic drug cytotoxicity assay of cancer stem cells (CSCs)_ from cultured CSCs and primary tumor cells_ categorical drug response reported based on cytotox","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0435U","description":"Oncology_ chemotherapeutic drug cytotoxicity assay of cancer stem cells (CSCs)_ from cultured CSCs and primary tumor cells_ categorical drug response reported based on cytotox","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Round caliper and plate atta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2240","description":"Round caliper and plate atta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33420","description":"Revision of mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6075","description":"Implant supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urgent Care Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4036","description":"Urgent Care Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA SARSCOV & INFLUENZA VIRUS TYPES A&B","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87428","description":"IAAD IA SARSCOV & INFLUENZA VIRUS TYPES A&B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 6 central carbon metabolites (ie_ a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ and succ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0139U","description":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 6 central carbon metabolites (ie_ a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ and succ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermatological procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96999","description":"Dermatological procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of free thyroxine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84439","description":"Assay of free thyroxine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4427","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4427","description":"HCPCS-Q4427","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oct breast surg cavity i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0354T","description":"Oct breast surg cavity i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKU","description":"HIPPS-2AGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of metatarsals","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28309","description":"Incision of metatarsals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA25B","description":"HIPPS-BA25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7564","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7564","description":"HCPCS-C7564","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38C","description":"HIPPS-ES38C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHN3","description":"HIPPS-3AHN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"reline custom sleep apnea appliance (indirect)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9953","description":"reline custom sleep apnea appliance (indirect)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special pump services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99192","description":"Special pump services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker folding wheeled w/o s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0143","description":"Walker folding wheeled w/o s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R&l hrt cath w/ventriclgrphy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93453","description":"R&l hrt cath w/ventriclgrphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFL1","description":"HIPPS-2AFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of catheter vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36481","description":"Insertion of catheter vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for breast x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19030","description":"Injection for breast x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKV","description":"HIPPS-5BGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of chin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21121","description":"Reconstruction of chin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB15A","description":"HIPPS-PB15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extension drainage tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4331","description":"Extension drainage tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls repos perph cnula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33959","description":"Ecmo/ecls repos perph cnula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behav chng smoking > 10 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99407","description":"Behav chng smoking > 10 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0483U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0483U","description":"CPT-0483U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPV","description":"HIPPS-3BHPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_eptinezumab-jjmr_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9063","description":"Injection_eptinezumab-jjmr_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release spinal cord lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63200","description":"Release spinal cord lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish access to artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36120","description":"Establish access to artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Femoral endovas graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34813","description":"Femoral endovas graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone algrft struct add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20931","description":"Sp bone algrft struct add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA231","description":"HIPPS-CA231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHKT","description":"HIPPS-5AHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL1","description":"HIPPS-1AGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c medial thigh support","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0957","description":"W/c medial thigh support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair detachable a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1086","description":"Hemi-wheelchair detachable a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1423","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1423","description":"HCPCS-M1423","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No wet-dry drssings rx recmd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4266F","description":"No wet-dry drssings rx recmd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj test 13/> studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95913","description":"Nrv cndj test 13/> studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx/pro/dx inj new drug addon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96375","description":"Tx/pro/dx inj new drug addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML3C","description":"HIPPS-RML3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28X","description":"HIPPS-LB28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNS","description":"HIPPS-1AFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow up pulm nod","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9345","description":"Follow up pulm nod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC10A","description":"HIPPS-CC10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pul art balloon repr percut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92998","description":"Pul art balloon repr percut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL10","description":"HIPPS-RUL10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attendant care service /15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5125","description":"Attendant care service /15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onsite Ac C Tx Nsg Fac Res W/Pne Billd Sid-Benef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9679","description":"Onsite Ac C Tx Nsg Fac Res W/Pne Billd Sid-Benef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pelvic abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57010","description":"Drainage of pelvic abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intrmed rsk thromboembolism","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3551F","description":"Intrmed rsk thromboembolism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Counseling_ group_ by department of veterans affairs chaplain services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9003","description":"Counseling_ group_ by department of veterans affairs chaplain services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Instr xrcz back pain 12 wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4240F","description":"Instr xrcz back pain 12 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial preventive exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0402","description":"Initial preventive exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN6","description":"HIPPS-3AGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuroendoscopy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62160","description":"Neuroendoscopy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of cathepsin-d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82387","description":"Assay of cathepsin-d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 3.1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11644","description":"Exc f/e/e/n/l mal+mrg 3.1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seven Standard Field Stereoscopic Photos With Interpretation By An Ophthalmologist Or Optometrist Documented And Reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2103","description":"Seven Standard Field Stereoscopic Photos With Interpretation By An Ophthalmologist Or Optometrist Documented And Reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice in inpatient psych","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5008","description":"Hospice in inpatient psych","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uv lens/es","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2755","description":"Uv lens/es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37278","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37278","description":"CPT-37278","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28107","description":"Remove/graft foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tibial tubercle hgt w/ toe f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5020","description":"Tibial tubercle hgt w/ toe f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57100","description":"Biopsy of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD206","description":"HIPPS-PD206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct maxilla segment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7947","description":"Reconstruct maxilla segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group audiometric testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92559","description":"Group audiometric testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Derm autograft face/nck/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15135","description":"Derm autograft face/nck/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mohs 1 stage h/n/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17311","description":"Mohs 1 stage h/n/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2039","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2039","description":"HCPCS-A2039","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy_ single or multiple_ with endoscopic cannulation of papilla with direct visualization of pancreatic/common bi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7542","description":"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy_ single or multiple_ with endoscopic cannulation of papilla with direct visualization of pancreatic/common bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cftr gene dup/delet variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81222","description":"Cftr gene dup/delet variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA24B","description":"HIPPS-BA24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKW","description":"HIPPS-1CFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFL6","description":"HIPPS-1AFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penicillin g potassium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2540","description":"Penicillin g potassium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rails bed side full length","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0310","description":"Rails bed side full length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99426","description":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK6","description":"HIPPS-4CFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty congenital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43313","description":"Esophagoplasty congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB254","description":"HIPPS-CB254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee flex cover system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5962","description":"Below knee flex cover system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ciliary endoscopic ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66711","description":"Ciliary endoscopic ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aqueous shunt prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8612","description":"Aqueous shunt prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg cylinder pl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4033","description":"Cast sup lng leg cylinder pl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unsched dialysis esrd pt hos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0257","description":"Unsched dialysis esrd pt hos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cranial surg nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21051","description":"Anesth cranial surg nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx nose/jaw fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21345","description":"Closed tx nose/jaw fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calculated 10-year ascvd risk score of  = 20 percent during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1364","description":"Calculated 10-year ascvd risk score of  = 20 percent during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50120","description":"Exploration of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA12","description":"HIPPS-RUA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance for analysis of tissue composition (eg_ fat_ iron_ water content)_ including multiparametric data acquisition_ data preparation and transmissio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0649T","description":"Quantitative magnetic resonance for analysis of tissue composition (eg_ fat_ iron_ water content)_ including multiparametric data acquisition_ data preparation and transmissio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ epirubicin hcl_ 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9178","description":"Inj_ epirubicin hcl_ 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Memory current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9168","description":"Memory current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not recvng antiv hep c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4151F","description":"Pt not recvng antiv hep c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urtr inj at surg/1mos post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9631","description":"Urtr inj at surg/1mos post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ padded foam_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6605","description":"Gradient compression bandaging supply_ padded foam_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic control hip heavy dut","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2620","description":"Pelvic control hip heavy dut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23650","description":"Treat shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso r fram soft pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0467","description":"Tlso r fram soft pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB256","description":"HIPPS-LB256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE24B","description":"HIPPS-HE24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"40-75y w/type 1/2 w/ldl-c rs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9676","description":"40-75y w/type 1/2 w/ldl-c rs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57105","description":"Biopsy of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFN1","description":"HIPPS-3BFN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flex/ext wrist w/wo friction","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6621","description":"Flex/ext wrist w/wo friction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Voice amplifier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8510","description":"Voice amplifier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecallantide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1290","description":"Ecallantide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablative laser treatment_ non-contact_ full field and fractional ablation_ open wound_ per day_ total treatment surface area; first 20 sq cm or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0491T","description":"Ablative laser treatment_ non-contact_ full field and fractional ablation_ open wound_ per day_ total treatment surface area; first 20 sq cm or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance waiting 1/2 hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0420","description":"Ambulance waiting 1/2 hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auricular replacement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5927","description":"Auricular replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Children who were not screened for risk of developmental_ behavioral and social delays using a standardized tool with interpretation and report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9967","description":"Children who were not screened for risk of developmental_ behavioral and social delays using a standardized tool with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone 80 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1040","description":"Methylprednisolone 80 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post-op hip abduct custom fa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1685","description":"Post-op hip abduct custom fa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of pancreas open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48100","description":"Biopsy of pancreas open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0654U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0654U","description":"CPT-0654U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Benzodiazepines 13 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80347","description":"Benzodiazepines 13 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI orbt/fac/nck w/o &w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70543","description":"MRI orbt/fac/nck w/o &w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thumb fusion with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26820","description":"Thumb fusion with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33767","description":"Major vessel shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26372","description":"Repair/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ levoleucovorin (khapzory)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0642","description":"Injection_ levoleucovorin (khapzory)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL5","description":"HIPPS-2AGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CACNA1A (calcium voltage-gated channel subunit alpha 1A) (eg_ spinocerebellar ataxia)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ del","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0231U","description":"CACNA1A (calcium voltage-gated channel subunit alpha 1A) (eg_ spinocerebellar ataxia)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Soft interface below knee se","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2820","description":"Soft interface below knee se","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open biopsy of lung pleura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32098","description":"Open biopsy of lung pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB0D","description":"HIPPS-RMB0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB254","description":"HIPPS-PB254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext pwrd shlder lock/unlock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6648","description":"Ext pwrd shlder lock/unlock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMT","description":"HIPPS-2AFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Care Practitioners Rendering Treatment In Place (Tip)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2021","description":"Health Care Practitioners Rendering Treatment In Place (Tip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tear sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68520","description":"Removal of tear sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB45","description":"HIPPS-RLB45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI joint upr extrem w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73221","description":"MRI joint upr extrem w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKV","description":"HIPPS-1CHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tob non-user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9459","description":"Tob non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuroeltrd stim post tibial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64566","description":"Neuroeltrd stim post tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98000","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98000","description":"CPT-98000","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0303","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0303","description":"CDT-D0303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0592","description":"Buprenorphine hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of brain tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61545","description":"Excision of brain tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA05","description":"HIPPS-AAA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3406","description":"HCPCS-J3406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert brain-fluid device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61215","description":"Insert brain-fluid device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zneuroendoscopy w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62163","description":"Zneuroendoscopy w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug Assay_ Presumptive_ 30 Or More Drugs Or Metabolites_ Urine_ Liquid Chromatography With Tandem Mass Spectrometry (Lc-Ms/Ms) Using Multiple Reaction Monitoring (Mrm)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0227U","description":"Drug Assay_ Presumptive_ 30 Or More Drugs Or Metabolites_ Urine_ Liquid Chromatography With Tandem Mass Spectrometry (Lc-Ms/Ms) Using Multiple Reaction Monitoring (Mrm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye photodynamic ther add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67225","description":"Eye photodynamic ther add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB220","description":"HIPPS-CB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiopha dx beta amyloid pet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9599","description":"Radiopha dx beta amyloid pet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD204","description":"HIPPS-HD204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor revasc w ami s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9606","description":"Perc d-e cor revasc w ami s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient is currently on a daily aspirin or other antiplatelet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9793","description":"Patient is currently on a daily aspirin or other antiplatelet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial)_ mRNA expression profiling by real-time quantitative PCR of MDK_ HOXA13_ CDC2_ IGFBP5_ and CXCR2 in combination with droplet digital PCR (ddPCR) analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0420U","description":"Oncology (urothelial)_ mRNA expression profiling by real-time quantitative PCR of MDK_ HOXA13_ CDC2_ IGFBP5_ and CXCR2 in combination with droplet digital PCR (ddPCR) analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD106","description":"HIPPS-LD106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21249","description":"Reconstruction of jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFN4","description":"HIPPS-1CFN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral embolization/occl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50705","description":"Ureteral embolization/occl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg monitoring/function test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95958","description":"Eeg monitoring/function test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ileoscopy_through stoma; with transendoscopic stent placement (includes predilation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6018","description":"Ileoscopy_through stoma; with transendoscopic stent placement (includes predilation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFK2","description":"HIPPS-4BFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt tk tams hcl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9503","description":"Pt tk tams hcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC11A","description":"HIPPS-LC11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK4","description":"HIPPS-4AHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL2C","description":"HIPPS-RHL2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lefamulin_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0691","description":"Injection_ lefamulin_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54522","description":"Orchiectomy partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove epididymis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54840","description":"Remove epididymis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2804","description":"HCPCS-J2804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0663","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0663","description":"HCPCS-G0663","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive med svc 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2010","description":"Comprehensive med svc 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tract equip cervical tract","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0860","description":"Tract equip cervical tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHM4","description":"HIPPS-1CHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE230","description":"HIPPS-HE230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHM3","description":"HIPPS-1AHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Soft liner for complete or partial removable denture - indirect","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5765","description":"Soft liner for complete or partial removable denture - indirect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHMW","description":"HIPPS-2CHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01969","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01969","description":"CPT-01969","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL0B","description":"HIPPS-RUL0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruct b9 lesion 1-14","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17110","description":"Destruct b9 lesion 1-14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospitalizations in which the patient was transferred directly to a non-acute care facility for any diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9801","description":"Hospitalizations in which the patient was transferred directly to a non-acute care facility for any diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis repeated eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90937","description":"Hemodialysis repeated eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable compressor filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7013","description":"Disposable compressor filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aminolevulinic acid hcl for topical administration_ 10% gel_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7345","description":"Aminolevulinic acid hcl for topical administration_ 10% gel_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep b ig im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90371","description":"Hep b ig im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complement antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86160","description":"Complement antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66605","description":"Removal of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Robot lin-radsurg com_ first","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0339","description":"Robot lin-radsurg com_ first","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ filgrastim-aafi_ biosimilar_ (Nivestym)_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5110","description":"Injection_ filgrastim-aafi_ biosimilar_ (Nivestym)_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semen analysis w/count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89310","description":"Semen analysis w/count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iv oct for proc init vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0291T","description":"Iv oct for proc init vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision graft neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35901","description":"Excision graft neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RARE DS GEN DNA ALYS PROBAND","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0212U","description":"RARE DS GEN DNA ALYS PROBAND","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of cannula(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36823","description":"Insertion of cannula(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onsite Ac C Tx Nsg Fac Res W/Chf Billd Sid-Benef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9680","description":"Onsite Ac C Tx Nsg Fac Res W/Chf Billd Sid-Benef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD22C","description":"HIPPS-CD22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged nursing facility evaluation and management service(s) beyond the  total time for the primary service (when the primary service has been selected using time on the da","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0317","description":"Prolonged nursing facility evaluation and management service(s) beyond the  total time for the primary service (when the primary service has been selected using time on the da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK2","description":"HIPPS-1BFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP2","description":"HIPPS-1CGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Jak2 (Janus Kinase 2) (Eg_ Myeloproliferative Disorder) Targeted Sequence Analysis (Eg_ Exons 12 And 13)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81279","description":"Jak2 (Janus Kinase 2) (Eg_ Myeloproliferative Disorder) Targeted Sequence Analysis (Eg_ Exons 12 And 13)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2042","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2042","description":"HCPCS-A2042","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA26","description":"HIPPS-AAA26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diab shoe w/metatarsal bar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5505","description":"Diab shoe w/metatarsal bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemiluminescent assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82397","description":"Chemiluminescent assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures rebase part maxill","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5720","description":"Dentures rebase part maxill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1004","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1004","description":"HCPCS-A1004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB126","description":"HIPPS-PB126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transesoph doppl cardiac mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9157","description":"Transesoph doppl cardiac mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB1A","description":"HIPPS-RVB1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c manual swingaway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1028","description":"W/c manual swingaway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFK4","description":"HIPPS-2BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trach/laryn tube plug/stop","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7527","description":"Trach/laryn tube plug/stop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate (45 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2003","description":"Moderate (45 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gross pulpal debridement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3221","description":"Gross pulpal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thigh/wght bear lacer non-mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2530","description":"Thigh/wght bear lacer non-mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove groin lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38760","description":"Remove groin lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic suspension","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33800","description":"Aortic suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11451","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interprofessional telephone/Internet/electronic health record referral service(s) provided by a treating/requesting physician or other qualified health care professional_ 30 m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99452","description":"Interprofessional telephone/Internet/electronic health record referral service(s) provided by a treating/requesting physician or other qualified health care professional_ 30 m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tract frame attach headboard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0840","description":"Tract frame attach headboard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0605U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0605U","description":"CPT-0605U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alpha-fetoprotein serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82105","description":"Alpha-fetoprotein serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Measure blood oxygen level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94761","description":"Measure blood oxygen level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insitu hybridization (fish)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88364","description":"Insitu hybridization (fish)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove radius head implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24164","description":"Remove radius head implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venous sampling by catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75893","description":"Venous sampling by catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer - Porcelain Fused To Predominantly Base Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6098","description":"Implant Supported Retainer - Porcelain Fused To Predominantly Base Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1904","description":"HCPCS-C1904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence treatment systm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0740","description":"Incontinence treatment systm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj biperiden lactate/5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0190","description":"Inj biperiden lactate/5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nose allergy test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95065","description":"Nose allergy test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of vulva/perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56605","description":"Biopsy of vulva/perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor viii ahg 1 stage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85240","description":"Clot factor viii ahg 1 stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apheresis wbc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36511","description":"Apheresis wbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21010","description":"Incision of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMS","description":"HIPPS-3BFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1741","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1741","description":"HCPCS-C1741","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB14D","description":"HIPPS-BB14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doppler color flow add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93325","description":"Doppler color flow add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat pelvic ring fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27218","description":"Treat pelvic ring fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap ins device for rt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49327","description":"Lap ins device for rt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC1C","description":"HIPPS-RHC1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient responded completely true for the question of patient felt this provider and team put my best interests first when making recommendations about my care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1247","description":"Patient responded completely true for the question of patient felt this provider and team put my best interests first when making recommendations about my care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ft prosth multiaxial ankl/ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5978","description":"Ft prosth multiaxial ankl/ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression arm sleeve and glove combination_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6574","description":"Gradient compression arm sleeve and glove combination_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optx post ankle fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27769","description":"Optx post ankle fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of chest wall respiratory sensor electrode or electrode array","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0468T","description":"Removal of chest wall respiratory sensor electrode or electrode array","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status measurement with score was not obtained utilizing the Oxford Knee Score (OKS) patient reported outcome tool w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1046","description":"Functional status measurement with score was not obtained utilizing the Oxford Knee Score (OKS) patient reported outcome tool w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrivalent (ccIIV4)_ derived from cell cultures_ subunit_ preservative and antibiotic free_ 0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90674","description":"Influenza virus vaccine_ quadrivalent (ccIIV4)_ derived from cell cultures_ subunit_ preservative and antibiotic free_ 0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGKW","description":"HIPPS-2CGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8001","description":"HCPCS-C8001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD21B","description":"HIPPS-PD21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE244","description":"HIPPS-HE244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00865","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00865","description":"CPT-00865","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no elg phar ther osteo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8634","description":"Pt no elg phar ther osteo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB17","description":"HIPPS-RMB17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef mod/sever deprs syst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3021F","description":"Lvef mod/sever deprs syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2004","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2004","description":"CDT-D2004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0902","description":"HCPCS-C0902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coccidioidomycosis skin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86490","description":"Coccidioidomycosis skin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Treatment Management Services_ Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least One Interactive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98980","description":"Remote Therapeutic Monitoring Treatment Management Services_ Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least One Interactive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc neck les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21555","description":"Exc neck les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28X","description":"HIPPS-PE28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of gland abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56420","description":"Drainage of gland abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/ax/gen/trnk >30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12007","description":"Rpr s/n/ax/gen/trnk >30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ non-cor_ tem w/o del","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2617","description":"Stent_ non-cor_ tem w/o del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB31","description":"HIPPS-RMB31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43415","description":"Repair esophagus wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHPT","description":"HIPPS-1AHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1494","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1494","description":"HCPCS-M1494","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Internal nerve revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64727","description":"Internal nerve revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak 4 bar ling w/hydraul swig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5613","description":"Ak 4 bar ling w/hydraul swig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Posturography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92548","description":"Posturography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab 10 mg and hyaluronidase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9311","description":"Injection_ rituximab 10 mg and hyaluronidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysterectomy/bladder repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51925","description":"Hysterectomy/bladder repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allergen specific IgE; qualitative_ multiallergen screen (eg_ disk_ sponge_ card)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86005","description":"Allergen specific IgE; qualitative_ multiallergen screen (eg_ disk_ sponge_ card)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ BICROS_ in the ear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5210","description":"Hearing aid_ BICROS_ in the ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB33","description":"HIPPS-RLB33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Principal illness navigation - peer support by certified or trained auxiliary personnel under the direction of a physician or other practitioner_ including a certified peer sp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0140","description":"Principal illness navigation - peer support by certified or trained auxiliary personnel under the direction of a physician or other practitioner_ including a certified peer sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluconazole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1450","description":"Fluconazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLU","description":"HIPPS-1CGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc order given stop antibio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4043F","description":"Doc order given stop antibio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laronidase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1931","description":"Laronidase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE114","description":"HIPPS-CE114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ciprofloxacin iv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0744","description":"Ciprofloxacin iv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plasmaprotein fract_5%_250ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9048","description":"Plasmaprotein fract_5%_250ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hard protect helmet prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A8001","description":"Hard protect helmet prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trichogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96902","description":"Trichogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate pulm tumors extnsn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0340T","description":"Ablate pulm tumors extnsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple-family group adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0371T","description":"Multiple-family group adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy_ flexible_ proximal to splenic flexure; with transendoscopic stent placement (includes predilation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6025","description":"Colonoscopy_ flexible_ proximal to splenic flexure; with transendoscopic stent placement (includes predilation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I131 iodide cap_ rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9517","description":"I131 iodide cap_ rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC151","description":"HIPPS-PC151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Middle ear surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69799","description":"Middle ear surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop dsg cast chg wrst/elb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6380","description":"Postop dsg cast chg wrst/elb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; Unmonitored","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95711","description":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; Unmonitored","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group therapeutic procedures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97150","description":"Group therapeutic procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl imed lesn thrlmb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63287","description":"Bx/exc idrl imed lesn thrlmb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drill skull for implantation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61107","description":"Drill skull for implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8004","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8004","description":"HCPCS-C8004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No order for ceph no reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9198","description":"No order for ceph no reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suprv interfac trnsport addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99486","description":"Suprv interfac trnsport addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 cast noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2782","description":"Crown 3/4 cast noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conform band s w>=3in <5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6446","description":"Conform band s w>=3in <5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of eye thickness","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76514","description":"Echo exam of eye thickness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo sng/dbl mechanical act","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2005","description":"Kafo sng/dbl mechanical act","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna)_ Bartonella Henselae And Bartonella Quintana_ Droplet Digital Pcr (Ddpcr);","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0301U","description":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna)_ Bartonella Henselae And Bartonella Quintana_ Droplet Digital Pcr (Ddpcr);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9260","description":"Methotrexate sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a history of heart transplant or with a left ventricular assist device (lvad)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1151","description":"Patients with a history of heart transplant or with a left ventricular assist device (lvad)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whfo w/o joints pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3809","description":"Whfo w/o joints pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0508U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0508U","description":"CPT-0508U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD24C","description":"HIPPS-PD24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Position wc cush wdth <22 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2605","description":"Position wc cush wdth <22 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelets leukoreduced irrad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9033","description":"Platelets leukoreduced irrad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test for g6pd enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82960","description":"Test for g6pd enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change of percutaneous biliary drainage catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47525","description":"Change of percutaneous biliary drainage catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pantoprazole sodium_ 40 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2470","description":"Injection_ pantoprazole sodium_ 40 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB11","description":"HIPPS-RHB11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temporal bone surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69979","description":"Temporal bone surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01744","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01744","description":"CPT-01744","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroretinography with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92275","description":"Electroretinography with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45332","description":"Sigmoidoscopy w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1334","description":"Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj hypogas plxs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64517","description":"N block inj hypogas plxs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0704","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0704","description":"HCPCS-A0704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9312","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9312","description":"HCPCS-C9312","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 60-days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0517","description":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 60-days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28X","description":"HIPPS-ES28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB5B","description":"HIPPS-RHB5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA224","description":"HIPPS-BA224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD211","description":"HIPPS-CD211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Professional services_ initial visit_ for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administrat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0090","description":"Professional services_ initial visit_ for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB136","description":"HIPPS-PB136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFMT","description":"HIPPS-3CFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27005","description":"Incision of hip tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture type immunofluoresc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87140","description":"Culture type immunofluoresc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3D) mammography results were not documented and reviewed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9900","description":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3D) mammography results were not documented and reviewed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no 30 day f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9403","description":"Doc reas no 30 day f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18H","description":"HIPPS-PB18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening methadone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80358","description":"Drug screening methadone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16074","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16074","description":"CPT-16074","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22841","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of wrist bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25210","description":"Removal of wrist bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subs episode for condition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1128F","description":"Subs episode for condition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic belt/harness/boot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0944","description":"Pelvic belt/harness/boot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy_ flexible; with ablation or destruction of lesion(s) with laser_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31572","description":"Laryngoscopy_ flexible; with ablation or destruction of lesion(s) with laser_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1386","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1386","description":"HCPCS-M1386","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear localization/abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78807","description":"Nuclear localization/abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt nephrostomy catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50432","description":"Plmt nephrostomy catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percut ablate liver rf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47382","description":"Percut ablate liver rf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47605","description":"Removal of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA44","description":"HIPPS-RUA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Residential Habilitation 1-3","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0100","description":"Residential Habilitation 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syphilis test non-trep quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86593","description":"Syphilis test non-trep quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appendico-vesicostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50845","description":"Appendico-vesicostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat kneecap dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27566","description":"Treat kneecap dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLX","description":"HIPPS-2CFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whlchr special size/constrc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1220","description":"Whlchr special size/constrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise/drain eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68020","description":"Incise/drain eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cptr dbs alys car elec dta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0206T","description":"Cptr dbs alys car elec dta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroscopy (separate procedure)_ up to 1 hour physician or other qualified health care professional time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76000","description":"Fluoroscopy (separate procedure)_ up to 1 hour physician or other qualified health care professional time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29035","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not eligible ace/arb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8936","description":"Pt not eligible ace/arb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ncntc r-t fluor wnd img 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0598T","description":"Ncntc r-t fluor wnd img 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling_ ph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1310","description":"Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling_ ph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD15B","description":"HIPPS-LD15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not providing tobacco cessation intervention (e.g._ limited life expectancy_ other medical reason)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9907","description":"Documentation of medical reason(s) for not providing tobacco cessation intervention (e.g._ limited life expectancy_ other medical reason)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17276","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21137","description":"Reduction of forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29240","description":"Strapping of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB4A","description":"HIPPS-RHB4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9984","description":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP4","description":"HIPPS-1BFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1653","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1653","description":"HCPCS-L1653","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27443","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmt harv/transpl 28d pkg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2150","description":"Bmt harv/transpl 28d pkg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ivf canc a aspir case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4020","description":"Ivf canc a aspir case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AmnioTX_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4324","description":"AmnioTX_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diphenhydramine hcl 50mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0163","description":"Diphenhydramine hcl 50mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clotting assay whole blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85396","description":"Clotting assay whole blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01382","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01382","description":"CPT-01382","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stimulation of spinal cord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63610","description":"Stimulation of spinal cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35665","description":"Art byp iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL3","description":"HIPPS-2CGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pm phone r-strip device eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93293","description":"Pm phone r-strip device eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNT","description":"HIPPS-3AFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise graft w/vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35881","description":"Revise graft w/vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Particle agglut antbdy titr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86406","description":"Particle agglut antbdy titr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety equipment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0700","description":"Safety equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nipple Prosthesis_ Custom Fabricated_ Reusable_ Any Material_ Any Type_ Each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8033","description":"Nipple Prosthesis_ Custom Fabricated_ Reusable_ Any Material_ Any Type_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Estradiol valerate 10 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1380","description":"Estradiol valerate 10 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES30B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES30B","description":"HIPPS-ES30B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perphenazine 4mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0175","description":"Perphenazine 4mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Disease Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4010","description":"Infectious Disease Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy chest lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32400","description":"Needle biopsy chest lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aoe intent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9465","description":"Aoe intent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX26","description":"HIPPS-RLX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External recharg sys intern","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8689","description":"External recharg sys intern","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot plas heel stabi pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3170","description":"Foot plas heel stabi pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart first pass add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78496","description":"Heart first pass add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD245","description":"HIPPS-PD245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB104","description":"HIPPS-CB104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Friction dampening arm supp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2629","description":"Friction dampening arm supp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dist revas ligation hemo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36838","description":"Dist revas ligation hemo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription of contact lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92314","description":"Prescription of contact lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial hip replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27125","description":"Partial hip replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00750","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00750","description":"CPT-00750","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sloughed off bone","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7550","description":"Removal of sloughed off bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of intracatheter or catheter into renal pelvis for drainag and/or injection_ percutaneous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50392","description":"Introduction of intracatheter or catheter into renal pelvis for drainag and/or injection_ percutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove nail bed/tip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11752","description":"Remove nail bed/tip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age And Had At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Dementia Medication","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2124","description":"Patients 66-80 Years Of Age And Had At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Dementia Medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI joint upr extr w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73223","description":"MRI joint upr extr w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ hemodialysis_long-term","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1750","description":"Cath_ hemodialysis_long-term","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of interbody biomechanical device(s) (eg_ synthetic cage_ mesh) with integral anterior instrumentation for device anchoring (eg_ screws_ flanges)_ when performed_ to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22853","description":"Insertion of interbody biomechanical device(s) (eg_ synthetic cage_ mesh) with integral anterior instrumentation for device anchoring (eg_ screws_ flanges)_ when performed_ to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA105","description":"HIPPS-BA105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair & adjust spectacles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92370","description":"Repair & adjust spectacles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dschrg med/current med merge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1111F","description":"Dschrg med/current med merge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9738","description":"Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle Insertion(S) Without Injection(S); 3 Or More Muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20561","description":"Needle Insertion(S) Without Injection(S); 3 Or More Muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHL3","description":"HIPPS-3AHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fmr1 gene characterization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81244","description":"Fmr1 gene characterization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ hip_ unilateral; complete_ minimum of two views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73510","description":"Radiologic examination_ hip_ unilateral; complete_ minimum of two views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reguard_ for topical use only_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4255","description":"Reguard_ for topical use only_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic sequential compression garment_ full arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0682","description":"Non-pneumatic sequential compression garment_ full arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27253","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fitting of diaphragm/cap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57170","description":"Fitting of diaphragm/cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18C","description":"HIPPS-LB18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA14","description":"HIPPS-RUA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70190","description":"X-ray exam of eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB0B","description":"HIPPS-RVB0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of facial bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21209","description":"Reduction of facial bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most favored nation (mfn) model drug add-on amount_ per dose_ (do not bill with line items that have the jw modifier)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1145","description":"Most favored nation (mfn) model drug add-on amount_ per dose_ (do not bill with line items that have the jw modifier)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low rsk thromboembolism","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3550F","description":"Low rsk thromboembolism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Velaglucerase alfa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3385","description":"Velaglucerase alfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore parathyroid glands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60500","description":"Explore parathyroid glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason for not screening for TB or interpreting results (i.e._ patient positive for TB and documentati","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1004","description":"Documentation of medical reason for not screening for TB or interpreting results (i.e._ patient positive for TB and documentati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place cecostomy tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49442","description":"Place cecostomy tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of sinuses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70220","description":"X-ray exam of sinuses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office Or Other Outpatient Visit For The Evaluation And Management Of An Established Patient That Requires The Supervision Of A Physician Or Other Qualified Health Care Profes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2082","description":"Office Or Other Outpatient Visit For The Evaluation And Management Of An Established Patient That Requires The Supervision Of A Physician Or Other Qualified Health Care Profes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had a transplant prior to initiation of dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1262","description":"Patients who had a transplant prior to initiation of dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped hydrolyzed/amino acid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4161","description":"Ef ped hydrolyzed/amino acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of csf protein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83873","description":"Assay of csf protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB46","description":"HIPPS-RMB46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging_ breast_ without contrast material; bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77047","description":"Magnetic resonance imaging_ breast_ without contrast material; bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub graft face/nk/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15275","description":"Skin sub graft face/nk/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Metabolic Evaluation Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed)_ Single S","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78429","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Metabolic Evaluation Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed)_ Single S","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOSPORIDIUM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87328","description":"IAAD IA CRYPTOSPORIDIUM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC256","description":"HIPPS-LC256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18A","description":"HIPPS-HC18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped fluid and electrolyte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4103","description":"Ef ped fluid and electrolyte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ emicizumab-kxwh_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9995","description":"Injection_ emicizumab-kxwh_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGP2","description":"HIPPS-1AGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX10","description":"HIPPS-RLX10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLT","description":"HIPPS-4AHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neostigmine methylslfte inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2710","description":"Neostigmine methylslfte inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB256","description":"HIPPS-BB256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for electron microscopy_ diagnostic (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0856T","description":"Digitization of glass microscope slides for electron microscopy_ diagnostic (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99378","description":"Hospice care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE111","description":"HIPPS-PE111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PermeaDer B_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2016","description":"PermeaDer B_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee Ankle Foot Device_ Any Material_ Single Or Double Upright_ Swing And/Or Stance Phase Microprocessor Control With Adjustability_ Includes All Components (E.G._ Sensors_ Ba","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2006","description":"Knee Ankle Foot Device_ Any Material_ Single Or Double Upright_ Swing And/Or Stance Phase Microprocessor Control With Adjustability_ Includes All Components (E.G._ Sensors_ Ba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE204","description":"HIPPS-LE204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES213","description":"HIPPS-ES213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23802","description":"Fusion of shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1001","description":"HCPCS-A1001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00470","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00470","description":"CPT-00470","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28E","description":"HIPPS-ES28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1225","description":"Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rabies Immune Globulin_ Heat- And Solvent/Detergent-Treated (Rig-Ht S/D)_ Human_ For Intramuscular And/Or Subcutaneous Use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90377","description":"Rabies Immune Globulin_ Heat- And Solvent/Detergent-Treated (Rig-Ht S/D)_ Human_ For Intramuscular And/Or Subcutaneous Use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of big toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28240","description":"Release of big toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Musculoskeletal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20999","description":"Musculoskeletal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy resect bullae","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32655","description":"Thoracoscopy resect bullae","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Not nsm lung ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9291","description":"Not nsm lung ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dementia severity classified_ moderate (DEM)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2033F","description":"Dementia severity classified_ moderate (DEM)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/dysphag/wt loss/nutr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3760F","description":"Pt w/dysphag/wt loss/nutr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/balloon dilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45386","description":"Colonoscopy w/balloon dilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES22D","description":"HIPPS-ES22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFM1","description":"HIPPS-3CFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization adm by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vac_ mRNA\u0002LNP_ spike_ third dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0083A","description":"Immunization adm by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vac_ mRNA\u0002LNP_ spike_ third dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK3","description":"HIPPS-4AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMU","description":"HIPPS-2AFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ dostarlimab-gxly_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9082","description":"Injection_ dostarlimab-gxly_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calc bmi blw low param f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8418","description":"Calc bmi blw low param f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy and dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46604","description":"Anoscopy and dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symes met fr leath socket ar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5060","description":"Symes met fr leath socket ar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periodontal medicament carrier with peripheral seal - laboratory processed - maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5995","description":"Periodontal medicament carrier with peripheral seal - laboratory processed - maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glycopyrrolate_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1596","description":"Injection_ glycopyrrolate_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00126","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00126","description":"CPT-00126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1903","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1903","description":"CDT-D1903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx contour defects 1.1-5.0cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11951","description":"Tx contour defects 1.1-5.0cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56800","description":"Repair of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic appliance full leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0660","description":"Pneumatic appliance full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46611","description":"Anoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical repair of root resorption - premolar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3472","description":"Surgical repair of root resorption - premolar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC10B","description":"HIPPS-CC10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE206","description":"HIPPS-PE206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interleukin-6 (Il-6)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83529","description":"Interleukin-6 (Il-6)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intestine transplant live","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44136","description":"Intestine transplant live","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE135","description":"HIPPS-HE135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC11C","description":"HIPPS-LC11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98012","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98012","description":"CPT-98012","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fit contac lens for managmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92072","description":"Fit contac lens for managmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinsert ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65155","description":"Reinsert ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Holster elec/combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0498","description":"Holster elec/combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adalimumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0135","description":"Adalimumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure wrap with adjustable straps_ bra_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6589","description":"Gradient pressure wrap with adjustable straps_ bra_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Situximab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9455","description":"Injection_ Situximab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transport chair_ ped size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1037","description":"Transport chair_ ped size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flebogamma injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1572","description":"Flebogamma injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA5A","description":"HIPPS-RMA5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft brachial-brchl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35525","description":"Art byp grft brachial-brchl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Primary closure sinus perf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7261","description":"Primary closure sinus perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1068T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1068T","description":"CPT-1068T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"2high risk med ord","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9367","description":"2high risk med ord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis_ including small sequence changes_ copy number variants_ deletions_ duplications_ mobile ele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0335U","description":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis_ including small sequence changes_ copy number variants_ deletions_ duplications_ mobile ele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Christian sci nurse visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9901","description":"Christian sci nurse visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB234","description":"HIPPS-PB234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96131","description":"Psychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Im b1 mrw cel ther cmpl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0263T","description":"Im b1 mrw cel ther cmpl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFM4","description":"HIPPS-2AFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC25A","description":"HIPPS-HC25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA3D","description":"HIPPS-RMA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5275","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home mgmt pprom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9209","description":"Home mgmt pprom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occlusive device in vein art","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0269","description":"Occlusive device in vein art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc iliac art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0238T","description":"Trluml perip athrc iliac art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18X","description":"HIPPS-PB18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunodiffusion nes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86329","description":"Immunodiffusion nes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Western blot test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84181","description":"Western blot test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7519","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Review And Interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93244","description":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Review And Interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal laser ablation of benign prostatic hyperplasia_ including imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0714T","description":"Transperineal laser ablation of benign prostatic hyperplasia_ including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC41","description":"HIPPS-RUC41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB30","description":"HIPPS-RVB30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inlay titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6624","description":"Inlay titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC13C","description":"HIPPS-LC13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine/urea-n","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84540","description":"Assay of urine/urea-n","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo by both infusion and o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0085","description":"Chemo by both infusion and o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision hand/finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26415","description":"Excision hand/finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4479","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4479","description":"HCPCS-A4479","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0973T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0973T","description":"CPT-0973T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dicom format doc on rpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9340","description":"Dicom format doc on rpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc share dec prior proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9296","description":"Doc share dec prior proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays bone survey limited","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77074","description":"X-rays bone survey limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8D","description":"HIPPS-RMC8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit enteral grav diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9341","description":"Hit enteral grav diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKV","description":"HIPPS-4AGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients With Mechanical Prosthetic Heart Valve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0043","description":"Patients With Mechanical Prosthetic Heart Valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1390","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1390","description":"HCPCS-M1390","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22548","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS BE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87350","description":"IAAD IA HEPATITIS BE ANTIGEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smear fluorescent/acid stai","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87206","description":"Smear fluorescent/acid stai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy bilobectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32670","description":"Thoracoscopy bilobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPU","description":"HIPPS-3AGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40702","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Im b1 mrw cel ther xcl hrvst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0264T","description":"Im b1 mrw cel ther xcl hrvst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA33","description":"HIPPS-AAA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onlay cst base mtl >=3 surfa","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6613","description":"Onlay cst base mtl >=3 surfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited motion knee joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2184","description":"Limited motion knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who achieved a net increase in pam score of at least 6-points in a 6 to 12 month period (excellent)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1348","description":"Patients who achieved a net increase in pam score of at least 6-points in a 6 to 12 month period (excellent)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0796T","description":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecg/review interpret only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93272","description":"Ecg/review interpret only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE25B","description":"HIPPS-PE25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53620","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/rmv pn/gastr stimul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64595","description":"Revise/rmv pn/gastr stimul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Or Replacement Of Implantable Cardioverter-Defibrillator System With Substernal Electrode(S)_ Including All Imaging Guidance And Electrophysiological Evaluation (Inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0571T","description":"Insertion Or Replacement Of Implantable Cardioverter-Defibrillator System With Substernal Electrode(S)_ Including All Imaging Guidance And Electrophysiological Evaluation (Inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"G compression stocking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6549","description":"G compression stocking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1806","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1806","description":"HCPCS-B1806","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC3A","description":"HIPPS-RHC3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct abdomen w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74170","description":"Ct abdomen w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ elranatamab-bcmm_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9165","description":"Injection_ elranatamab-bcmm_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip adj flex ext abduct cont","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2624","description":"Hip adj flex ext abduct cont","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD22D","description":"HIPPS-PD22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ casirivimab and imdevimab includes infusion and post administration monitoring in the home or residence.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0244","description":"Intravenous infusion_ casirivimab and imdevimab includes infusion and post administration monitoring in the home or residence.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s)_ and atherectomy_ includ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9775","description":"Revascularization_ endovascular_ open or percutaneous_ tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s)_ and atherectomy_ includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27310","description":"Exploration of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release palm contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26125","description":"Release palm contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE117","description":"HIPPS-HE117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFP2","description":"HIPPS-3CFP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medicaid certified community behavioral health clinic services_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1041","description":"Medicaid certified community behavioral health clinic services_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1801","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1801","description":"HCPCS-A1801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc no daily aspirin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9278","description":"Doc no daily aspirin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE236","description":"HIPPS-CE236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thyroid duct lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60280","description":"Remove thyroid duct lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct scan for needle biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77012","description":"Ct scan for needle biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1067T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1067T","description":"CPT-1067T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69662","description":"Revise middle ear bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKV","description":"HIPPS-2BHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of chest wall respiratory sensor electrode or electrode array_ including connection to pulse generator (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0466T","description":"Insertion of chest wall respiratory sensor electrode or electrode array_ including connection to pulse generator (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc foot/toe tum deep <1.5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28045","description":"Exc foot/toe tum deep <1.5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Craniectomy_ suboccipital; for mesencephalic tractotomy or pedunculotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61480","description":"Craniectomy_ suboccipital; for mesencephalic tractotomy or pedunculotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anemia plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0516F","description":"Anemia plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leuprolide acetate /3.75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1950","description":"Leuprolide acetate /3.75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76506","description":"Echo exam of head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ciltacabtagene autoleucel_ up to 100 million autologous B-cell maturation antigen (BCMA) dir CAR-positive T cells_ inc leukapheresis and dose prep procs_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2056","description":"Ciltacabtagene autoleucel_ up to 100 million autologous B-cell maturation antigen (BCMA) dir CAR-positive T cells_ inc leukapheresis and dose prep procs_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK2","description":"HIPPS-3CGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNW","description":"HIPPS-1AFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ankle joint open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27870","description":"Fusion of ankle joint open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ 30 mcg/0.3 mL dosage_ tris-sucrose formulation_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91320","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ 30 mcg/0.3 mL dosage_ tris-sucrose formulation_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc serum pretx id dilution","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86976","description":"Rbc serum pretx id dilution","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove drug implant device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11982","description":"Remove drug implant device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD22B","description":"HIPPS-HD22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"D & c after delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59160","description":"D & c after delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg >16<=48 w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6238","description":"Hydrocolld drg >16<=48 w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (chronic kidney disease)_ apolipoprotein A4 (ApoA4)_ CD5 antigen-like (CD5L)_ and insulin-like growth factor binding protein 3 (IGFBP3) by enzyme-linked immunoassay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0385U","description":"Nephrology (chronic kidney disease)_ apolipoprotein A4 (ApoA4)_ CD5 antigen-like (CD5L)_ and insulin-like growth factor binding protein 3 (IGFBP3) by enzyme-linked immunoassay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0803","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0803","description":"CDT-D0803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vacsular emobolization or occlusion procedure with use of pressure-generation catheter (e.g._ one-way_ intermittentrly occluding)_ inclusive of all radiological supervision an","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9797","description":"Vacsular emobolization or occlusion procedure with use of pressure-generation catheter (e.g._ one-way_ intermittentrly occluding)_ inclusive of all radiological supervision an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt serv p day <2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90967","description":"Esrd home pt serv p day <2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGM4","description":"HIPPS-1AGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthodontic retention","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8680","description":"Orthodontic retention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rotavirus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86759","description":"Rotavirus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mrs disc pain transmis data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0610T","description":"Mrs disc pain transmis data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft hand/foot </4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64890","description":"Nerve graft hand/foot </4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; partial (anterior)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31254","description":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; partial (anterior)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB112","description":"HIPPS-LB112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress spinal cord thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63064","description":"Decompress spinal cord thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Borrelia burgdorferi (Lyme disease)_ OspA protein evaluation_ urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0316U","description":"Borrelia burgdorferi (Lyme disease)_ OspA protein evaluation_ urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above knee flex cover system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5964","description":"Above knee flex cover system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of nail bed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11762","description":"Reconstruction of nail bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ 5 DNA regulatory markers by quantitative PCR_ whole blood_ algorithm_ including prostate-specific antigen_ reported as likelihood of cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0433U","description":"Oncology (prostate)_ 5 DNA regulatory markers by quantitative PCR_ whole blood_ algorithm_ including prostate-specific antigen_ reported as likelihood of cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54505","description":"Biopsy of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hip uni 1 view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73501","description":"X-ray exam hip uni 1 view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40816","description":"Excision of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB240","description":"HIPPS-PB240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii recomb obizur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7188","description":"Factor viii recomb obizur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28C","description":"HIPPS-BA28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exome sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81415","description":"Exome sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Term device_ multi art digit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6715","description":"Term device_ multi art digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ intravas ultrasound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1753","description":"Cath_ intravas ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC106","description":"HIPPS-PC106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1001","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1001","description":"CDT-D1001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27501","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD12B","description":"HIPPS-PD12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49592","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 1 std up to 300lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0800","description":"Pov group 1 std up to 300lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1004","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1004","description":"CDT-D1004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pfizer-BioNTech Covid-19 vaccine administration - third dose (SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 3)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1708","description":"Pfizer-BioNTech Covid-19 vaccine administration - third dose (SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA225","description":"HIPPS-CA225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP5","description":"HIPPS-1CHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N-et; patient attend/escort","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2001","description":"N-et; patient attend/escort","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hib-mency vaccine 4 dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90644","description":"Hib-mency vaccine 4 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM5","description":"HIPPS-2BHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcholinesterase assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82013","description":"Acetylcholinesterase assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0522T","description":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61313","description":"Open skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28090","description":"Removal of foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Filleted finger/toe flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14350","description":"Filleted finger/toe flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iadna-dna/rna probe tq 12-25","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87507","description":"Iadna-dna/rna probe tq 12-25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8D","description":"HIPPS-RVX8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/band ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45398","description":"Colonoscopy w/band ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lining lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68115","description":"Remove eyelid lining lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of ovarian cyst(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58800","description":"Drainage of ovarian cyst(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67902","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome banding study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88283","description":"Chromosome banding study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q12h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9501","description":"Hit antibiotic q12h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31239","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score le >= 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8655","description":"Fun stat score le >= 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE240","description":"HIPPS-LE240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hightop w/ supp/pronator inf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3204","description":"Hightop w/ supp/pronator inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB25C","description":"HIPPS-HB25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA106","description":"HIPPS-CA106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9700","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE24B","description":"HIPPS-CE24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Halo cerv into milwaukee typ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0830","description":"Halo cerv into milwaukee typ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryoprecipitatereducedplasma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9044","description":"Cryoprecipitatereducedplasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK4","description":"HIPPS-2AGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High strength ltwt whlchr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0004","description":"High strength ltwt whlchr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM4","description":"HIPPS-1AFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup gauntlet fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4014","description":"Cast sup gauntlet fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopic sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92614","description":"Laryngoscopic sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65150","description":"Revise ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd remove foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43247","description":"Egd remove foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise spine eltrd perq aray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63663","description":"Revise spine eltrd perq aray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sex offend tx svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2029","description":"Sex offend tx svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-str_ ha_ p-103","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2635","description":"Brachytx_ non-str_ ha_ p-103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dent sutur recent wnd to 5cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7910","description":"Dent sutur recent wnd to 5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bed board","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0273","description":"Bed board","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx complx malar w/grft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21366","description":"Opn tx complx malar w/grft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC113","description":"HIPPS-HC113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHK1","description":"HIPPS-3BHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Norsn pt cath >=90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9266","description":"Norsn pt cath >=90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q2057","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2057","description":"HCPCS-Q2057","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nikaidoh proc w/ostia implt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33783","description":"Nikaidoh proc w/ostia implt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temsirolimus injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9330","description":"Temsirolimus injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit intermit chemo diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9331","description":"Hit intermit chemo diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-84393","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84393","description":"CPT-84393","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17106","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHMX","description":"HIPPS-3BHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43020","description":"Incision of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso flex trnk sj-ss pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0456","description":"Tlso flex trnk sj-ss pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA2C","description":"HIPPS-RMA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28202","description":"Repair/graft of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asser com tx face-face/15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0039","description":"Asser com tx face-face/15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pressure pneum appl half leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0673","description":"Pressure pneum appl half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pressure pneum appl full arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0672","description":"Pressure pneum appl full arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM6","description":"HIPPS-3BGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote body and limb kinematic measurement-based therapy ordered by a physician or other qualified health care professional; supply and technical support_ per 30 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0733T","description":"Remote body and limb kinematic measurement-based therapy ordered by a physician or other qualified health care professional; supply and technical support_ per 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient education materials","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99071","description":"Patient education materials","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0121A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gsc >15 & hd ct by ed md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9594","description":"Gsc >15 & hd ct by ed md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ oritavancin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2407","description":"Injection_ oritavancin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic laryngoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31579","description":"Diagnostic laryngoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMT","description":"HIPPS-1AHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj ceftolozane tazobactam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0695","description":"Inj ceftolozane tazobactam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial treatment of burn(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16000","description":"Initial treatment of burn(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect enlarged toe tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28340","description":"Resect enlarged toe tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65810","description":"Drainage of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood smear interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85060","description":"Blood smear interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"guided tissue regeneration_ edentulous area - resorbable barrier_ per site","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7956","description":"guided tissue regeneration_ edentulous area - resorbable barrier_ per site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy forearm soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25065","description":"Biopsy forearm soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise oral mucosa for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40818","description":"Excise oral mucosa for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal duct glbldr calculi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47544","description":"Removal duct glbldr calculi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of breast lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19020","description":"Incision of breast lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36011","description":"Place catheter in vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin pro flex/ext cont","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5859","description":"Knee-shin pro flex/ext cont","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal hemoglobin assay qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83033","description":"Fetal hemoglobin assay qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cultr oocyte/embryo <4 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89250","description":"Cultr oocyte/embryo <4 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of gdh enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82965","description":"Assay of gdh enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB05","description":"HIPPS-RVB05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation and programming (minimum one parameter) of implanted phrenic nerve stimulator system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93151","description":"Interrogation and programming (minimum one parameter) of implanted phrenic nerve stimulator system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exemestane_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0156","description":"Exemestane_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5276","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of cloacal anomaly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46744","description":"Repair of cloacal anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Depression screen annual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0444","description":"Depression screen annual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95721","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ gene rearrangement detection by whole gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0120U","description":"Oncology (solid organ neoplasia)_ gene rearrangement detection by whole gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc leg/ankle les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27632","description":"Exc leg/ankle les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had cancer_ fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9945","description":"Patient had cancer_ fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy & revise urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52275","description":"Cystoscopy & revise urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"removal of implant body not requiring bone removal or flap elevation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6105","description":"removal of implant body not requiring bone removal or flap elevation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE201","description":"HIPPS-LE201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHNT","description":"HIPPS-1AHNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK4","description":"HIPPS-5BGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA56","description":"HIPPS-RHA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1450","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1450","description":"HCPCS-M1450","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelashes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67825","description":"Revise eyelashes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ABO GNOTYP NEXT GNRJ SEQ ABO","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0221U","description":"ABO GNOTYP NEXT GNRJ SEQ ABO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis one evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90935","description":"Hemodialysis one evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharm thx for op rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4005F","description":"Pharm thx for op rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Macul result phy/qhp mng dm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5010F","description":"Macul result phy/qhp mng dm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB5A","description":"HIPPS-RVB5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of mercury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83825","description":"Assay of mercury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero w/lithotripsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52353","description":"Cystouretero w/lithotripsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteot hum xtrnl lngth dev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0594T","description":"Osteot hum xtrnl lngth dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ing hernia baby reduc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49495","description":"Rpr ing hernia baby reduc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronidase recombinant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3473","description":"Hyaluronidase recombinant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Septal defect imp sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1817","description":"Septal defect imp sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputate leg at thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27591","description":"Amputate leg at thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paclitaxel injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9267","description":"Paclitaxel injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB0A","description":"HIPPS-RLB0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound filler dry form / gram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6262","description":"Wound filler dry form / gram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc cryo ablate renal tum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50593","description":"Perc cryo ablate renal tum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dihydrocodeinone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6045","description":"Dihydrocodeinone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interdental fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21110","description":"Interdental fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ amivantamab-vmjw_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9083","description":"Injection_ amivantamab-vmjw_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB106","description":"HIPPS-CB106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC156","description":"HIPPS-PC156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef blenderized foods","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4149","description":"Ef blenderized foods","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smokeless tobacco user","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1035F","description":"Smokeless tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC245","description":"HIPPS-HC245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls repos perph cnula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33962","description":"Ecmo/ecls repos perph cnula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFL1","description":"HIPPS-2BFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual wc hand rim w project","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0967","description":"Manual wc hand rim w project","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq device breast ea imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19282","description":"Perq device breast ea imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter therapy_ infusion other than for thrombolysis_ any type (eg_ spasmolytic_ vasoconstrictive)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37202","description":"Transcatheter therapy_ infusion other than for thrombolysis_ any type (eg_ spasmolytic_ vasoconstrictive)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 1.1-2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11302","description":"Shave skin lesion 1.1-2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytp urne 3-5 probes ea spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88120","description":"Cytp urne 3-5 probes ea spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D6196","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D6196","description":"CDT-D6196","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct finger deformity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26567","description":"Correct finger deformity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg tendon each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27659","description":"Repair of leg tendon each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assist living waiver/diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2031","description":"Assist living waiver/diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL5","description":"HIPPS-4CGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL1","description":"HIPPS-1BFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures adjust part maxill","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5421","description":"Dentures adjust part maxill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdominal wall surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82077","description":"Anesth abdominal wall surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp axillary-femoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35621","description":"Art byp axillary-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multi den insert custom mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5513","description":"Multi den insert custom mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scaling in the presence of generalized moderate or severe gingival inflammation--full mouth_ after oral evaluation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4346","description":"Scaling in the presence of generalized moderate or severe gingival inflammation--full mouth_ after oral evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on nose and accessory sinuses; biopsy_ soft tissu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0124U","description":"Anesthesia for procedures on nose and accessory sinuses; biopsy_ soft tissu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pros sock single ply ak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8480","description":"Pros sock single ply ak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resp suction oral interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7047","description":"Resp suction oral interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX16","description":"HIPPS-RVX16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Distal/proximal wedge proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4274","description":"Distal/proximal wedge proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD10B","description":"HIPPS-LD10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental retainr cast metl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6545","description":"Dental retainr cast metl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of bile duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47425","description":"Incision of bile duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical pathology procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88399","description":"Surgical pathology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein byp pop-tibl peroneal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35587","description":"Vein byp pop-tibl peroneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX01","description":"HIPPS-RMX01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lower limb pros vacuum pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5781","description":"Lower limb pros vacuum pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of procainamide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80192","description":"Assay of procainamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy inject material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52327","description":"Cystoscopy inject material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NEURO MUSC DYS DMD SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0218U","description":"NEURO MUSC DYS DMD SEQ ALYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28510","description":"Treatment of toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hpv low-risk types","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87623","description":"Hpv low-risk types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61320","description":"Open skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg awake and asleep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95819","description":"Eeg awake and asleep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor hysterectomy (including cold preservation); open_ from cadaver donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0664T","description":"Donor hysterectomy (including cold preservation); open_ from cadaver donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insitu hybridization manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88368","description":"Insitu hybridization manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1214","description":"Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Latex leg strap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5113","description":"Latex leg strap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain thyroid/tongue cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60000","description":"Drain thyroid/tongue cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Overdenture complete max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5863","description":"Overdenture complete max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroretinography (ERG) with interpretation and report_ pattern (PERG)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0509T","description":"Electroretinography (ERG) with interpretation and report_ pattern (PERG)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment by protocol_ administered by technician under the direction of a physician or other qualified health care professional_ face-to-face with one patie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97153","description":"Adaptive behavior treatment by protocol_ administered by technician under the direction of a physician or other qualified health care professional_ face-to-face with one patie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/ th nrv exc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32664","description":"Thoracoscopy w/ th nrv exc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1306","description":"Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise knuckle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26530","description":"Revise knuckle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chin cup interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2324","description":"Chin cup interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKT","description":"HIPPS-2AGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onlay titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6634","description":"Onlay titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES25A","description":"HIPPS-ES25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0486U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0486U","description":"CPT-0486U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for home delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8415","description":"Supplies for home delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18I","description":"HIPPS-CE18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert levonorgestrel ius","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4981","description":"Insert levonorgestrel ius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures maxill part resin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5211","description":"Dentures maxill part resin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNV","description":"HIPPS-3BHNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extended culture of oocytes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89272","description":"Extended culture of oocytes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneuma/vac walk boot pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4361","description":"Pneuma/vac walk boot pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01140","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01140","description":"CPT-01140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic cholecystectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47562","description":"Laparoscopic cholecystectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath tbs c/v select","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88167","description":"Cytopath tbs c/v select","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace duod/jej tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49451","description":"Replace duod/jej tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable ext urethral dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4360","description":"Disposable ext urethral dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pacemaker_ leadless_ dual chamber (right atrial and right ventricular implantable components)_ rate-responsive_ including all necessary components for implantation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1605","description":"Pacemaker_ leadless_ dual chamber (right atrial and right ventricular implantable components)_ rate-responsive_ including all necessary components for implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert w lock mech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5673","description":"Socket insert w lock mech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ mRNA_ gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81518","description":"Oncology (breast)_ mRNA_ gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9140","description":"Diabetic management program_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Children With A Competing Diagnosis For Upper Respiratory Infection Within Three Days Of Diagnosis Of Pharyngitis (E.G._ Intestinal Infection_ Pertussis_ Bacterial Infection_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2097","description":"Children With A Competing Diagnosis For Upper Respiratory Infection Within Three Days Of Diagnosis Of Pharyngitis (E.G._ Intestinal Infection_ Pertussis_ Bacterial Infection_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC24C","description":"HIPPS-LC24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1498","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1498","description":"HCPCS-M1498","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group I_ for microorganisms (eg_ acid fast_ methenamine silver) (List separatel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0756T","description":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group I_ for microorganisms (eg_ acid fast_ methenamine silver) (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp fem-ant-post tib/prl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35566","description":"Art byp fem-ant-post tib/prl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace g-j tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49452","description":"Replace g-j tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy irrig cone/cath w brs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4399","description":"Ostomy irrig cone/cath w brs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0614","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0614","description":"HCPCS-J0614","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28G","description":"HIPPS-BB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/endoscopic fnb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45392","description":"Colonoscopy w/endoscopic fnb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92639","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92639","description":"CPT-92639","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB23B","description":"HIPPS-PB23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip clevis/thrust bearing lo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2610","description":"Hip clevis/thrust bearing lo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not trans to hosp at d/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8915","description":"Pt not trans to hosp at d/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2040","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2040","description":"HCPCS-A2040","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthr0 w/debridement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29862","description":"Hip arthr0 w/debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nose polyp(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30110","description":"Removal of nose polyp(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eardrum structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69631","description":"Repair eardrum structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA3A","description":"HIPPS-AAA3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aflibercept hd_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9161","description":"Injection_ aflibercept hd_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC10","description":"HIPPS-RHC10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKS","description":"HIPPS-2AFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluoro polarize fetal lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83663","description":"Fluoro polarize fetal lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging without contrast_ breast; unilateral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8904","description":"Magnetic resonance imaging without contrast_ breast; unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o cont_ chest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8910","description":"Mra w/o cont_ chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0575U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0575U","description":"CPT-0575U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES15D","description":"HIPPS-ES15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35303","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty tricuspid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33464","description":"Valvuloplasty tricuspid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD11B","description":"HIPPS-CD11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"(Zerbaxa) Injection_ Ceftolozane 50mg And Tazobactam 25 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9452","description":"(Zerbaxa) Injection_ Ceftolozane 50mg And Tazobactam 25 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Financial management_ self-directed_ waiver; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2050","description":"Financial management_ self-directed_ waiver; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB12D","description":"HIPPS-BB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Russell viper venom diluted","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85613","description":"Russell viper venom diluted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rectal marker","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46030","description":"Removal of rectal marker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28D","description":"HIPPS-ES28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11310","description":"Shave skin lesion 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alkaloids nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80323","description":"Alkaloids nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX5B","description":"HIPPS-RLX5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5913","description":"Nasal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comb art/venous blood tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4755","description":"Comb art/venous blood tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trans elec jt stim dev sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0762","description":"Trans elec jt stim dev sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35236","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Humidifier heated used w pap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0562","description":"Humidifier heated used w pap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Medicalis_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1003","description":"Clinical Decision Support Mechanism Medicalis_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling_ peritoneal washings_ peritoneal biopsy(ies)_ omentectomy_ and diaphragm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38573","description":"Laparoscopy_ surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling_ peritoneal washings_ peritoneal biopsy(ies)_ omentectomy_ and diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHN1","description":"HIPPS-3AHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis access study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90940","description":"Hemodialysis access study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No 30 day f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9404","description":"No 30 day f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabergoline_ oral 0.25mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8515","description":"Cabergoline_ oral 0.25mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKV","description":"HIPPS-5BHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99214","description":"Office/outpatient visit est","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ any number of drug classes_ any number of devices or procedures; read by instrument assisted direct optical observation (eg_ utilizing immunoassay [","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80306","description":"Drug test(s)_ presumptive_ any number of drug classes_ any number of devices or procedures; read by instrument assisted direct optical observation (eg_ utilizing immunoassay [","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64620","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx/proph/dg addl seq iv inf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96367","description":"Tx/proph/dg addl seq iv inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Bladder Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1074","description":"Radiation Therapy For Bladder Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symphony_ Per Square Centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2009","description":"Symphony_ Per Square Centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction anal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46900","description":"Destruction anal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Minimally invasive direct co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2208","description":"Minimally invasive direct co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uvl pnl 2 sq ft or less","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0691","description":"Uvl pnl 2 sq ft or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vessel mapping hemo access","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0365","description":"Vessel mapping hemo access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB206","description":"HIPPS-PB206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravascular ultrasound (non-coronary vessel)_ radiological supervision and interpretation; each additional non-coronary vessel (list separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75946","description":"Intravascular ultrasound (non-coronary vessel)_ radiological supervision and interpretation; each additional non-coronary vessel (list separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reimplant ureter in bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50783","description":"Reimplant ureter in bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67505","description":"Inject/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB51","description":"HIPPS-RHB51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were not prescribed/administered androgen deprivation therapy in combination with external beam radiotherapy to the prostate_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9897","description":"Patients who were not prescribed/administered androgen deprivation therapy in combination with external beam radiotherapy to the prostate_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dextran 40 infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7100","description":"Dextran 40 infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prochlorperazine maleate 5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0164","description":"Prochlorperazine maleate 5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA216","description":"HIPPS-PA216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63650","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22850","description":"Remove spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01402","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01402","description":"CPT-01402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9750","description":"Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner eye adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65880","description":"Incise inner eye adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8B","description":"HIPPS-RUA8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE256","description":"HIPPS-LE256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guided tiss regen nonresorb","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4267","description":"Guided tiss regen nonresorb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nose to lip fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42260","description":"Repair nose to lip fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear canal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69145","description":"Remove ear canal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA42","description":"HIPPS-AAA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0105","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0105","description":"HCPCS-B0105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I & d of vulva/perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56405","description":"I & d of vulva/perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP3","description":"HIPPS-1BGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Detach adjust armrest base","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0017","description":"Detach adjust armrest base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0987T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0987T","description":"CPT-0987T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brucella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86622","description":"Brucella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLS","description":"HIPPS-3BFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bed cradle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0280","description":"Bed cradle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Combo ankle/foot prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5975","description":"Combo ankle/foot prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg pain was not measured by the Visual Analog Scale (VAS) within three months preoperatively and at one year (9 to 15 months)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1052","description":"Leg pain was not measured by the Visual Analog Scale (VAS) within three months preoperatively and at one year (9 to 15 months)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of arm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23930","description":"Drainage of arm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMW","description":"HIPPS-2BHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom mold shoe remov prost","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3250","description":"Custom mold shoe remov prost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal fb skin/areolar tiss","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7530","description":"Removal fb skin/areolar tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55862","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA05","description":"HIPPS-RVA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1330","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1330","description":"HCPCS-L1330","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of left heart vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33989","description":"Removal of left heart vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neg scrn dep symp by deptool","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3351F","description":"Neg scrn dep symp by deptool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio abdominal arteries","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75635","description":"Ct angio abdominal arteries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43118","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin tx mdd comm to tx clin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8959","description":"Clin tx mdd comm to tx clin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of nose lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30000","description":"Drainage of nose lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGMW","description":"HIPPS-3CGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of silver diamine fluoride 38%_ by a physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0792T","description":"Application of silver diamine fluoride 38%_ by a physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct skn color 6.1-20.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11921","description":"Correct skn color 6.1-20.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX56","description":"HIPPS-RUX56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9250","description":"Methotrexate sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE246","description":"HIPPS-LE246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0478U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0478U","description":"CPT-0478U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMS","description":"HIPPS-4AFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC14C","description":"HIPPS-LC14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic bleeding disorders)_ genomic sequence analysis of 51 genes_ blood_ buccal swab_ or amniotic fluid_ comprehensive (Versiti™ Comprehensive Bleeding Disorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0272U","description":"Hematology (genetic bleeding disorders)_ genomic sequence analysis of 51 genes_ blood_ buccal swab_ or amniotic fluid_ comprehensive (Versiti™ Comprehensive Bleeding Disorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL24","description":"HIPPS-RUL24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mold socket bent knee shin s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5160","description":"Mold socket bent knee shin s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 1 std cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0816","description":"Pwc gp 1 std cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fx growth plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27516","description":"Treat thigh fx growth plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Uterine Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1104","description":"Radiation Therapy For Uterine Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA245","description":"HIPPS-CA245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic sequential compression garment_ half leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0679","description":"Non-pneumatic sequential compression garment_ half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGM4","description":"HIPPS-1BGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic caster tire each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2214","description":"Pneumatic caster tire each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9306","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9306","description":"HCPCS-C9306","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient treatment and final evaluation complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1014","description":"Patient treatment and final evaluation complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagomyotomy abdominal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43330","description":"Esophagomyotomy abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disease management program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0315","description":"Disease management program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of chest wall lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19260","description":"Removal of chest wall lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8D","description":"HIPPS-RVC8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rocker bottom_ contact afo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2232","description":"Rocker bottom_ contact afo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP3","description":"HIPPS-3CHP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1804","description":"HCPCS-E1804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33720","description":"Repair of heart defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extra ambulance attendant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0424","description":"Extra ambulance attendant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0660U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0660U","description":"CPT-0660U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37288","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37288","description":"CPT-37288","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt consid poss risk fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3572F","description":"Pt consid poss risk fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis_ programming_ and verification of an auditory osseointegrated sound processor_ any type; first 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92622","description":"Diagnostic analysis_ programming_ and verification of an auditory osseointegrated sound processor_ any type; first 60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFL4","description":"HIPPS-2AFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Detect agent nos dna dir","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87797","description":"Detect agent nos dna dir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kt/v <1.2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3082F","description":"Kt/v <1.2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA33","description":"HIPPS-RVA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of support implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20680","description":"Removal of support implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of gum tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41830","description":"Removal of gum tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI lwr extremity w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73720","description":"MRI lwr extremity w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct lower extremity w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73701","description":"Ct lower extremity w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy ablate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45320","description":"Proctosigmoidoscopy ablate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frame typ sock above elb/dis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6688","description":"Frame typ sock above elb/dis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External radiation dosimetry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77399","description":"External radiation dosimetry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Procenta_ per 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4310","description":"Procenta_ per 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate unknwn nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9083","description":"Onc dx prostate unknwn nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLS","description":"HIPPS-3BHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of long leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29355","description":"Application of long leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular nuclear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78499","description":"Cardiovascular nuclear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA5A","description":"HIPPS-RVA5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim_ excludes biosimilar_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2506","description":"Injection_ pegfilgrastim_ excludes biosimilar_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA220","description":"HIPPS-BA220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allgrft implnt knee w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29867","description":"Allgrft implnt knee w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl bifocal over 12.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2214","description":"Lens sphcyl bifocal over 12.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA54","description":"HIPPS-AAA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1822","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1822","description":"HCPCS-E1822","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD112","description":"HIPPS-CD112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interferon alfacon-1 inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9212","description":"Interferon alfacon-1 inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ coagulation Factor Xa (recombinant)_ inactivated (Andexxa)_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9041","description":"Injection_ coagulation Factor Xa (recombinant)_ inactivated (Andexxa)_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB46","description":"HIPPS-RLB46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nicotine patch legend","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4990","description":"Nicotine patch legend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Developmental screen w/score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96110","description":"Developmental screen w/score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intrpulmnry percuss vent sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0481","description":"Intrpulmnry percuss vent sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE12B","description":"HIPPS-PE12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC24D","description":"HIPPS-LC24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx w/o implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21406","description":"Opn tx orbit fx w/o implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genital surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55899","description":"Genital surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Msh2 gene known variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81296","description":"Msh2 gene known variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lifts elevation metal extens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3330","description":"Lifts elevation metal extens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hfo flexion glove pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3912","description":"Hfo flexion glove pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrmng 4 surg normothermia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4250F","description":"Wrmng 4 surg normothermia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28G","description":"HIPPS-CA28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not having records of negative or managed positive TB screen (e.g._ patient does not return for Mantoux (PPD) skin test evaluation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9932","description":"Documentation of patient reason(s) for not having records of negative or managed positive TB screen (e.g._ patient does not return for Mantoux (PPD) skin test evaluation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cochlear implt f/up exam <7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92601","description":"Cochlear implt f/up exam <7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE124","description":"HIPPS-HE124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection of sinus tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20500","description":"Injection of sinus tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ avelumab_ 10mg (bavencio)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9491","description":"Injection_ avelumab_ 10mg (bavencio)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFM6","description":"HIPPS-4CFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid lined custom fab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0482","description":"Tlso rigid lined custom fab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37285","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37285","description":"CPT-37285","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Japanese encephalitis virus vaccine_ for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90735","description":"Japanese encephalitis virus vaccine_ for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy w/taper cong","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44127","description":"Enterectomy w/taper cong","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00912","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00912","description":"CPT-00912","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65205","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removable soft interface le","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0672","description":"Removable soft interface le","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1459","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1459","description":"HCPCS-M1459","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLT","description":"HIPPS-1AFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFLT","description":"HIPPS-1CFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ rapid sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0094U","description":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ rapid sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ chloroprocaine hydrochloride_  per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2401","description":"Injection_ chloroprocaine hydrochloride_  per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thumb tendon transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26510","description":"Thumb tendon transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc abdl tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22900","description":"Exc abdl tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL4D","description":"HIPPS-RUL4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0568","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0568","description":"HCPCS-G0568","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8H","description":"HIPPS-RUX8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42962","description":"Control throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28G","description":"HIPPS-HB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithrombin iii antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85301","description":"Antithrombin iii antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye photography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92285","description":"Eye photography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA0A","description":"HIPPS-RLA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deoxyribonucleic acid (DNA) antibody_ double stranded_ high avidity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0039U","description":"Deoxyribonucleic acid (DNA) antibody_ double stranded_ high avidity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laa closure w/implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0281T","description":"Laa closure w/implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt ureteral stent prq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50693","description":"Plmt ureteral stent prq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of elbow bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24105","description":"Removal of elbow bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ coated/cov w/o del sy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1875","description":"Stent_ coated/cov w/o del sy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug_brand name","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5001","description":"Prescription drug_brand name","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8H","description":"HIPPS-RUL8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjst forearm pro/sup device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1802","description":"Adjst forearm pro/sup device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drg > 48 sq in w/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6247","description":"Hydrogel drg > 48 sq in w/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lang express d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9164","description":"Lang express d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ipratropium bromide comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7645","description":"Ipratropium bromide comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1805","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1805","description":"HCPCS-A1805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMX","description":"HIPPS-2AFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asp presc disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9435","description":"Asp presc disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM4","description":"HIPPS-4CGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reusable underpad bed size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4537","description":"Reusable underpad bed size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risperidone (Perseris)_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9037","description":"Injection_ risperidone (Perseris)_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No brst cncr dx min invasive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8877","description":"No brst cncr dx min invasive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Copper cu-64_ dotatate_ diagnostic_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9068","description":"Copper cu-64_ dotatate_ diagnostic_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE230","description":"HIPPS-PE230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP3","description":"HIPPS-1CHP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit longterm infusion diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9347","description":"Hit longterm infusion diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc back les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21930","description":"Exc back les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c wdth 24-27 in seat frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2341","description":"W/c wdth 24-27 in seat frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC10C","description":"HIPPS-CC10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Minimally invasive direct co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2207","description":"Minimally invasive direct co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mohs surg addl block","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17315","description":"Mohs surg addl block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM4","description":"HIPPS-1CFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc leukocytes reduced","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9016","description":"Rbc leukocytes reduced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36558","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstr w/lat flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19361","description":"Breast reconstr w/lat flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Upper Gi Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1102","description":"Radiation Therapy For Upper Gi Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc leg/ankle tum dep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27634","description":"Exc leg/ankle tum dep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0534","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0534","description":"HCPCS-G0534","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27594","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair paravag defect lap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57423","description":"Repair paravag defect lap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18H","description":"HIPPS-LE18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lung lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32540","description":"Removal of lung lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vaccine 3 dose adult im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90746","description":"Hepb vaccine 3 dose adult im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays adrenal gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75731","description":"Artery x-rays adrenal gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interferon beta-1b / .25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1830","description":"Interferon beta-1b / .25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shldr disar prosth tiss shap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6550","description":"Shldr disar prosth tiss shap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transseptal fiberotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7291","description":"Transseptal fiberotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB36","description":"HIPPS-RMB36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB15B","description":"HIPPS-LB15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Install spinal shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63741","description":"Install spinal shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0451T","description":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-tibial shell molded to p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2340","description":"Pre-tibial shell molded to p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corneal tissue transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65767","description":"Corneal tissue transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP4","description":"HIPPS-1BGP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0482U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0482U","description":"CPT-0482U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-99470","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99470","description":"CPT-99470","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical; with ligation of sphenopalatine artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31241","description":"Nasal/sinus endoscopy_ surgical; with ligation of sphenopalatine artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGKW","description":"HIPPS-1BGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0516U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0516U","description":"CPT-0516U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA3C","description":"HIPPS-RLA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ (Kovaltry)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7211","description":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ (Kovaltry)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM6","description":"HIPPS-4AFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0801","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0801","description":"HCPCS-B0801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk waist belt padded and lin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5690","description":"Bk waist belt padded and lin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE21B","description":"HIPPS-LE21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX03","description":"HIPPS-RHX03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72147","description":"MRI chest spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remv&replc pm gen mult leads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33229","description":"Remv&replc pm gen mult leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58200","description":"Extensive hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61870","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant cochlear device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69930","description":"Implant cochlear device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carrier screening for severe inherited conditions (eg_ cystic fibrosis_ spinal muscular atrophy_ beta hemoglobinopathies [including sickle cell disease]_ alpha thalassemia)_ r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0449U","description":"Carrier screening for severe inherited conditions (eg_ cystic fibrosis_ spinal muscular atrophy_ beta hemoglobinopathies [including sickle cell disease]_ alpha thalassemia)_ r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture typing added method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87158","description":"Culture typing added method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart muscle imaging (pet)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78459","description":"Heart muscle imaging (pet)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyperbaric oxygen therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99183","description":"Hyperbaric oxygen therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc no burn prior to d/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8909","description":"Pt doc no burn prior to d/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19368","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ omacetaxine mep_ 0.01mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9262","description":"Inj_ omacetaxine mep_ 0.01mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPX","description":"HIPPS-3AGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29000","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9610","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9610","description":"HCPCS-A9610","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antiepileptics nos 4-6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80340","description":"Antiepileptics nos 4-6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction rectal tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45190","description":"Destruction rectal tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sympathectomy supfc palmar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64823","description":"Sympathectomy supfc palmar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0405","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0405","description":"HCPCS-A0405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18A","description":"HIPPS-BB18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33775","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65286","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00147","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00147","description":"CPT-00147","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX31","description":"HIPPS-RHX31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5916","description":"Ocular prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fev<60% pred & no copd sym","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8925","description":"Fev<60% pred & no copd sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reimplant ureter in bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50780","description":"Reimplant ureter in bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair venous blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35476","description":"Repair venous blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15935","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dc power adapter_ port conc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1358","description":"Dc power adapter_ port conc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"META1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transthor cath for stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33621","description":"Transthor cath for stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43831","description":"Place gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev breast add mr guide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19288","description":"Perq dev breast add mr guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1034","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1034","description":"HCPCS-E1034","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0903","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0903","description":"CDT-D0903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maxillofacial prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5999","description":"Maxillofacial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srs spinal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63620","description":"Srs spinal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ear microscopy examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92504","description":"Ear microscopy examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGM3","description":"HIPPS-1CGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB214","description":"HIPPS-BB214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0616","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0616","description":"HCPCS-J0616","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFP5","description":"HIPPS-3BFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE251","description":"HIPPS-PE251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Uterine Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1105","description":"Radiation Therapy For Uterine Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal function studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92512","description":"Nasal function studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18F","description":"HIPPS-PA18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing 1 locus hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81380","description":"Hla i typing 1 locus hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB23A","description":"HIPPS-CB23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone mineral single photon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78350","description":"Bone mineral single photon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26434","description":"Repair/graft finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pain assessment not documented as being performed_ documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8442","description":"Pain assessment not documented as being performed_ documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dicom format image data availability not documented in final report due to medical reasons (eg_CT studies performed for radiation treatment planning or image-guided radiation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9328","description":"Dicom format image data availability not documented in final report due to medical reasons (eg_CT studies performed for radiation treatment planning or image-guided radiation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suprachoroidal space injection of pharmacologic agent (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67516","description":"Suprachoroidal space injection of pharmacologic agent (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA214","description":"HIPPS-PA214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE20B","description":"HIPPS-HE20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFM3","description":"HIPPS-3CFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ic lbw inf 1500-2500 g subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99479","description":"Ic lbw inf 1500-2500 g subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-82233","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82233","description":"CPT-82233","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46080","description":"Incision of anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15937","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC230","description":"HIPPS-PC230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49617","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ alfentanil hydrochloride_ 500 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0216","description":"Injection_ alfentanil hydrochloride_ 500 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunosuppressive drug noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7599","description":"Immunosuppressive drug noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthosis (EO)_ with adjustable position locking joint(s)_ prefabricated_ item that has been trimmed_ bent_ molded_ assembled_ or otherwise customized to fit a specific p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3760","description":"Elbow orthosis (EO)_ with adjustable position locking joint(s)_ prefabricated_ item that has been trimmed_ bent_ molded_ assembled_ or otherwise customized to fit a specific p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of tongue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41100","description":"Biopsy of tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray exam of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74283","description":"Contrast x-ray exam of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB220","description":"HIPPS-PB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0554T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0553","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0553","description":"HCPCS-G0553","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Viper venom prothrombin time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85612","description":"Viper venom prothrombin time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not providing brief counseling if identified as an unhealthy alcohol user (e.g._ limited life expectancy_ other medical reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2203","description":"Documentation of medical reason(s) for not providing brief counseling if identified as an unhealthy alcohol user (e.g._ limited life expectancy_ other medical reasons)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were in hospice at any time during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1026","description":"Patients who were in hospice at any time during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vent mgmt inpat init day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94002","description":"Vent mgmt inpat init day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1154","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Als routine disposble suppls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0398","description":"Als routine disposble suppls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA144","description":"HIPPS-PA144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB22C","description":"HIPPS-HB22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unspec maxillofacial prosth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8048","description":"Unspec maxillofacial prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA44","description":"HIPPS-RVA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla class ii high defin qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86833","description":"Hla class ii high defin qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spin/brain pump refil & main","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95990","description":"Spin/brain pump refil & main","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Molded inner boot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2280","description":"Molded inner boot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67145","description":"Treatment of retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deoxycortisol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82634","description":"Deoxycortisol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor intestine/venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44720","description":"Prep donor intestine/venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27881","description":"Amputation of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip disart sach laminat mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5600","description":"Hip disart sach laminat mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA104","description":"HIPPS-PA104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair mouth laceration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40830","description":"Repair mouth laceration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI joint lwr extr w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73723","description":"MRI joint lwr extr w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA21B","description":"HIPPS-PA21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92637","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92637","description":"CPT-92637","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complement total (ch50)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86162","description":"Complement total (ch50)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frenulotomy of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54164","description":"Frenulotomy of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj heparin sodium per 10 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1642","description":"Inj heparin sodium per 10 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunofluor antb addl stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88350","description":"Immunofluor antb addl stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2253","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2253","description":"HCPCS-J2253","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Itch severity assessment score was not reduced by at least 2 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1206","description":"Itch severity assessment score was not reduced by at least 2 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ interphalangeal joints_ with or without internal fixation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7506","description":"Arthrodesis_ interphalangeal joints_ with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96933","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE151","description":"HIPPS-CE151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fam-trastuzumab deruxtecan-nxki_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9358","description":"Injection_ fam-trastuzumab deruxtecan-nxki_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heavyduty/wide commode chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0168","description":"Heavyduty/wide commode chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1358","description":"Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE112","description":"HIPPS-HE112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cyclosporine oral 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7502","description":"Cyclosporine oral 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA4A","description":"HIPPS-RLA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB216","description":"HIPPS-HB216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc share dec prior proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9297","description":"No doc share dec prior proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rv5 vacc 3 dose live oral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90680","description":"Rv5 vacc 3 dose live oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath ren art 2nd+ bilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36254","description":"Ins cath ren art 2nd+ bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Op rad mg intent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9238","description":"Op rad mg intent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht musc image planar mult","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78454","description":"Ht musc image planar mult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood gases w/o2 saturation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82805","description":"Blood gases w/o2 saturation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcv >=10mg daily predniso","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4194F","description":"Pt rcv >=10mg daily predniso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES321","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES321","description":"HIPPS-ES321","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc stnt & ather","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37235","description":"Tib/per revasc stnt & ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mobility cart pneum vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0502","description":"Mobility cart pneum vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of beta-2 protein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82232","description":"Assay of beta-2 protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous pulmonary artery revascularization by stent placement_ initial; abnormal connections_ bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33903","description":"Percutaneous pulmonary artery revascularization by stent placement_ initial; abnormal connections_ bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd biopsy single/multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43239","description":"Egd biopsy single/multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL5","description":"HIPPS-1CHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam drsg <=16 sq in w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6209","description":"Foam drsg <=16 sq in w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hip prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27091","description":"Removal of hip prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysat sol fld vol > 249cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4720","description":"Dialysat sol fld vol > 249cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cognitive test by hc pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96125","description":"Cognitive test by hc pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 15-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88262","description":"Chromosome analysis 15-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of small bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74251","description":"X-ray exam of small bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99350","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3310","description":"Anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8B","description":"HIPPS-RHX8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB231","description":"HIPPS-BB231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ekg for initial prevent exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0403","description":"Ekg for initial prevent exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper gi endo shows barrtts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3140F","description":"Upper gi endo shows barrtts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0514U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0514U","description":"CPT-0514U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27540","description":"Treat knee fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE121","description":"HIPPS-LE121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whchr litwt det arm leg rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1240","description":"Whchr litwt det arm leg rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd accessory noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2599","description":"Sgd accessory noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD255","description":"HIPPS-LD255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Follow-Up And Mrs Score Assessed At 90 Days Following Endovascular Stroke Intervention","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0045","description":"Clinical Follow-Up And Mrs Score Assessed At 90 Days Following Endovascular Stroke Intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX24","description":"HIPPS-RUX24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB250","description":"HIPPS-PB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHNW","description":"HIPPS-3CHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt queried symp resp insuff","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1503F","description":"Pt queried symp resp insuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC16","description":"HIPPS-RHC16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transurethral Ablation Of Malignant Prostate Tissue By High-Energy Water Vapor Thermotherapy_ Including Intraoperative Imaging And Needle Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0582T","description":"Transurethral Ablation Of Malignant Prostate Tissue By High-Energy Water Vapor Thermotherapy_ Including Intraoperative Imaging And Needle Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual acuity screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99173","description":"Visual acuity screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hh respiratory thrpy nos/day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5181","description":"Hh respiratory thrpy nos/day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety frames","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0516","description":"Safety frames","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95724","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Filtered speech hearing test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92571","description":"Filtered speech hearing test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGM2","description":"HIPPS-2BGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD217","description":"HIPPS-CD217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc chl syp documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9228","description":"Gc chl syp documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA36","description":"HIPPS-AAA36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce/graft eye wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67255","description":"Reinforce/graft eye wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aquatic therapy/exercises","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97113","description":"Aquatic therapy/exercises","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transtemporal approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61595","description":"Transtemporal approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq cervicothoracic inject","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22510","description":"Perq cervicothoracic inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy/biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44377","description":"Small bowel endoscopy/biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27448","description":"Incision of thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefepime hydrochloride (b braun)_ not therapeutically equivalent to maxipime_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0703","description":"Injection_ cefepime hydrochloride (b braun)_ not therapeutically equivalent to maxipime_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suicidal ideation and/or behavior symptoms based on the c-ssrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1360","description":"Suicidal ideation and/or behavior symptoms based on the c-ssrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Family (Without The Patient Present)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96171","description":"Health Behavior Intervention_ Family (Without The Patient Present)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; cranioplasty or elevation of depres","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0132U","description":"Anesthesia for intracranial procedures; cranioplasty or elevation of depres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ sculptra_ 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2028","description":"Inj_ sculptra_ 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion supplies with pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4222","description":"Infusion supplies with pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner eye adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65865","description":"Incise inner eye adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8I","description":"HIPPS-RVA8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLT","description":"HIPPS-2AGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cabotegravir_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0739","description":"Injection_ cabotegravir_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGN3","description":"HIPPS-3BGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral hygiene instruction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1330","description":"Oral hygiene instruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical revision procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4268","description":"Surgical revision procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ldct for lung ca screen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0297","description":"Ldct for lung ca screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ire abltj 1+tum organ perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0600T","description":"Ire abltj 1+tum organ perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pancreatic cancer)_ multiplex immunoassay of C5_ C4_ cystatin C_ factor B_ osteoprotegerin (OPG)_ gelsolin_ IGFBP3_ CA125 and multiplex electrochemiluminescent imm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0342U","description":"Oncology (pancreatic cancer)_ multiplex immunoassay of C5_ C4_ cystatin C_ factor B_ osteoprotegerin (OPG)_ gelsolin_ IGFBP3_ CA125 and multiplex electrochemiluminescent imm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92945","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92945","description":"CPT-92945","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95170","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ cholangiocarcinoma and non-small cell lung neoplasia_ DNA and RNA analysis_ 1-23 genes_ interrogation for sequence variants and rearr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0022U","description":"Targeted genomic sequence analysis panel_ cholangiocarcinoma and non-small cell lung neoplasia_ DNA and RNA analysis_ 1-23 genes_ interrogation for sequence variants and rearr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Each addtnl prefab post","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2957","description":"Each addtnl prefab post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of tongue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41105","description":"Biopsy of tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infratemporal approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61590","description":"Infratemporal approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL01","description":"HIPPS-RHL01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dtap-hep b-ipv vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90723","description":"Dtap-hep b-ipv vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18B","description":"HIPPS-CD18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma plan of care documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1223","description":"Glaucoma plan of care documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx/pro/dx inj same drug adon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96376","description":"Tx/pro/dx inj same drug adon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA21A","description":"HIPPS-BA21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9748","description":"Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elect stim wound care not pd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0282","description":"Elect stim wound care not pd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC111","description":"HIPPS-HC111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"WoundEx Flow_ BioSkin Flow_ 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4162","description":"WoundEx Flow_ BioSkin Flow_ 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE20D","description":"HIPPS-CE20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; duplication/deletion variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81269","description":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; duplication/deletion variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL2A","description":"HIPPS-RHL2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit12.6-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12045","description":"Intmd rpr n-hf/genit12.6-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove penis & nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54130","description":"Remove penis & nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34051","description":"Removal of artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB115","description":"HIPPS-BB115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seo mobile arm sup att to wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2626","description":"Seo mobile arm sup att to wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28103","description":"Remove/graft foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levalbuterol comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7607","description":"Levalbuterol comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full grft face/genit/hf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15240","description":"Skin full grft face/genit/hf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES21B","description":"HIPPS-ES21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE130","description":"HIPPS-HE130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1448","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1448","description":"HCPCS-M1448","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 25 gene report_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0348U","description":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 25 gene report_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0935T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0935T","description":"CPT-0935T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection pantroprazole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0164","description":"Injection pantroprazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFK4","description":"HIPPS-3CFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightwt fixed arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1250","description":"Wheelchair lightwt fixed arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Butorphanol tartrate 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0595","description":"Butorphanol tartrate 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE20A","description":"HIPPS-CE20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracorp shockwv tx hi enrg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0101T","description":"Extracorp shockwv tx hi enrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco use assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1000F","description":"Tobacco use assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45051","description":"Anesth surgery of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or other practitioner_ including a patient navigator; 60 m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0023","description":"Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or other practitioner_ including a patient navigator; 60 m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assistive Technology","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0138","description":"Assistive Technology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Herpes simplex 2 ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87273","description":"Herpes simplex 2 ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermavest_ plurivest sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4153","description":"Dermavest_ plurivest sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK1","description":"HIPPS-1BFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric service/therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90899","description":"Psychiatric service/therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tcd emboli detect w/o inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93892","description":"Tcd emboli detect w/o inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excursion amplifier pulley t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6641","description":"Excursion amplifier pulley t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft head/neck </4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64885","description":"Nerve graft head/neck </4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25332","description":"Revise wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Case management_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2022","description":"Case management_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE150","description":"HIPPS-PE150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exome sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81416","description":"Exome sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis c revrs trnscrpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87522","description":"Hepatitis c revrs trnscrpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neostim dl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4267","description":"Neostim dl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enter infusion pump w/o alrm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9000","description":"Enter infusion pump w/o alrm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC135","description":"HIPPS-CC135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1125","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Term dev mech hook vol close","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6707","description":"Term dev mech hook vol close","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL17","description":"HIPPS-RUL17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE12A","description":"HIPPS-HE12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subs visit for episode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0526F","description":"Subs visit for episode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant related per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9975","description":"Transplant related per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO shoulder intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9735","description":"Patient unable to complete the FOTO shoulder intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC231","description":"HIPPS-PC231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gravity assisted traction de","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0941","description":"Gravity assisted traction de","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis nonauto w/o scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81002","description":"Urinalysis nonauto w/o scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8C","description":"HIPPS-RHC8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tongue and neck surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41135","description":"Tongue and neck surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extension per extension per","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2760","description":"Extension per extension per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD254","description":"HIPPS-CD254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pros sock multi ply upper lm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8435","description":"Pros sock multi ply upper lm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Graftjacket xpress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4113","description":"Graftjacket xpress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Io anal gast n-stim init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95980","description":"Io anal gast n-stim init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA160","description":"HIPPS-PA160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary pan-cancer (eg_ hereditary sarcomas_ hereditary endocrine tumors_ hereditary neuroendocrine tumors_ hereditary cutaneous melanoma)_ genomic sequence analysis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0474U","description":"Hereditary pan-cancer (eg_ hereditary sarcomas_ hereditary endocrine tumors_ hereditary neuroendocrine tumors_ hereditary cutaneous melanoma)_ genomic sequence analysis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mdd mild","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3088F","description":"Mdd mild","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech audiom thresh & recog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0211T","description":"Speech audiom thresh & recog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX5B","description":"HIPPS-RMX5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert pelv fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22848","description":"Insert pelv fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFMV","description":"HIPPS-2BFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted px small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44799","description":"Unlisted px small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound warming wound cover","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6000","description":"Wound warming wound cover","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlamydia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86631","description":"Chlamydia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 2.1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11623","description":"Exc s/n/h/f/g mal+mrg 2.1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38572","description":"Laparoscopy lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient was referred to another provider or specialist during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9968","description":"Patient was referred to another provider or specialist during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert xdrl body thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63301","description":"Remove vert xdrl body thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0014","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0014","description":"HCPCS-J0014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total kt/v greater than or equal to 1. 7 per week (total clearance of urea [kt] / volume [v])","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8718","description":"Total kt/v greater than or equal to 1. 7 per week (total clearance of urea [kt] / volume [v])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Growth hormone antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86277","description":"Growth hormone antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin; urine (eg_ microalbumin)_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82043","description":"Albumin; urine (eg_ microalbumin)_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ non-coat/cov w/o del","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1877","description":"Stent_ non-coat/cov w/o del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj facial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64402","description":"N block inj facial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB126","description":"HIPPS-HB126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ankle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27846","description":"Treat ankle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"GE GNOTYP GYPC EXONS 1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0188U","description":"GE GNOTYP GYPC EXONS 1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLX","description":"HIPPS-2BGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28B","description":"HIPPS-BB28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct skin color 6.0 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11920","description":"Correct skin color 6.0 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excellagen_ 0.1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4149","description":"Excellagen_ 0.1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin B-12 absorption study (eg_ Schilling test); with intrinsic factor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78271","description":"Vitamin B-12 absorption study (eg_ Schilling test); with intrinsic factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0495U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0495U","description":"CPT-0495U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx chron care addl 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99489","description":"Cmplx chron care addl 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA36","description":"HIPPS-RUA36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vendaje ac_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4279","description":"Vendaje ac_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion/visit 2 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99601","description":"Home infusion/visit 2 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES21A","description":"HIPPS-ES21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1313","description":"Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92986","description":"Revision of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy/removal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38500","description":"Biopsy/removal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optimal care for kidney health mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0002","description":"Optimal care for kidney health mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Air pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0186","description":"Air pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-cov surg proc_clin trial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0293","description":"Non-cov surg proc_clin trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AJCC Breast Cancer Stage I: T1mic_ T1a or T1b (tumor size <= 1 cm) documented (ONC)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3372F","description":"AJCC Breast Cancer Stage I: T1mic_ T1a or T1b (tumor size <= 1 cm) documented (ONC)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMW","description":"HIPPS-1AHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ eravacycline_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0122","description":"Injection_ eravacycline_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00410","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00410","description":"CPT-00410","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool non-portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1310","description":"Whirlpool non-portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8C","description":"HIPPS-RHA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ conivaptan hydrochloride_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9488","description":"Injection_ conivaptan hydrochloride_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise palsy hand tendon(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25316","description":"Revise palsy hand tendon(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE155","description":"HIPPS-LE155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8A","description":"HIPPS-RVA8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray assay calculus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82370","description":"X-ray assay calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 porcelain/ceramic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2783","description":"Crown 3/4 porcelain/ceramic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB235","description":"HIPPS-BB235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Igk rearrangeabn clonal pop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81264","description":"Igk rearrangeabn clonal pop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ avalglucosidase alfa-ngpt_ 4 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0219","description":"Injection_ avalglucosidase alfa-ngpt_ 4 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC24C","description":"HIPPS-HC24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal sinus therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30210","description":"Nasal sinus therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD20D","description":"HIPPS-HD20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc surveillance for disease","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9052","description":"Onc surveillance for disease","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction pump_ home model_ portable or stationary_ electric_ any type_ for use with external urine management system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2001","description":"Suction pump_ home model_ portable or stationary_ electric_ any type_ for use with external urine management system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28546","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mltispectrl digital les alys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0401T","description":"Mltispectrl digital les alys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open Implantation Of Hypoglossal Nerve Neurostimulator Array_ Pulse Generator_ And Distal Respiratory Sensor Electrode Or Electrode Array","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64582","description":"Open Implantation Of Hypoglossal Nerve Neurostimulator Array_ Pulse Generator_ And Distal Respiratory Sensor Electrode Or Electrode Array","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy_ with mechanical dilation and urethral therapeutic drug delivery for urethral stricture or stenosis_ including fluoroscopy_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0499T","description":"Cystourethroscopy_ with mechanical dilation and urethral therapeutic drug delivery for urethral stricture or stenosis_ including fluoroscopy_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28606","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51570","description":"Removal of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj progesterone per 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2675","description":"Inj progesterone per 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGK2","description":"HIPPS-2CGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjunctive procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9999","description":"Adjunctive procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dimecaprol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0470","description":"Dimecaprol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Presc opiates >6 wks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9577","description":"Presc opiates >6 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation_ osseointegrated implant_ skull; with magnetic transcutaneous attachment to external speech processor_ outside of the mastoid and resulting in removal of greater","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69729","description":"Implantation_ osseointegrated implant_ skull; with magnetic transcutaneous attachment to external speech processor_ outside of the mastoid and resulting in removal of greater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iv tubing extension set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1015","description":"Iv tubing extension set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone-material quality testing by microindentation(s) of the tibia(s)_ with results reported as a score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0547T","description":"Bone-material quality testing by microindentation(s) of the tibia(s)_ with results reported as a score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hm preeclamp per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9213","description":"Hm preeclamp per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag rigid frame cust","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0632","description":"Lso sag rigid frame cust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ etelcalcetide_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0606","description":"Injection_ etelcalcetide_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intentional replantation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3470","description":"Intentional replantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ motixafortide_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2277","description":"Injection_ motixafortide_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection_ all nonsele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34704","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection_ all nonsele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65420","description":"Removal of eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot arch supp premold metat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3050","description":"Foot arch supp premold metat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1189","description":"Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sub pt/ot d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8995","description":"Sub pt/ot d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1292","description":"Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Packing strips_ non-impreg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6407","description":"Packing strips_ non-impreg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy w/flap drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32036","description":"Thoracostomy w/flap drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/drug abuse svc nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0047","description":"Alcohol/drug abuse svc nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Interpretation And Report By Physician Or Other Qualified Health Care Professional_ Per Calendar Month","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0706T","description":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Interpretation And Report By Physician Or Other Qualified Health Care Professional_ Per Calendar Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB23C","description":"HIPPS-HB23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hh respiratory thrpy in eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5180","description":"Hh respiratory thrpy in eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Granisetron 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0091","description":"Granisetron 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flotufolastat F-18_ diagnostic_ 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9156","description":"Flotufolastat F-18_ diagnostic_ 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mohs addl stage t/a/l","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17314","description":"Mohs addl stage t/a/l","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Warfrn or othr antcog no rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8971","description":"Warfrn or othr antcog no rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Com wrap-around sv_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2022","description":"Com wrap-around sv_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracranial uni/ltd study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93882","description":"Extracranial uni/ltd study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscp harv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2112","description":"Knee arthroscp harv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC0A","description":"HIPPS-RHC0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA55","description":"HIPPS-RMA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18D","description":"HIPPS-CB18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest wall manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94667","description":"Chest wall manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreservation ovary tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0058T","description":"Cryopreservation ovary tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHLS","description":"HIPPS-3AHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow-up surgery of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66250","description":"Follow-up surgery of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB23D","description":"HIPPS-PB23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0995T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0995T","description":"CPT-0995T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMT","description":"HIPPS-1CFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst w/urinary repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58267","description":"Vag hyst w/urinary repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56630","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87430","description":"IAAD IA STREPTOCOCCUS GROUP A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast diep or siea flap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2068","description":"Breast diep or siea flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31760","description":"Repair of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of adrenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86651","description":"Anesth removal of adrenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27275","description":"Manipulation of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic anoscopy & biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46607","description":"Diagnostic anoscopy & biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE215","description":"HIPPS-PE215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of toes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29550","description":"Strapping of toes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27792","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66020","description":"Injection treatment of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos air press adhere no perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8855","description":"Pos air press adhere no perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paliperidone palmitate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2426","description":"Paliperidone palmitate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD134","description":"HIPPS-LD134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body-worn hearing aid air","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5030","description":"Body-worn hearing aid air","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0984T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0984T","description":"CPT-0984T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Routine ophthalmological exa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0620","description":"Routine ophthalmological exa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy adrenalectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60650","description":"Laparoscopy adrenalectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no ref otolo no spec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8568","description":"Pt no ref otolo no spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7190","description":"Factor viii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic exercises","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97110","description":"Therapeutic exercises","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKV","description":"HIPPS-2BGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder abduction joint pai","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6640","description":"Shoulder abduction joint pai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFL2","description":"HIPPS-3BFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0603","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0603","description":"CDT-D0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA101","description":"HIPPS-CA101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No ahi or rdi initial dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8844","description":"No ahi or rdi initial dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ bivalent spike protein_ preservative free_ 3 mcg/0.2 mL dosage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91317","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ bivalent spike protein_ preservative free_ 3 mcg/0.2 mL dosage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert abdomen-venous drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49425","description":"Insert abdomen-venous drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50955","description":"Ureter endoscopy & biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21261","description":"Revise eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK3","description":"HIPPS-2BHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rerepair ing hernia blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49521","description":"Rerepair ing hernia blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21432","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Legion pneumophilia ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87278","description":"Legion pneumophilia ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair calf rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0995","description":"Wheelchair calf rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE134","description":"HIPPS-PE134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body fluid cell count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89051","description":"Body fluid cell count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33510","description":"Cabg vein single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11646","description":"Exc f/e/e/n/l mal+mrg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth chest lining biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52251","description":"Anesth chest lining biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antipsychotic rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4065F","description":"Antipsychotic rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O shoe add instep velcro clo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3580","description":"O shoe add instep velcro clo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26205","description":"Remove/graft bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB235","description":"HIPPS-CB235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ thrombectomy/embolect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1757","description":"Cath_ thrombectomy/embolect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl met band kafo-afo prox","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4080","description":"Repl met band kafo-afo prox","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB60","description":"HIPPS-RVB60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"User adjustable heel height","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5990","description":"User adjustable heel height","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow mold sock suspension t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6110","description":"Elbow mold sock suspension t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental case management - addressing appointment compliance barriers","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9991","description":"Dental case management - addressing appointment compliance barriers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMX","description":"HIPPS-4AHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close tear system fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68770","description":"Close tear system fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC10A","description":"HIPPS-LC10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGNU","description":"HIPPS-1AGNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat combo w/shear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1007","description":"Pwr seat combo w/shear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMT","description":"HIPPS-4CHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Molecular Fluorescent Imaging Of Suspicious Nevus; Each Additional Lesion (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0701T","description":"Molecular Fluorescent Imaging Of Suspicious Nevus; Each Additional Lesion (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB3A","description":"HIPPS-RMB3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place rt device/marker pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55876","description":"Place rt device/marker pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sutures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0630","description":"Removal of sutures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8D","description":"HIPPS-RLX8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sternal pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1050","description":"Sternal pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no statin med disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8817","description":"Doc reas no statin med disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay ph body fluid nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83986","description":"Assay ph body fluid nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infliximab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1745","description":"Infliximab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFM3","description":"HIPPS-3BFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 std port cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0821","description":"Pwc gp 2 std port cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA225","description":"HIPPS-PA225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0578U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0578U","description":"CPT-0578U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MyOwn skin_ includes harvesting and preparation procedures_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4226","description":"MyOwn skin_ includes harvesting and preparation procedures_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1100T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1100T","description":"CPT-1100T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB12A","description":"HIPPS-PB12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chiropractic manj 5 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98942","description":"Chiropractic manj 5 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3374","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3374","description":"HCPCS-J3374","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX24","description":"HIPPS-RHX24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ivig demo_ services/supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2052","description":"Ivig demo_ services/supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB1A","description":"HIPPS-RUB1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of tibia fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27752","description":"Treatment of tibia fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB15C","description":"HIPPS-PB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knuckle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26516","description":"Fusion of knuckle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18D","description":"HIPPS-HC18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluorodopa f-18_ diagnostic_ per mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9602","description":"Fluorodopa f-18_ diagnostic_ per mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit wound care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9097","description":"Home visit wound care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laetrile amygdalin vit b17","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3570","description":"Laetrile amygdalin vit b17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmi calc_ pt no f/u plan elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8938","description":"Bmi calc_ pt no f/u plan elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1high risk med ord","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9365","description":"1high risk med ord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC52","description":"HIPPS-RHC52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collect blood from picc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36592","description":"Collect blood from picc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00404","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00404","description":"CPT-00404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc no comp or mort w in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9270","description":"Doc no comp or mort w in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transthor diaphrag hern rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43335","description":"Transthor diaphrag hern rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray kidneys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75833","description":"Vein x-ray kidneys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Msh6 gene known variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81299","description":"Msh6 gene known variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hpv combo assay ca screen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0476","description":"Hpv combo assay ca screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"T cell absolute count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86361","description":"T cell absolute count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52224","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9748","description":"Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL2","description":"HIPPS-2AGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA212","description":"HIPPS-CA212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health And Well-Being Coaching Face-To-Face; Individual_ Follow-Up Session_ At Least 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0592T","description":"Health And Well-Being Coaching Face-To-Face; Individual_ Follow-Up Session_ At Least 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ rimabotulinumtoxinb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0587","description":"Inj_ rimabotulinumtoxinb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clearance of tear duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68530","description":"Clearance of tear duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sutimlimab-jome_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9094","description":"Injection_ sutimlimab-jome_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC13C","description":"HIPPS-HC13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap vent/abd hernia repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49652","description":"Lap vent/abd hernia repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Barbiturates_ not elsewhere specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6043","description":"Barbiturates_ not elsewhere specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aminolevulinic acid hcl top","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7308","description":"Aminolevulinic acid hcl top","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of heart lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33542","description":"Removal of heart lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cord blood-derived stem-cell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2142","description":"Cord blood-derived stem-cell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHMW","description":"HIPPS-4BHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of fetal heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76825","description":"Echo exam of fetal heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epiandrosterone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6049","description":"Epiandrosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home ventilator_ multi-function respiratory device_ also performs any or all of the additional functions of oxygen concentratio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0467","description":"Home ventilator_ multi-function respiratory device_ also performs any or all of the additional functions of oxygen concentratio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjacent tissue transfer or rearrangement_ any area; each additional 30.0 s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2025F","description":"Adjacent tissue transfer or rearrangement_ any area; each additional 30.0 s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD117","description":"HIPPS-CD117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92631","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92631","description":"CPT-92631","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig; scrn clin dep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8433","description":"Pt inelig; scrn clin dep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spinal orthosis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1499","description":"Spinal orthosis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct neck spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72126","description":"Ct neck spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64553","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0668","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0668","description":"HCPCS-J0668","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enamel microabrasion","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9970","description":"Enamel microabrasion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB15C","description":"HIPPS-CB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGL4","description":"HIPPS-3BGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Administration of respiratory syncytial virus_ monoclonal antibody_ seasonal dose by intramuscular injection_ with counseling by physician or other qualified health care profe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96380","description":"Administration of respiratory syncytial virus_ monoclonal antibody_ seasonal dose by intramuscular injection_ with counseling by physician or other qualified health care profe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documented reason for not screening or recommending a follow-up for high blood pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9745","description":"Documented reason for not screening or recommending a follow-up for high blood pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (mild cognitive impairment)_ analysis of B-amyloid 1-42 and 1-40_ chemiluminescence enzyme immunoassay_ cerebral spinal fluid_ reported as positive_ likely positive_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0358U","description":"Neurology (mild cognitive impairment)_ analysis of B-amyloid 1-42 and 1-40_ chemiluminescence enzyme immunoassay_ cerebral spinal fluid_ reported as positive_ likely positive_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid met uptake","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78020","description":"Thyroid met uptake","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Betamethasone acet&sod phosp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0702","description":"Betamethasone acet&sod phosp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Bone Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1076","description":"Radiation Therapy For Bone Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Col chromotography qual/quan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82542","description":"Col chromotography qual/quan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Morphine sulfate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2270","description":"Morphine sulfate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pelvis bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26991","description":"Drainage of pelvis bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB25A","description":"HIPPS-CB25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx nose fx w/o stablj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21315","description":"Closed tx nose fx w/o stablj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction By Neurolytic Agent_ Genicular Nerve Branches Including Imaging Guidance_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64624","description":"Destruction By Neurolytic Agent_ Genicular Nerve Branches Including Imaging Guidance_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv collar supp adj cerv ba","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0190","description":"Cerv collar supp adj cerv ba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient encounter during the performance period with hospice and palliative care specialty code 17","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1365","description":"Patient encounter during the performance period with hospice and palliative care specialty code 17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0557","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0557","description":"HCPCS-G0557","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon metas noevid dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9088","description":"Onc dx colon metas noevid dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vasc embolize/occlude artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37242","description":"Vasc embolize/occlude artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8F","description":"HIPPS-RVB8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daratumumab_ 10 mg and hyaluronidase-fihj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9144","description":"Injection_ daratumumab_ 10 mg and hyaluronidase-fihj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC07","description":"HIPPS-RUC07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00524","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00524","description":"CPT-00524","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem mntr pulm flu mntr alys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0608T","description":"Rem mntr pulm flu mntr alys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD212","description":"HIPPS-PD212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage ext line_ dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4672","description":"Drainage ext line_ dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit periorbt w/grft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21395","description":"Opn tx orbit periorbt w/grft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 std seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0848","description":"Pwc gp 3 std seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD24C","description":"HIPPS-CD24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc leukoreduced irradiated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9040","description":"Rbc leukoreduced irradiated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aortic graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33863","description":"Ascending aortic graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive vaginal ring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7303","description":"Contraceptive vaginal ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA12A","description":"HIPPS-CA12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hd trapeze bar free standing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0912","description":"Hd trapeze bar free standing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive any pneumococcal conjugate or polysaccharide vaccine_ on or after their 60th birthday and before or during measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1179","description":"Patient did not receive any pneumococcal conjugate or polysaccharide vaccine_ on or after their 60th birthday and before or during measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reptilase test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85635","description":"Reptilase test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elastase_ Pancreatic (El-1)_ Fecal; Quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82653","description":"Elastase_ Pancreatic (El-1)_ Fecal; Quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef complet w/intact nutrient","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4150","description":"Ef complet w/intact nutrient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0454T","description":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGK1","description":"HIPPS-4AGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Av fistula revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36833","description":"Av fistula revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood methemoglobin assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83050","description":"Blood methemoglobin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1468","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1468","description":"HCPCS-M1468","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection anistreplase 30 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0350","description":"Injection anistreplase 30 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy aspiration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49322","description":"Laparoscopy aspiration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prefabricated porcelain/ceramic crown - permanent tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2928","description":"Prefabricated porcelain/ceramic crown - permanent tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5159","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5159","description":"HCPCS-Q5159","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no disc tx opt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9400","description":"Doc reas no disc tx opt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity_ user adjustable_ mechanical_ residual limb volume management system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5783","description":"Addition to lower extremity_ user adjustable_ mechanical_ residual limb volume management system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chylmd pneum dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87485","description":"Chylmd pneum dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls insj prph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33953","description":"Ecmo/ecls insj prph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD240","description":"HIPPS-HD240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Misc sup/acc ext vad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0507","description":"Misc sup/acc ext vad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0942T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0942T","description":"CPT-0942T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ hydroxocobalamin_ 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3425","description":"Injection_ hydroxocobalamin_ 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain image 4+ views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78605","description":"Brain image 4+ views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3D Echocardiographic Imaging And Postprocessing During Transesophageal Echocardiography_ Or During Transthoracic Echocardiography For Congenital Cardiac Anomalies_ For The Ass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93319","description":"3D Echocardiographic Imaging And Postprocessing During Transesophageal Echocardiography_ Or During Transthoracic Echocardiography For Congenital Cardiac Anomalies_ For The Ass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1403","description":"HCPCS-M1403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB150","description":"HIPPS-HB150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plasma protein fract_5%_50ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9043","description":"Plasma protein fract_5%_50ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor revasc chro add","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9608","description":"Perc d-e cor revasc chro add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29882","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl spine lesn crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63280","description":"Bx/exc idrl spine lesn crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algori","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81541","description":"Oncology (prostate)_ mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algori","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug admin & hemodynmic meas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93463","description":"Drug admin & hemodynmic meas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathogen reduced plasma sing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9071","description":"Pathogen reduced plasma sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM4","description":"HIPPS-3BGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL4D","description":"HIPPS-RVL4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46760","description":"Repair of anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iop down >15% of pre-svc lvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3284F","description":"Iop down >15% of pre-svc lvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt asked re sleep disturb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4328F","description":"Pt asked re sleep disturb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phys blood bank serv xmatch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86077","description":"Phys blood bank serv xmatch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immediate maxillary partial denture - flexible base (including any clasps_ rests and teeth)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5227","description":"Immediate maxillary partial denture - flexible base (including any clasps_ rests and teeth)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive review of data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88325","description":"Comprehensive review of data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd w/thrml txmnt gerd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43257","description":"Egd w/thrml txmnt gerd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70015","description":"Contrast x-ray of brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct capture limited","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0380","description":"Cone beam ct capture limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef adult fluids and electro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4102","description":"Ef adult fluids and electro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD20D","description":"HIPPS-LD20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB125","description":"HIPPS-LB125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB216","description":"HIPPS-PB216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lap enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83670","description":"Assay of lap enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of foot infection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28003","description":"Treatment of foot infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"non - surgical sialolithotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7979","description":"non - surgical sialolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-evaluation of occupational therapy established plan of care_ requiring these components: An assessment of changes in patient functional or medical status with revised plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97168","description":"Re-evaluation of occupational therapy established plan of care_ requiring these components: An assessment of changes in patient functional or medical status with revised plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam thorac spine 3vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72072","description":"X-ray exam thorac spine 3vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q24h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9500","description":"Hit antibiotic q24h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy for bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45334","description":"Sigmoidoscopy for bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admin on the same date of service_ 16-30 minutes time Medicaid only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0311","description":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admin on the same date of service_ 16-30 minutes time Medicaid only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGNS","description":"HIPPS-3AGNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion or replacement of permanent leadless pacemaker_ right ventricular_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ ventriculography_ fe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33274","description":"Transcatheter insertion or replacement of permanent leadless pacemaker_ right ventricular_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ ventriculography_ fe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy remove adnexa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58661","description":"Laparoscopy remove adnexa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01710","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01710","description":"CPT-01710","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE130","description":"HIPPS-PE130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE160","description":"HIPPS-PE160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject skin lesions >7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11901","description":"Inject skin lesions >7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Major Abdominal Blood Vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77059","description":"Major Abdominal Blood Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess hghlymalig doc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3345F","description":"Mammo assess hghlymalig doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt l/s 1 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64493","description":"Inj paravert f jnt l/s 1 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD111","description":"HIPPS-CD111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB254","description":"HIPPS-HB254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval aud rehab status","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92626","description":"Eval aud rehab status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9484","description":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Helicobacter pylori detection and antibiotic resistance_ DNA_ 16S and 23S rRNA_ gyrA_ pbp1_ rdxA and rpoB_ next generation sequencing_ formalin-fixed paraffin embedded or fres","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0008U","description":"Helicobacter pylori detection and antibiotic resistance_ DNA_ 16S and 23S rRNA_ gyrA_ pbp1_ rdxA and rpoB_ next generation sequencing_ formalin-fixed paraffin embedded or fres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA32","description":"HIPPS-RLA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Developmental testing_ (includes assessment of motor_ language_ social_ adaptive_ and/or cognitive functioning by standardized developmental instruments) with interpretation a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96111","description":"Developmental testing_ (includes assessment of motor_ language_ social_ adaptive_ and/or cognitive functioning by standardized developmental instruments) with interpretation a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Melphalan oral 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8600","description":"Melphalan oral 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8009","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8009","description":"HCPCS-C8009","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC136","description":"HIPPS-PC136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Brexanolone_ 1Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9055","description":"Injection_ Brexanolone_ 1Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt cat and thck on report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9294","description":"Pt cat and thck on report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1302","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1302","description":"HCPCS-B1302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped compr care pkg_ per hour","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1026","description":"Ped compr care pkg_ per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB12B","description":"HIPPS-BB12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject suprvlv aortography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93567","description":"Inject suprvlv aortography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy w/ileoanal anast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44157","description":"Colectomy w/ileoanal anast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BioNextPATCH_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4228","description":"BioNextPATCH_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual field examination(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92083","description":"Visual field examination(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seg pneumatic appli half leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0669","description":"Seg pneumatic appli half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress spine cord add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63066","description":"Decompress spine cord add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270_ up to 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2272","description":"Injection_ morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270_ up to 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk pn xm on init visit date","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2040F","description":"Bk pn xm on init visit date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj sciatic sng","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64445","description":"N block inj sciatic sng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41826","description":"Excision of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7526","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug scrn quan mycophenolate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80180","description":"Drug scrn quan mycophenolate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Loop heel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0951","description":"Loop heel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop dress & 1 cast chg bk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5400","description":"Postop dress & 1 cast chg bk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stent placemt retro carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37217","description":"Stent placemt retro carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression wrap with adjustable straps_ below knee_ 30-50 mmhg_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6583","description":"Gradient compression wrap with adjustable straps_ below knee_ 30-50 mmhg_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr angiography head w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70544","description":"Mr angiography head w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1003","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1003","description":"CDT-D1003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy live donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44133","description":"Enterectomy live donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fix partial denture section","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9120","description":"Fix partial denture section","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit int pain per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9327","description":"Hit int pain per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Routine footcare pt w lops","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0247","description":"Routine footcare pt w lops","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9741","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramusc injection of  (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimp adenovirus Oxford 1 preserv free_ 0.5 ml dose_ 1st dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0021A","description":"Imm admin by intramusc injection of  (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimp adenovirus Oxford 1 preserv free_ 0.5 ml dose_ 1st dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a medication dispensing event indicator of a history of asthma any time during the patient_s history through the end of the measure period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9799","description":"Patients with a medication dispensing event indicator of a history of asthma any time during the patient_s history through the end of the measure period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No prol intub req","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8570","description":"No prol intub req","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA24","description":"HIPPS-RHA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor viii reltd antgn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85244","description":"Clot factor viii reltd antgn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFP1","description":"HIPPS-3AFP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor <22.05._without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0806","description":"Replacement of lower extremity joint with Motor <22.05._without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX2C","description":"HIPPS-RVX2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3d predictive model generation for pre-planning of a cardiac procedure_ using data from cardiac computed tomographic angiography with report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9793","description":"3d predictive model generation for pre-planning of a cardiac procedure_ using data from cardiac computed tomographic angiography with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray eye for foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70030","description":"X-ray eye for foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymph system imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78195","description":"Lymph system imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLV","description":"HIPPS-2BHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family training & counseling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1027","description":"Family training & counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultraviolet therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97028","description":"Ultraviolet therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal pacemaker electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33235","description":"Removal pacemaker electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB120","description":"HIPPS-HB120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M.pneumon dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87582","description":"M.pneumon dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50974","description":"Ureter endoscopy & biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspirin recvd w/in 24 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4084F","description":"Aspirin recvd w/in 24 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glycosylated hb home device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83037","description":"Glycosylated hb home device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter placement of iliac arteriovenous anastomosis implant_ inclusive of all radiological supervision and interpretation_ intraprocedural roadmapping_ and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0553T","description":"Percutaneous transcatheter placement of iliac arteriovenous anastomosis implant_ inclusive of all radiological supervision and interpretation_ intraprocedural roadmapping_ and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt biliary drainage cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47533","description":"Plmt biliary drainage cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dexmedetomidine_ oral_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1105","description":"Dexmedetomidine_ oral_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of 5-hiaa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83497","description":"Assay of 5-hiaa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE10D","description":"HIPPS-HE10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for special stain_ including interpretation and report_ histochemical stain on frozen tissue block (List separately in addition to code","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0758T","description":"Digitization of glass microscope slides for special stain_ including interpretation and report_ histochemical stain on frozen tissue block (List separately in addition to code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKX","description":"HIPPS-5AFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB60","description":"HIPPS-RUB60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec coll non-blood:a/d test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0048","description":"Spec coll non-blood:a/d test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fo w/o joints cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3933","description":"Fo w/o joints cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1019","description":"Replacement supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen tent excl croup/ped t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0455","description":"Oxygen tent excl croup/ped t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC60","description":"HIPPS-RUC60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calibrated microcap tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4651","description":"Calibrated microcap tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelography lumbar injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62305","description":"Myelography lumbar injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo molded ankle gauntlet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1904","description":"Afo molded ankle gauntlet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient lift bathroom or toi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0625","description":"Patient lift bathroom or toi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artacent wound_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4169","description":"Artacent wound_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient is not dysarthric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3763F","description":"Patient is not dysarthric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove anal fist subq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46270","description":"Remove anal fist subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Sage Health Management Solutions_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1009","description":"Clinical Decision Support Mechanism Sage Health Management Solutions_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens hydrophilic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2520","description":"Contact lens hydrophilic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1453","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1453","description":"HCPCS-M1453","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD24A","description":"HIPPS-LD24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97032","description":"Electrical stimulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; smears with interpretation (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0827T","description":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; smears with interpretation (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advnc care plan tlk docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1158F","description":"Advnc care plan tlk docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0302","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0302","description":"HCPCS-B0302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed var ht w/ mattr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0255","description":"Hospital bed var ht w/ mattr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening propoxyphene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80367","description":"Drug screening propoxyphene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD105","description":"HIPPS-HD105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15933","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afluria vacc_ 3 yrs & >_ im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2035","description":"Afluria vacc_ 3 yrs & >_ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32656","description":"Thoracoscopy w/pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suspend bowel w/prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44700","description":"Suspend bowel w/prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6515","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6515","description":"HCPCS-A6515","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of erythropoietin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82668","description":"Assay of erythropoietin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0676","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0676","description":"HCPCS-G0676","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optokinetic nystagmus test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92544","description":"Optokinetic nystagmus test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay alkaline phosphatases","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84080","description":"Assay alkaline phosphatases","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pten gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81321","description":"Pten gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23660","description":"Treat shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blinded administration of convulsive therapy procedure_ either electroconvulsive therapy (ect_ current covered gold standard) or magnetic seizure therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2000","description":"Blinded administration of convulsive therapy procedure_ either electroconvulsive therapy (ect_ current covered gold standard) or magnetic seizure therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise lwr jaw cyst w/repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21047","description":"Excise lwr jaw cyst w/repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scleral lens liquid bandage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0515","description":"Scleral lens liquid bandage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI orbit/face/neck w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70540","description":"MRI orbit/face/neck w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco Screening Not Performed Or Tobacco Cessation Intervention Not Provided On The Date Of The Encounter Or Within The Previous 12 Months_ Reason Not Otherwise Specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0029","description":"Tobacco Screening Not Performed Or Tobacco Cessation Intervention Not Provided On The Date Of The Encounter Or Within The Previous 12 Months_ Reason Not Otherwise Specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB213","description":"HIPPS-HB213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screen cerv/vag thin layer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0123","description":"Screen cerv/vag thin layer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobramycin sulfate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3260","description":"Tobramycin sulfate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enlarge breast with implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19325","description":"Enlarge breast with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of kidney lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74470","description":"X-ray exam of kidney lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep renal graft/ureteral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50329","description":"Prep renal graft/ureteral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0802","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0802","description":"HCPCS-A0802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat mouth roof fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21422","description":"Treat mouth roof fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00541","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00541","description":"CPT-00541","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placental alpha-micro globulin-1 (PAMG-1)_ immunoassay with direct optical observation_ cervico-vaginal fluid_ each specimen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0066U","description":"Placental alpha-micro globulin-1 (PAMG-1)_ immunoassay with direct optical observation_ cervico-vaginal fluid_ each specimen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKS","description":"HIPPS-2BHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"At least two orders for high-risk medications from the same drug class_ (table 4)_ not ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1209","description":"At least two orders for high-risk medications from the same drug class_ (table 4)_ not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-op service lvrs complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0302","description":"Pre-op service lvrs complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gi nuclear procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78299","description":"Gi nuclear procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47399","description":"Liver surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removable retainer adjust","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8681","description":"Removable retainer adjust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria lmtd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33254","description":"Ablate atria lmtd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure wrap with adjustable straps_ arm_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6588","description":"Gradient pressure wrap with adjustable straps_ arm_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA125","description":"HIPPS-CA125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25929","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stocking sup grips 4 pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0982","description":"Stocking sup grips 4 pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2030","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2030","description":"HCPCS-A2030","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19357","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tte f-up or lmtd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93308","description":"Tte f-up or lmtd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3392","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3392","description":"HCPCS-J3392","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1043T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1043T","description":"CPT-1043T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78832","description":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA260","description":"HIPPS-CA260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB234","description":"HIPPS-CB234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipid profile not perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8728","description":"Lipid profile not perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0531U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0531U","description":"CPT-0531U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate ic vasospasm add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61642","description":"Dilate ic vasospasm add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood fatty acids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82725","description":"Assay of blood fatty acids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multi den insert direct form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5512","description":"Multi den insert direct form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc brchiocph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0237T","description":"Trluml perip athrc brchiocph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of theophylline","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80198","description":"Assay of theophylline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd srv 4 visits p mo 20+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90960","description":"Esrd srv 4 visits p mo 20+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36576","description":"Repair tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychological testing (eg_ Wisconsin Card Sorting Test)_ administered by a computer_ with qualified health care professional interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96120","description":"Neuropsychological testing (eg_ Wisconsin Card Sorting Test)_ administered by a computer_ with qualified health care professional interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"History cd4+ cell count <350","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3492F","description":"History cd4+ cell count <350","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0080","description":"Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE205","description":"HIPPS-HE205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Work hardening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97545","description":"Work hardening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFKS","description":"HIPPS-4BFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removable partial denture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5281","description":"Removable partial denture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urofollitropin_ 75 iu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3355","description":"Urofollitropin_ 75 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA231","description":"HIPPS-BA231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of digit nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64831","description":"Repair of digit nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00124","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00124","description":"CPT-00124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0505","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0505","description":"CDT-D0505","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0602","description":"HCPCS-C0602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tooth transplantation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7272","description":"Tooth transplantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18B","description":"HIPPS-BB18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom grad glove med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8425","description":"Custom grad glove med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received at least one well-child visit with a PCP during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9964","description":"Patient received at least one well-child visit with a PCP during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0540","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0540","description":"HCPCS-G0540","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA42","description":"HIPPS-RLA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab-pkrb_ biosimilar_ (herzuma)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5113","description":"Injection_ trastuzumab-pkrb_ biosimilar_ (herzuma)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42305","description":"Drainage of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring (Eg_ Respiratory System Status_ Musculoskeletal System Status_ Therapy Adherence_ Therapy Response); Initial Set-Up And Patient Education On Use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98975","description":"Remote Therapeutic Monitoring (Eg_ Respiratory System Status_ Musculoskeletal System Status_ Therapy Adherence_ Therapy Response); Initial Set-Up And Patient Education On Use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther/diag concurrent inf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96368","description":"Ther/diag concurrent inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval opioid use instr/pt int","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9584","description":"Eval opioid use instr/pt int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50070","description":"Incision of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain hand tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26020","description":"Drain hand tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE160","description":"HIPPS-HE160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE204","description":"HIPPS-PE204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66160","description":"Glaucoma surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2106","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC12C","description":"HIPPS-LC12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted e&m service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99499","description":"Unlisted e&m service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of neonatal thyroxine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84437","description":"Assay of neonatal thyroxine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC33","description":"HIPPS-RHC33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove nasal foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30320","description":"Remove nasal foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine ost pouch w faucet/tap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4428","description":"Urine ost pouch w faucet/tap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0405","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0405","description":"CDT-D0405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHM5","description":"HIPPS-1CHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE13B","description":"HIPPS-LE13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Assessment_ Or Re-Assessment (Ie_ Health-Focused Clinical Interview_ Behavioral Observations_ Clinical Decision Making)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96156","description":"Health Behavior Assessment_ Or Re-Assessment (Ie_ Health-Focused Clinical Interview_ Behavioral Observations_ Clinical Decision Making)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fna w/o image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10021","description":"Fna w/o image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18D","description":"HIPPS-PB18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays at surgery add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74301","description":"X-rays at surgery add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ampho b cholesteryl sulfate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0288","description":"Ampho b cholesteryl sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Janssen Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC Ad26 5x1010 VP/.5mL IM DOSE BOOSTER)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1712","description":"Janssen Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC Ad26 5x1010 VP/.5mL IM DOSE BOOSTER)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL3B","description":"HIPPS-RHL3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of thigh muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27385","description":"Repair of thigh muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair heavy duty fixed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1295","description":"Wheelchair heavy duty fixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continent stoma catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5082","description":"Continent stoma catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compatibility test electric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86923","description":"Compatibility test electric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67904","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transnasal; with biopsy_ single or multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0653T","description":"Esophagogastroduodenoscopy_ flexible_ transnasal; with biopsy_ single or multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43622","description":"Removal of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc xdrl spine lesn crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63275","description":"Bx/exc xdrl spine lesn crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1073","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1073","description":"HCPCS-J1073","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK4","description":"HIPPS-5AGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair & adjust spectacles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92371","description":"Repair & adjust spectacles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Index assessment completed using the 12-item whodas 2.0 or sds during the denominator identification period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1340","description":"Index assessment completed using the 12-item whodas 2.0 or sds during the denominator identification period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC125","description":"HIPPS-HC125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise palsy hand tendon(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25315","description":"Revise palsy hand tendon(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile_ gloves per pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4930","description":"Sterile_ gloves per pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse gallbladder & bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47741","description":"Fuse gallbladder & bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retainer Crown 3/4 - Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6784","description":"Retainer Crown 3/4 - Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0301","description":"HCPCS-C0301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dissect brain w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62161","description":"Dissect brain w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Who nontorsion jnts pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3915","description":"Who nontorsion jnts pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ovarian cyst(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58925","description":"Removal of ovarian cyst(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kit gene targeted seq analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81272","description":"Kit gene targeted seq analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB155","description":"HIPPS-CB155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ Pressure-Generating_ One-Way Valve_ Intermittently Occlusive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1982","description":"Catheter_ Pressure-Generating_ One-Way Valve_ Intermittently Occlusive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shingrix vaccine not documented as administered_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1066","description":"Shingrix vaccine not documented as administered_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elb disart prosth tiss shap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6450","description":"Elb disart prosth tiss shap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69720","description":"Release facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bl donor search management","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38204","description":"Bl donor search management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat combo w/o shear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1006","description":"Pwr seat combo w/o shear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPT","description":"HIPPS-3CFPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18C","description":"HIPPS-PA18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA2B","description":"HIPPS-RLA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18G","description":"HIPPS-HB18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8E","description":"HIPPS-RVC8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8I","description":"HIPPS-RMX8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval for deep sed/gen anesth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9219","description":"Eval for deep sed/gen anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q3h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9497","description":"Hit antibiotic q3h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50953","description":"Endoscopy of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8020","description":"Mastectomy form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy_ includes angiopla","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9764","description":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy_ includes angiopla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_  casirivimab and imdevimab_ 2400 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0243","description":"Injection_  casirivimab and imdevimab_ 2400 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab-dttb_ biosimilar_ (Ontruzant)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5112","description":"Injection_ trastuzumab-dttb_ biosimilar_ (Ontruzant)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18X","description":"HIPPS-PA18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo sing upright w/ adjust s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1920","description":"Afo sing upright w/ adjust s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown full cast noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2792","description":"Crown full cast noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cros hearing aid dispens fee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5200","description":"Cros hearing aid dispens fee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion scrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63268","description":"Excise intrspinl lesion scrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symes type poster opening so","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5634","description":"Symes type poster opening so","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anterior swing band","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2335","description":"Anterior swing band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hrdtry brst ca-rlatd dsordrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81433","description":"Hrdtry brst ca-rlatd dsordrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pancreatic)_ DNA_ whole genome sequencing with 5-hydroxymethylcytosine enrichment_ whole blood or plasma_ algorithm reported as cancer detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0410U","description":"Oncology (pancreatic)_ DNA_ whole genome sequencing with 5-hydroxymethylcytosine enrichment_ whole blood or plasma_ algorithm reported as cancer detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx isodose plan simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77316","description":"Brachytx isodose plan simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0107","description":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spontaneous nystagmus test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92541","description":"Spontaneous nystagmus test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cad cxr with interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0174T","description":"Cad cxr with interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE15B","description":"HIPPS-LE15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88028","description":"Autopsy (necropsy) complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB2B","description":"HIPPS-RVB2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX36","description":"HIPPS-RLX36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ quantitative real-time target and signal amplification of 8 RNA markers (GAPDH_ SMAD4_ ACY1_ AREG_ CDH1_ KRAS_ TNFRSF10B_ EGLN2) and fecal hem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0421U","description":"Oncology (colorectal) screening_ quantitative real-time target and signal amplification of 8 RNA markers (GAPDH_ SMAD4_ ACY1_ AREG_ CDH1_ KRAS_ TNFRSF10B_ EGLN2) and fecal hem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neg press wnd tx </=50 sq cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97607","description":"Neg press wnd tx </=50 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No pap prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8850","description":"No pap prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lung lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32150","description":"Removal of lung lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL0B","description":"HIPPS-RHL0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ valoctocogene roxaparvovec-rvox_ per ml_ containing nominal 2 x 10^13 vector genomes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1412","description":"Injection_ valoctocogene roxaparvovec-rvox_ per ml_ containing nominal 2 x 10^13 vector genomes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SanoGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4319","description":"SanoGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A5102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5102","description":"HCPCS-A5102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18A","description":"HIPPS-LC18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 6 genotyping (HPA-6w)_ ITGB3 (integrin_ beta 3 [platelet glycoprotein IIIa_ antigen CD61] [GPIIIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ po","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81110","description":"Human Platelet Antigen 6 genotyping (HPA-6w)_ ITGB3 (integrin_ beta 3 [platelet glycoprotein IIIa_ antigen CD61] [GPIIIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ po","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe lift elev heel/sole neo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3310","description":"Shoe lift elev heel/sole neo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE25C","description":"HIPPS-CE25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-81195","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81195","description":"CPT-81195","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFP5","description":"HIPPS-3CFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5298","description":"Hearing aid noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv/aids measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8491","description":"Hiv/aids measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5945","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5945","description":"CDT-D5945","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0697U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0697U","description":"CPT-0697U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor stent ather br","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9603","description":"Perc d-e cor stent ather br","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mens shoes hightop depth inl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3222","description":"Mens shoes hightop depth inl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29877","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy eye muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67346","description":"Biopsy eye muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tendons at wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25301","description":"Fusion of tendons at wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC MRNA 5 genes alg risk recr urothelial cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0013M","description":"ONC MRNA 5 genes alg risk recr urothelial cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sorbent cartridges per 10","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1636","description":"Sorbent cartridges per 10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye surgery follow-up add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67331","description":"Eye surgery follow-up add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1405","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1405","description":"HCPCS-M1405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Demonstrate use home inr mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0248","description":"Demonstrate use home inr mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bath tub wall rail","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0241","description":"Bath tub wall rail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age Or Older And Had At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Dementia Medication","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2127","description":"Patients 66 Years Of Age Or Older And Had At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Dementia Medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove palate/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42120","description":"Remove palate/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHMV","description":"HIPPS-2CHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB120","description":"HIPPS-LB120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fee covid-19 vac 2 res","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0014A","description":"Fee covid-19 vac 2 res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no offer eol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9381","description":"Doc med reas no offer eol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mh clubhouse svc_ per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2030","description":"Mh clubhouse svc_ per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harness figure of 8 sing con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6675","description":"Harness figure of 8 sing con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of horseshoe kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50540","description":"Revision of horseshoe kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB24A","description":"HIPPS-CB24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-expandable controller","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2375","description":"Non-expandable controller","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHMW","description":"HIPPS-3BHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFMX","description":"HIPPS-4BFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK1","description":"HIPPS-5BFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0204","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0204","description":"HCPCS-B0204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGMT","description":"HIPPS-2CGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert above knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5658","description":"Socket insert above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tah rad debulk/lymph remove","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58954","description":"Tah rad debulk/lymph remove","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enlarge breast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19324","description":"Enlarge breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32850","description":"Donor pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat mouth roof fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21421","description":"Treat mouth roof fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56632","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evoked auditory test qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92558","description":"Evoked auditory test qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gammagraft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4111","description":"Gammagraft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"META0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23462","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens hydrophil bifocl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2522","description":"Cntct lens hydrophil bifocl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGP1","description":"HIPPS-1AGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28X","description":"HIPPS-LC28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGKT","description":"HIPPS-1AGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1006F","description":"Osteoarthritis assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AmnioBand_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4168","description":"AmnioBand_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB11","description":"HIPPS-RUB11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close mastoid fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69700","description":"Close mastoid fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alglucerase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0205","description":"Alglucerase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8G","description":"HIPPS-RVB8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFLX","description":"HIPPS-1CFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CT/MRI chest follup not rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9556","description":"CT/MRI chest follup not rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD212","description":"HIPPS-CD212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0574U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0574U","description":"CPT-0574U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0643","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0643","description":"HCPCS-J0643","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 100 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0148U","description":"Drug assay_ definitive_ 100 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neg press wound tx </=50 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97605","description":"Neg press wound tx </=50 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise bile duct sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47460","description":"Incise bile duct sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of infusion pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36260","description":"Insertion of infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Norsn no dicom format doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9329","description":"Norsn no dicom format doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral con def mod palat","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5959","description":"Intraoral con def mod palat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No photodoc cecal ldmk exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9614","description":"No photodoc cecal ldmk exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Audiometry air & bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92553","description":"Audiometry air & bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso r fram soft ant pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0466","description":"Tlso r fram soft ant pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKW","description":"HIPPS-4BHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0909T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0909T","description":"CPT-0909T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trichinella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86784","description":"Trichinella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHK6","description":"HIPPS-3CHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24655","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of percutaneous electrode array_ sacral_ with integrated neurostimulator_ including imaging guidance_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0786T","description":"Insertion or replacement of percutaneous electrode array_ sacral_ with integrated neurostimulator_ including imaging guidance_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFMS","description":"HIPPS-1BFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLT","description":"HIPPS-3CGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28730","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic passive restor cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6370","description":"Thoracic passive restor cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast cancer)_ ERBB2 (HER2) copy number by FISH_ tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0009U","description":"Oncology (breast cancer)_ ERBB2 (HER2) copy number by FISH_ tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ calcium gluconate (wg critical care)_ per 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0611","description":"Injection_ calcium gluconate (wg critical care)_ per 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft head/neck >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64886","description":"Nerve graft head/neck >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA3C","description":"HIPPS-RUA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45395","description":"Lap removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nasal septum defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30630","description":"Repair nasal septum defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement nasal pillows","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7033","description":"Replacement nasal pillows","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA and RNA)_ central nervous system pathogen_ metagenomic next-generation sequencing_ cerebrospinal fluid (CSF)_ identification of","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0323U","description":"Infectious agent detection by nucleic acid (DNA and RNA)_ central nervous system pathogen_ metagenomic next-generation sequencing_ cerebrospinal fluid (CSF)_ identification of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sex offend tx svc_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2028","description":"Sex offend tx svc_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open aortic tube prosth repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34830","description":"Open aortic tube prosth repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; conversion of arrhythmia localization and mapping of arrhythmia site (nidus) into a multidimensional radiati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0746T","description":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; conversion of arrhythmia localization and mapping of arrhythmia site (nidus) into a multidimensional radiati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intrafraction track motion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6017","description":"Intrafraction track motion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36815","description":"Insertion of cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD151","description":"HIPPS-PD151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aud brainstem implt programg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92640","description":"Aud brainstem implt programg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of foot joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28050","description":"Biopsy of foot joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo-myomectomy complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58546","description":"Laparo-myomectomy complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC160","description":"HIPPS-PC160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0692U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0692U","description":"CPT-0692U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 20.1-30.0","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12056","description":"Intmd rpr face/mm 20.1-30.0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evasc prlng admn rx agnt 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61650","description":"Evasc prlng admn rx agnt 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4408","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4408","description":"HCPCS-Q4408","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited dental tx primary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8010","description":"Limited dental tx primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4397","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4397","description":"HCPCS-Q4397","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec site no lung","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9420","description":"Spec site no lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect back tum < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21935","description":"Resect back tum < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthro w/labral repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29916","description":"Hip arthro w/labral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0620U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0620U","description":"CPT-0620U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4369","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4369","description":"HCPCS-Q4369","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay duodenal fluid trypsin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84485","description":"Assay duodenal fluid trypsin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1808","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1808","description":"HCPCS-J1808","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc hand les sc < 1.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26115","description":"Exc hand les sc < 1.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrocardiogram report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93010","description":"Electrocardiogram report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc of dsm-iv init eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9212","description":"Doc of dsm-iv init eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN2","description":"HIPPS-3CHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8I","description":"HIPPS-RUA8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Merkel cell carcinoma)_ detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen)_ serum_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0058U","description":"Oncology (Merkel cell carcinoma)_ detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen)_ serum_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traditional healing service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0051","description":"Traditional healing service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advancing cancer care mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0001","description":"Advancing cancer care mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harness chest/shlder saddle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6672","description":"Harness chest/shlder saddle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clsd ostomy pouch faceplate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5053","description":"Clsd ostomy pouch faceplate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHN4","description":"HIPPS-3BHN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 20 targets (adenovirus_ coronavirus 229E_ coronaviru","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0099U","description":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 20 targets (adenovirus_ coronavirus 229E_ coronaviru","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery expos/graft artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33987","description":"Artery expos/graft artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHLT","description":"HIPPS-2AHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no ref oto reas no spec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8563","description":"Pt no ref oto reas no spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Door to punc time <2hrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9580","description":"Door to punc time <2hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP08","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP08","description":"HIPPS-ATP08","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg_ spinocerebellar ataxia) gene analysis; known familial variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81186","description":"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg_ spinocerebellar ataxia) gene analysis; known familial variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj pudendal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64430","description":"N block inj pudendal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open/perq place stent 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37236","description":"Open/perq place stent 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of tear sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68525","description":"Biopsy of tear sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microsatellite instability","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81301","description":"Microsatellite instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revoshield + amniotic barrier_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4289","description":"Revoshield + amniotic barrier_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47130","description":"Partial removal of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient admitted to hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9857","description":"Patient admitted to hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko adj jnt pos r sup pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1832","description":"Ko adj jnt pos r sup pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glass/plastic slab off prism","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2710","description":"Glass/plastic slab off prism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLU","description":"HIPPS-3AFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA214","description":"HIPPS-BA214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK4","description":"HIPPS-5BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC1A","description":"HIPPS-RMC1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Salmonella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86768","description":"Salmonella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES31C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES31C","description":"HIPPS-ES31C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin pneum/hydra pneum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5780","description":"Knee-shin pneum/hydra pneum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC16","description":"HIPPS-RVC16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney imaging with flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78701","description":"Kidney imaging with flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change gastric port open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43888","description":"Change gastric port open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore sinus remove polyps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31032","description":"Explore sinus remove polyps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-CDC SARS-CoV-2/2019-nCoV test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"U0002","description":"Non-CDC SARS-CoV-2/2019-nCoV test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lung pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32440","description":"Remove lung pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak flex inner socket ext fra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5651","description":"Ak flex inner socket ext fra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28B","description":"HIPPS-PB28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug confirmation_ each procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6058","description":"Drug confirmation_ each procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical home level iii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9150","description":"Medical home level iii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Perfusion Echo Ischm/Viability Assmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0439T","description":"Myocardial Perfusion Echo Ischm/Viability Assmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHK4","description":"HIPPS-3CHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA125","description":"HIPPS-BA125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair major vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33321","description":"Repair major vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath place cardio brachytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92974","description":"Cath place cardio brachytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enteral ng tubing w/ stylet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4081","description":"Enteral ng tubing w/ stylet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor fletcher fact","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85292","description":"Clot factor fletcher fact","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dias bp less 90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8754","description":"Dias bp less 90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temp anchorage dev w/o flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7294","description":"Temp anchorage dev w/o flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8G","description":"HIPPS-RVL8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phototherap keratect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0812","description":"Phototherap keratect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray&fluoro 4/> views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71034","description":"Chest x-ray&fluoro 4/> views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transoral; with deployment of intragastric bariatric balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43290","description":"Esophagogastroduodenoscopy_ flexible_ transoral; with deployment of intragastric bariatric balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct neck spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72127","description":"Ct neck spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fqhc visit_ estab pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0467","description":"Fqhc visit_ estab pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1124","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28H","description":"HIPPS-CE28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX0D","description":"HIPPS-RUX0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmi is documented above normal parameters and a follow-up plan is documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1293","description":"Bmi is documented above normal parameters and a follow-up plan is documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laiv vacc pandemic intranasl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90664","description":"Laiv vacc pandemic intranasl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27808","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL5","description":"HIPPS-4CHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy management","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77499","description":"Radiation therapy management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient treatment and final evaluation complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1011","description":"Patient treatment and final evaluation complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 45","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88263","description":"Chromosome analysis 45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic caster tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2384","description":"Pneumatic caster tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration/repair of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45562","description":"Exploration/repair of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear diagnostic exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78999","description":"Nuclear diagnostic exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0202","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0202","description":"HCPCS-B0202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid seat support base","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2231","description":"Solid seat support base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implnt_bon void filler-putty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9359","description":"Implnt_bon void filler-putty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":">85y scope othr rsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9661","description":">85y scope othr rsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/lobectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32663","description":"Thoracoscopy w/lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA1A","description":"HIPPS-RMA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive prostate cancer estimation map_ derived from augmentative analysis of image-guided fusion biopsy and pathology_ including visualization of margin volume and locati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0898T","description":"Noninvasive prostate cancer estimation map_ derived from augmentative analysis of image-guided fusion biopsy and pathology_ including visualization of margin volume and locati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of amylase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82150","description":"Assay of amylase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain imaging (pet)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78609","description":"Brain imaging (pet)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral appliance therapy (OAT) titration visit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9955","description":"Oral appliance therapy (OAT) titration visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cyclosporine oral 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7515","description":"Cyclosporine oral 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"General anesthesia_ first 15 minutes","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9222","description":"General anesthesia_ first 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Oral And/Or Oropharyngeal Cancer)_ Gene Expression Profiling By Rna Sequencing At Least 20 Molecular Features (Eg_ Human And/Or Microbial Mrna)_ Saliva_ Algorithm Re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0296U","description":"Oncology (Oral And/Or Oropharyngeal Cancer)_ Gene Expression Profiling By Rna Sequencing At Least 20 Molecular Features (Eg_ Human And/Or Microbial Mrna)_ Saliva_ Algorithm Re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc tempory vessel occl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61623","description":"Endovasc tempory vessel occl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of integrated neurostimulation system for bladder dysfunction_ including analysis_ programming_ and imaging_ when performed_ posterior tibial nerve; subcut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0818T","description":"Revision or removal of integrated neurostimulation system for bladder dysfunction_ including analysis_ programming_ and imaging_ when performed_ posterior tibial nerve; subcut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AstraZeneca COVID-19 vaccine administration — second dose","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1706","description":"AstraZeneca COVID-19 vaccine administration — second dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGMX","description":"HIPPS-4BGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absorp drg <= 16 suc pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0744","description":"Absorp drg <= 16 suc pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0683","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0683","description":"HCPCS-E0683","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC14","description":"HIPPS-RUC14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28I","description":"HIPPS-PB28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lsh w/t/o ut 250 g or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58542","description":"Lsh w/t/o ut 250 g or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0904","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0904","description":"CDT-D0904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61520","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB10D","description":"HIPPS-BB10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged service inpatient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99356","description":"Prolonged service inpatient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE131","description":"HIPPS-HE131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0759","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0759","description":"HCPCS-J0759","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lung catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32552","description":"Remove lung catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipoprotein bld by nmr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83704","description":"Lipoprotein bld by nmr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amobarbital 125 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0300","description":"Amobarbital 125 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dementia measures group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8902","description":"Dementia measures group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheeled cart_ port cyl/conc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1354","description":"Wheeled cart_ port cyl/conc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24579","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5943","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5943","description":"CDT-D5943","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dna analysis deafness","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3844","description":"Dna analysis deafness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rehab system with interactive interface providing active assistance in rehabilitation therapy_ includes all components and accessories_ motors_ microprocessors_ sensors","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0739","description":"Rehab system with interactive interface providing active assistance in rehabilitation therapy_ includes all components and accessories_ motors_ microprocessors_ sensors","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr epigastric hern reduce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49570","description":"Rpr epigastric hern reduce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraocular pressure (iop) reduced by a value less than 20% from the pre-intervention level","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1224","description":"Intraocular pressure (iop) reduced by a value less than 20% from the pre-intervention level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiological examination_ surgical specimen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76098","description":"Radiological examination_ surgical specimen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC1C","description":"HIPPS-RVC1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ with iliac and/or femoral artery angiograph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7517","description":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ with iliac and/or femoral artery angiograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap sleeve gastrectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43775","description":"Lap sleeve gastrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl water chamber_ pap dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7046","description":"Repl water chamber_ pap dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multi-axial knee/shin system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5840","description":"Multi-axial knee/shin system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1252","description":"Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2596","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2596","description":"HCPCS-J2596","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pure tone audiometry air","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92552","description":"Pure tone audiometry air","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0921T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0921T","description":"CPT-0921T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine pregnancy test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81025","description":"Urine pregnancy test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doxepin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6034","description":"Doxepin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA215","description":"HIPPS-BA215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vol reduction of blood/prod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86960","description":"Vol reduction of blood/prod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Slings","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4565","description":"Slings","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; extended study involving over 5 slides and/or multiple stains (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0834T","description":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; extended study involving over 5 slides and/or multiple stains (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total knee arthroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27447","description":"Total knee arthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HTR2A (5-hydroxytryptamine receptor 2A)_ HTR2C (5-hydroxytryptamine receptor 2C) (eg_ citalopram metabolism) gene analysis_ common variants (ie_ HTR2A rs7997012 [c.614-2211T>C","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0033U","description":"HTR2A (5-hydroxytryptamine receptor 2A)_ HTR2C (5-hydroxytryptamine receptor 2C) (eg_ citalopram metabolism) gene analysis_ common variants (ie_ HTR2A rs7997012 [c.614-2211T>C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Create new tubal opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58770","description":"Create new tubal opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX35","description":"HIPPS-RHX35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA113","description":"HIPPS-PA113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB121","description":"HIPPS-HB121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc serum pretx incubj drugs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86975","description":"Rbc serum pretx incubj drugs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above knee manual lock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5925","description":"Above knee manual lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ing hernia init blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49501","description":"Rpr ing hernia init blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGMT","description":"HIPPS-3CGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Herpes simplex nes antbdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86694","description":"Herpes simplex nes antbdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anes spine transthor w/vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62659","description":"Anes spine transthor w/vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair lower leg tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27675","description":"Repair lower leg tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogen m array copy no&snp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81229","description":"Cytogen m array copy no&snp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE136","description":"HIPPS-LE136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0667U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0667U","description":"CPT-0667U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumizyme injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0221","description":"Lumizyme injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD213","description":"HIPPS-CD213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL6","description":"HIPPS-4CGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Systemic antimicrobials prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9961","description":"Systemic antimicrobials prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain high noble","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6750","description":"Crown porcelain high noble","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analgesics non-opioid 1 or 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80329","description":"Analgesics non-opioid 1 or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1274","description":"Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18F","description":"HIPPS-LB18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin frct swg & st","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5818","description":"Endo knee-shin frct swg & st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81188","description":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28575","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX11","description":"HIPPS-RUX11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic appliance full arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0665","description":"Pneumatic appliance full arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult size pull-on sm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4525","description":"Adult size pull-on sm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB16","description":"HIPPS-RHB16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00918","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00918","description":"CPT-00918","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-subclav","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35511","description":"Art byp grft subclav-subclav","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC20A","description":"HIPPS-PC20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN5","description":"HIPPS-3CHN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Personalized_ anterior and lateral interbody cage (implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1831","description":"Personalized_ anterior and lateral interbody cage (implantable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride infected skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11000","description":"Debride infected skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of tyrosine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84510","description":"Assay of tyrosine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE13D","description":"HIPPS-LE13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27742","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4411","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4411","description":"HCPCS-Q4411","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGL1","description":"HIPPS-3CGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or n","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2210","description":"Risk-adjusted functional status change residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or n","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve w/byp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33367","description":"Replace aortic valve w/byp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd prerec msg > 40 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2506","description":"Sgd prerec msg > 40 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of lower eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15821","description":"Revision of lower eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye socket wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65290","description":"Repair of eye socket wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fqhc visit_ mh estab pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0470","description":"Fqhc visit_ mh estab pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient-Months Where There Are More Than One Medicare Capitated Payment (Mcp) Provider Listed For The Month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1025","description":"Patient-Months Where There Are More Than One Medicare Capitated Payment (Mcp) Provider Listed For The Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam knee 4 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73564","description":"X-ray exam knee 4 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA150","description":"HIPPS-BA150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB10B","description":"HIPPS-LB10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolytic plasminogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85415","description":"Fibrinolytic plasminogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair umbilical lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49610","description":"Repair umbilical lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc forearm les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25071","description":"Exc forearm les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93965","description":"Extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Observ/hosp same date","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99234","description":"Observ/hosp same date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHKS","description":"HIPPS-5AHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual pump enema_ reusable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4459","description":"Manual pump enema_ reusable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of jaw <4views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70100","description":"X-ray exam of jaw <4views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admini on the same date of service_ 5 to 15 minutes time Medicaid only.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0310","description":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admini on the same date of service_ 5 to 15 minutes time Medicaid only.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neox Cord 1K_ Neox Cord RT_ or Clarix Cord 1K_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4148","description":"Neox Cord 1K_ Neox Cord RT_ or Clarix Cord 1K_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX20","description":"HIPPS-RVX20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enzyme cell activity ra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82658","description":"Enzyme cell activity ra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical dress holder reuse","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4463","description":"Surgical dress holder reuse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyrotropin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3240","description":"Thyrotropin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iop down <15% of pre-svc lvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3285F","description":"Iop down <15% of pre-svc lvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Counseling_ individual_ by department of veterans affairs chaplain services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9002","description":"Counseling_ individual_ by department of veterans affairs chaplain services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ublituximab-xiiy_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2329","description":"Injection_ ublituximab-xiiy_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of epididymis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54800","description":"Biopsy of epididymis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMT","description":"HIPPS-4AFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92004","description":"Eye exam new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport wheelch van","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0130","description":"Noner transport wheelch van","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0202","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0202","description":"CDT-D0202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE114","description":"HIPPS-PE114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD11C","description":"HIPPS-PD11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFLU","description":"HIPPS-1BFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of upper arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24920","description":"Amputation of upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of scrotum abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55100","description":"Drainage of scrotum abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seg pneumatic appl full arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0668","description":"Seg pneumatic appl full arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sympathetic nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64809","description":"Remove sympathetic nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ntrk3 (Neurotrophic Receptor Tyrosine Kinase 3) (Eg_ Solid Tumors) Translocation Analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81193","description":"Ntrk3 (Neurotrophic Receptor Tyrosine Kinase 3) (Eg_ Solid Tumors) Translocation Analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9129","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9129","description":"CDT-D9129","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pros_ urinary sph_ imp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1815","description":"Pros_ urinary sph_ imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Community-acquired bacterial pneumonia assessment (includes all of the foll","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0118U","description":"Community-acquired bacterial pneumonia assessment (includes all of the foll","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncotype MAP Pan-Cancer Tissue Test_ Paradigm Diagnostics_ Inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0244U","description":"Oncotype MAP Pan-Cancer Tissue Test_ Paradigm Diagnostics_ Inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFKU","description":"HIPPS-4AFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bl draw <3 yrs scalp vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36405","description":"Bl draw <3 yrs scalp vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28H","description":"HIPPS-ES28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sanopellis_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4308","description":"Sanopellis_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyperthermia treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77610","description":"Hyperthermia treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ca tx e-stim electr/transduc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4555","description":"Ca tx e-stim electr/transduc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-sterile eye pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6411","description":"Non-sterile eye pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Porcelain/ceramic retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6548","description":"Porcelain/ceramic retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lens lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66830","description":"Removal of lens lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM3","description":"HIPPS-1BHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immed mand part dent metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5224","description":"Immed mand part dent metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73615","description":"Contrast x-ray of ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ tubular protective absorption padded layer_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6608","description":"Gradient compression bandaging supply_ tubular protective absorption padded layer_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cover eye w/membrane suture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65779","description":"Cover eye w/membrane suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthodont high noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6210","description":"Prosthodont high noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj sulf hexa lipid microsph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9950","description":"Inj sulf hexa lipid microsph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE12D","description":"HIPPS-PE12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Number of patients not screened for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1208","description":"Number of patients not screened for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28104","description":"Removal of foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHKX","description":"HIPPS-2CHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC0C","description":"HIPPS-RHC0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O2/water vapor enrich w/heat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1405","description":"O2/water vapor enrich w/heat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0102","description":"HCPCS-A0102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of folic acid serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82746","description":"Assay of folic acid serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ureter lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51535","description":"Repair of ureter lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE256","description":"HIPPS-CE256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exoskeletal axial rotation u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5982","description":"Exoskeletal axial rotation u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1163","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1163","description":"HCPCS-J1163","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove & graft wrist lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25136","description":"Remove & graft wrist lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLS","description":"HIPPS-1CGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27435","description":"Incision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess anginal symptom/level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1002F","description":"Assess anginal symptom/level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meas lung vol thru 2 yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94013","description":"Meas lung vol thru 2 yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Admit w/in 180d req remov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9410","description":"Admit w/in 180d req remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4356","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4356","description":"HCPCS-Q4356","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnioexcel or biodexcel_ 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4137","description":"Amnioexcel or biodexcel_ 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA1B","description":"HIPPS-AAA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47490","description":"Incision of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj ivig privigen 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1459","description":"Inj ivig privigen 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the neck fs prom at initial evaluation and/or discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility_ and an a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1149","description":"Patient unable to complete the neck fs prom at initial evaluation and/or discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility_ and an a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion Of Left Atrial Appendage_ Open_ Performed At The Time Of Other Sternotomy Or Thoracotomy Procedure(S)_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33268","description":"Exclusion Of Left Atrial Appendage_ Open_ Performed At The Time Of Other Sternotomy Or Thoracotomy Procedure(S)_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso flexion control custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0634","description":"Lso flexion control custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr trunk 10 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14000","description":"Tis trnfr trunk 10 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of arm bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24140","description":"Partial removal of arm bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8H","description":"HIPPS-RHL8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt nrostm pls gen sng non","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8686","description":"Implt nrostm pls gen sng non","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement Of Lost Or Broken Retainer - Maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8703","description":"Replacement Of Lost Or Broken Retainer - Maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prior thyroid dise dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9553","description":"Prior thyroid dise dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX21","description":"HIPPS-RMX21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sys bp less 140","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8752","description":"Sys bp less 140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX33","description":"HIPPS-RUX33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frenuloplasty","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7963","description":"Frenuloplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0716T","description":"Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28G","description":"HIPPS-PE28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90999","description":"Dialysis procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51550","description":"Partial removal of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE15C","description":"HIPPS-HE15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGM4","description":"HIPPS-4AGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tendon & muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23405","description":"Incision of tendon & muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL22","description":"HIPPS-RUL22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family psytx w/o patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90846","description":"Family psytx w/o patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB03","description":"HIPPS-RUB03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC13B","description":"HIPPS-HC13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adapt/ext_ pacing/neuro lead","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1883","description":"Adapt/ext_ pacing/neuro lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scleral cover shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2627","description":"Scleral cover shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acid perfusion of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91030","description":"Acid perfusion of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sympt show clin import drop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1451F","description":"Sympt show clin import drop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES14D","description":"HIPPS-ES14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune (psoriasis)_ mRNA_ next-generation sequencing_ gene expression profiling of 50-100 genes_ skin-surface collection using adhesive patch_ algorithm reported as likeli","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0258U","description":"Autoimmune (psoriasis)_ mRNA_ next-generation sequencing_ gene expression profiling of 50-100 genes_ skin-surface collection using adhesive patch_ algorithm reported as likeli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0015","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of somatostatin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84307","description":"Assay of somatostatin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec size w/ leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1224","description":"Wheelchair spec size w/ leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx nose fx w/ stablj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21320","description":"Closed tx nose fx w/ stablj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8H","description":"HIPPS-RMA8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE234","description":"HIPPS-HE234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA40","description":"HIPPS-AAA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8F","description":"HIPPS-RMB8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP05","description":"HIPPS-ATP05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted case mgmt per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2023","description":"Targeted case mgmt per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Botulinum antitoxin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90287","description":"Botulinum antitoxin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction_ hallux valgus (bunionectomy)_ with sesamoidectomy_ when performed; with proximal metatarsal osteotomy_ any method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28295","description":"Correction_ hallux valgus (bunionectomy)_ with sesamoidectomy_ when performed; with proximal metatarsal osteotomy_ any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of finger/thumb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26952","description":"Amputation of finger/thumb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of glutathione","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82978","description":"Assay of glutathione","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of percutaneous electrode array_ peripheral nerve_ with integrated neurostimulator_ including imaging guidance_ when performed; initial electrode arra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64596","description":"Insertion or replacement of percutaneous electrode array_ peripheral nerve_ with integrated neurostimulator_ including imaging guidance_ when performed; initial electrode arra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect hip/pelv tum 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27059","description":"Resect hip/pelv tum 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal abdomen lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38564","description":"Removal abdomen lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath ren art 2nd+ unilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36253","description":"Ins cath ren art 2nd+ unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Hypoglossal Nerve Neurostimulator Array_ Pulse Generator_ And Distal Respiratory Sensor Electrode Or Electrode Array","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64584","description":"Removal Of Hypoglossal Nerve Neurostimulator Array_ Pulse Generator_ And Distal Respiratory Sensor Electrode Or Electrode Array","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic device repair rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7510","description":"Prosthetic device repair rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61566","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50045","description":"Exploration of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64654","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64654","description":"CPT-64654","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7515","description":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD20A","description":"HIPPS-PD20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stent placemt ante carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37218","description":"Stent placemt ante carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Oritavancin_ 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9444","description":"Injection_ Oritavancin_ 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of fibula fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27784","description":"Treatment of fibula fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulp cap indirect","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3120","description":"Pulp cap indirect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1472","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1472","description":"HCPCS-M1472","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxaliplatin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9263","description":"Oxaliplatin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (bluepoint) not therapeutically equivalent to j9305_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9322","description":"Injection_ pemetrexed (bluepoint) not therapeutically equivalent to j9305_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinusitis intent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9463","description":"Sinusitis intent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist/elbow bowden cable mol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6580","description":"Wrist/elbow bowden cable mol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3375","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3375","description":"HCPCS-J3375","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA43","description":"HIPPS-RMA43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eo elas w/metal jnts pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3710","description":"Eo elas w/metal jnts pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0103","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0103","description":"CDT-D0103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 4mod sacro-scap pre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0464","description":"Tlso 4mod sacro-scap pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy & biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50555","description":"Kidney endoscopy & biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagosc flex trnsn biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43198","description":"Esophagosc flex trnsn biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0788","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0788","description":"HCPCS-E0788","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unspecified diagnostic proce","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0999","description":"Unspecified diagnostic proce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of sacroiliac joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27050","description":"Biopsy of sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18D","description":"HIPPS-LB18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caloric vestibular test_ each irrigation (binaural_ bithermalstimulation constitutes four tests)_ with recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92543","description":"Caloric vestibular test_ each irrigation (binaural_ bithermalstimulation constitutes four tests)_ with recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX32","description":"HIPPS-RMX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntrng sys eltrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0303T","description":"Icar ischm mntrng sys eltrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB213","description":"HIPPS-LB213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA10B","description":"HIPPS-BA10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB13D","description":"HIPPS-HB13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nose lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30124","description":"Removal of nose lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sess ions (MS) were attended by an MDPP beneficiary in months (mo) 19-21 under the MDPP Expanded Model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9884","description":"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sess ions (MS) were attended by an MDPP beneficiary in months (mo) 19-21 under the MDPP Expanded Model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prenatal at risk education","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1003","description":"Prenatal at risk education","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24650","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert needle bone cavity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36680","description":"Insert needle bone cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21248","description":"Reconstruction of jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00103","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00103","description":"CPT-00103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc brstcncr stage 3 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3378F","description":"Ajcc brstcncr stage 3 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ekg tracing for initial prev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0404","description":"Ekg tracing for initial prev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB15D","description":"HIPPS-HB15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home sleep test/type 4 porta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0400","description":"Home sleep test/type 4 porta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual wc accessory_ handrim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2205","description":"Manual wc accessory_ handrim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3501","description":"Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE214","description":"HIPPS-LE214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flutemetamol F18_ diagnostic_ per study dose_ up to 5 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9982","description":"Flutemetamol F18_ diagnostic_ per study dose_ up to 5 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medrsn >1 sinus ct w 90d dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9353","description":"Medrsn >1 sinus ct w 90d dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No filt remov w/in 3mos plcm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9544","description":"No filt remov w/in 3mos plcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0012","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery of pancreatic cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48500","description":"Surgery of pancreatic cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37264","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37264","description":"CPT-37264","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath eval fna report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88173","description":"Cytopath eval fna report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stat lab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3600","description":"Stat lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dna analysis apoe alzheimer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3852","description":"Dna analysis apoe alzheimer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pilonidal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10080","description":"Drainage of pilonidal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB30","description":"HIPPS-RHB30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and reinsertion of sinus tarsi implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0511T","description":"Removal and reinsertion of sinus tarsi implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace non-molded thigh lac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4045","description":"Replace non-molded thigh lac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sunglass frames","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0518","description":"Sunglass frames","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of sweat sodium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84302","description":"Assay of sweat sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behavioral counseling for diabetes prevention_ distance learning_ 60 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9887","description":"Behavioral counseling for diabetes prevention_ distance learning_ 60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKV","description":"HIPPS-4CHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretatio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9750","description":"Insertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB25D","description":"HIPPS-CB25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No low pecarn ped head traum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9597","description":"No low pecarn ped head traum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL46","description":"HIPPS-RVL46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect ovarian malignancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58951","description":"Resect ovarian malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disp fee inhal drugs/90 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0514","description":"Disp fee inhal drugs/90 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair urethrovaginal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57311","description":"Repair urethrovaginal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB20B","description":"HIPPS-PB20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD20B","description":"HIPPS-HD20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Buprenorphine (Implant Insertion); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Ther","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2070","description":"Medication Assisted Treatment_ Buprenorphine (Implant Insertion); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad extra-articul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25607","description":"Treat fx rad extra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guidance for radiaj tx dlvr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77387","description":"Guidance for radiaj tx dlvr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Salivary surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42699","description":"Salivary surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL15","description":"HIPPS-RHL15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA211","description":"HIPPS-CA211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24577","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC115","description":"HIPPS-LC115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intend rpt dia retin msr grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9671","description":"Intend rpt dia retin msr grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnion bio or Axobiomembrane_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4211","description":"Amnion bio or Axobiomembrane_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab-pvvr_ biosimilar_ (ruxience)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5119","description":"Injection_ rituximab-pvvr_ biosimilar_ (ruxience)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Etidronate disodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1436","description":"Etidronate disodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD131","description":"HIPPS-CD131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB112","description":"HIPPS-BB112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL3","description":"HIPPS-1CHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg splnt plstr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4041","description":"Cast sup lng leg splnt plstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ delafloxacin_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9462","description":"Injection_ delafloxacin_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nhl stg 3-4 not relap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9135","description":"Onc dx nhl stg 3-4 not relap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peroneal straps pair pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0980","description":"Peroneal straps pair pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28C","description":"HIPPS-CE28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove intra-aortic balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33974","description":"Remove intra-aortic balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC251","description":"HIPPS-CC251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01482","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01482","description":"CPT-01482","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconst lwr jaw w/o fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21195","description":"Reconst lwr jaw w/o fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth low intestine scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81051","description":"Anesth low intestine scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE241","description":"HIPPS-LE241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9809","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Healthcare Professional Online Assessment_ For An Established Patient_ For Up To Seven Days_ Cumulative Time During The 7 Days; 5-10 Minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2061","description":"Qualified Nonphysician Healthcare Professional Online Assessment_ For An Established Patient_ For Up To Seven Days_ Cumulative Time During The 7 Days; 5-10 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid propulsion tire each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2220","description":"Solid propulsion tire each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit new pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99328","description":"Domicil/r-home visit new pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1007T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1007T","description":"CPT-1007T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture spleen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35112","description":"Repair artery rupture spleen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for consultation and report on referred slides prepared elsewhere (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0838T","description":"Digitization of glass microscope slides for consultation and report on referred slides prepared elsewhere (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB22C","description":"HIPPS-PB22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pancreas surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48999","description":"Pancreas surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ileostomy/jejunostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44310","description":"Ileostomy/jejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX15","description":"HIPPS-RHX15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4340","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4340","description":"HCPCS-Q4340","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crotalidae poly immune fab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0840","description":"Crotalidae poly immune fab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tricyclic & cyclicals 6/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80337","description":"Tricyclic & cyclicals 6/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46750","description":"Repair of anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4436","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4436","description":"HCPCS-Q4436","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0604","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0604","description":"HCPCS-B0604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2109","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin b12 injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3420","description":"Vitamin b12 injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open biopsy or excision of deep cervical node(s) with intraoperative identification (eg_ mapping) of sentinel lymph node(s) including injection of non-radioactive dye when per","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7503","description":"Open biopsy or excision of deep cervical node(s) with intraoperative identification (eg_ mapping) of sentinel lymph node(s) including injection of non-radioactive dye when per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alveoplasty w/o extraction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7320","description":"Alveoplasty w/o extraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FlowerAmnioPatch_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4178","description":"FlowerAmnioPatch_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cva lumen obstruct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75902","description":"Remove cva lumen obstruct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKU","description":"HIPPS-1AHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ C-1 esterase inhibitor (human)_ (Haegarda)_ 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0599","description":"Injection_ C-1 esterase inhibitor (human)_ (Haegarda)_ 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy oocyte polar body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89290","description":"Biopsy oocyte polar body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete removal of vulva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56625","description":"Complete removal of vulva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGKS","description":"HIPPS-1BGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-38225","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38225","description":"CPT-38225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of windpipe lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31820","description":"Closure of windpipe lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand interface joystick","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2321","description":"Hand interface joystick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine eltrd plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63662","description":"Remove spine eltrd plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28615","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB23D","description":"HIPPS-BB23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Regadenoson injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2785","description":"Regadenoson injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28H","description":"HIPPS-LC28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28C","description":"HIPPS-HB28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No documentation of a chlamydia screening test with proper follow-up","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9821","description":"No documentation of a chlamydia screening test with proper follow-up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0141A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncoprotein her-2/neu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83950","description":"Oncoprotein her-2/neu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compounded drug not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9977","description":"Compounded drug not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anatomic model 3D-printed from image data set(s); each additional individually prepared and processed component of an anatomic structure (List separately in addition to code f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0560T","description":"Anatomic model 3D-printed from image data set(s); each additional individually prepared and processed component of an anatomic structure (List separately in addition to code f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0206","description":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Consult slides prep elsewher","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0484","description":"Consult slides prep elsewher","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rx corneoscleral cntact lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92317","description":"Rx corneoscleral cntact lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63082","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC15B","description":"HIPPS-CC15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Community health integration services_ each additional 30 minutes per calendar month (list separately in addition to g0019)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0022","description":"Community health integration services_ each additional 30 minutes per calendar month (list separately in addition to g0019)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure wrap with adjustable straps_ above knee_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6585","description":"Gradient pressure wrap with adjustable straps_ above knee_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1009T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1009T","description":"CPT-1009T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not naming ct studies according to a standardized nomenclature provided (eg_CT studies performed for radiation treatment planning)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9320","description":"Documentation of medical reason(s) for not naming ct studies according to a standardized nomenclature provided (eg_CT studies performed for radiation treatment planning)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Performance Not Met: Multimodal Pain Management Was Not Used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2150","description":"Performance Not Met: Multimodal Pain Management Was Not Used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue culture bone marrow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88237","description":"Tissue culture bone marrow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputate upper arm & implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24931","description":"Amputate upper arm & implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection torsemide 10 mg/ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3265","description":"Injection torsemide 10 mg/ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remv&replc pm gen dual lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33228","description":"Remv&replc pm gen dual lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC53","description":"HIPPS-RMC53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16373","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16373","description":"CPT-16373","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ruptured spleen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38115","description":"Repair of ruptured spleen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX56","description":"HIPPS-RMX56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wbc antibody identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86021","description":"Wbc antibody identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid skin barrier 8x8","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5122","description":"Solid skin barrier 8x8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ 14 or more classes of drugs and substances_ definitive tandem mass spectrometry with chromatography_ capillary blood_ quantitative report with th","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0054U","description":"Prescription drug monitoring_ 14 or more classes of drugs and substances_ definitive tandem mass spectrometry with chromatography_ capillary blood_ quantitative report with th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of hip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73525","description":"Contrast x-ray of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Max sterile barriers flwd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6030F","description":"Max sterile barriers flwd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exoskeletal bk ultralt mater","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5785","description":"Exoskeletal bk ultralt mater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb musc/fascia 20 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11043","description":"Deb musc/fascia 20 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1410","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1410","description":"HCPCS-M1410","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (warfarin drug response)_ targeted sequence analysis (ie_ CYP2C9_ CYP4F2_ VKORC1_ rs12777823)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0030U","description":"Drug metabolism (warfarin drug response)_ targeted sequence analysis (ie_ CYP2C9_ CYP4F2_ VKORC1_ rs12777823)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diab shoe for density insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5500","description":"Diab shoe for density insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA15D","description":"HIPPS-PA15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX2B","description":"HIPPS-RVX2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leishmania antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86717","description":"Leishmania antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28C","description":"HIPPS-ES28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood glucose level test","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0412","description":"Blood glucose level test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac rehab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93797","description":"Cardiac rehab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8D","description":"HIPPS-RUA8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total lung lavage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32997","description":"Total lung lavage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tcranial magn stim tx deli","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90868","description":"Tcranial magn stim tx deli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair ortho appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8691","description":"Repair ortho appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow imaging mult","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78103","description":"Bone marrow imaging mult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1933","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1933","description":"HCPCS-L1933","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"B cells total count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86355","description":"B cells total count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK2","description":"HIPPS-5AGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE115","description":"HIPPS-PE115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conz of cervix w/scope leep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57461","description":"Conz of cervix w/scope leep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB22","description":"HIPPS-RUB22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC0D","description":"HIPPS-RVC0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl alkaline battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8622","description":"Repl alkaline battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onlay porc/crmc 2 surfaces","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6608","description":"Onlay porc/crmc 2 surfaces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC215","description":"HIPPS-CC215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1 antibody testing of or","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3645","description":"Hiv-1 antibody testing of or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96932","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX2D","description":"HIPPS-RMX2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastime-bmez_ biosimilar_ (ziextenzo) 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9058","description":"Injection_ pegfilgrastime-bmez_ biosimilar_ (ziextenzo) 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial facial prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8046","description":"Partial facial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0241U","description":"NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by infraclavicular or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34716","description":"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by infraclavicular or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay test for blood fecal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82274","description":"Assay test for blood fecal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg vein fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34530","description":"Leg vein fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant with bypass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32854","description":"Lung transplant with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Var vaccine live subq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90716","description":"Var vaccine live subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37254","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37254","description":"CPT-37254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1502","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1502","description":"CDT-D1502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPV","description":"HIPPS-3CGPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corrugated tubing_ non-disposable_ used with large volume nebulizer_ 10 feet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7011","description":"Corrugated tubing_ non-disposable_ used with large volume nebulizer_ 10 feet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No strk cabg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8574","description":"No strk cabg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete phys skin exam done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2029F","description":"Complete phys skin exam done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Er/ip hosp =/>2 in 12 mos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9522","description":"Er/ip hosp =/>2 in 12 mos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occult blood other sources","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82271","description":"Occult blood other sources","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB241","description":"HIPPS-HB241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKW","description":"HIPPS-3CHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sinus tarsi implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0510T","description":"Removal of sinus tarsi implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m pentetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9539","description":"Tc99m pentetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI joint upr extrem w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73222","description":"MRI joint upr extrem w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26420","description":"Repair/graft finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL53","description":"HIPPS-RUL53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB244","description":"HIPPS-BB244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fit spectacles monofocal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92340","description":"Fit spectacles monofocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreservation oocyte(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0357T","description":"Cryopreservation oocyte(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC201","description":"HIPPS-HC201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ear cartilage graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21235","description":"Ear cartilage graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O&p supply/accessory/service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L9900","description":"O&p supply/accessory/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of cryofibrinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82585","description":"Assay of cryofibrinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who achieved a net increase in pam score of at least 3 points in a 6 to 12 month period (passing)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1347","description":"Patients who achieved a net increase in pam score of at least 3 points in a 6 to 12 month period (passing)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28312","description":"Revision of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40800","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neox 100 or Clarix 100_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4156","description":"Neox 100 or Clarix 100_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Twin zygosity_ genomic targeted sequence analysis of chromosome 2_ using circulating cell-free fetal DNA in maternal blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0060U","description":"Twin zygosity_ genomic targeted sequence analysis of chromosome 2_ using circulating cell-free fetal DNA in maternal blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibody; Zika virus_ IgM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86794","description":"Antibody; Zika virus_ IgM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD13C","description":"HIPPS-HD13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sutures diff surgeon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15851","description":"Remove sutures diff surgeon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ewhfo rigid w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3765","description":"Ewhfo rigid w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap rmvl gastr adj all parts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43774","description":"Lap rmvl gastr adj all parts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rn services up to 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1002","description":"Rn services up to 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm adult fbrgl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4010","description":"Cast sup sht arm adult fbrgl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33776","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0552","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0552","description":"HCPCS-G0552","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26727","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99380","description":"Nursing fac care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/ch access anti-rollback","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0974","description":"W/ch access anti-rollback","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr angio pelvis w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72198","description":"Mr angio pelvis w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4431","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4431","description":"HCPCS-Q4431","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA43","description":"HIPPS-RHA43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antepartum management","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1001","description":"Antepartum management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29885","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ abdomen; 1 view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74018","description":"Radiologic examination_ abdomen; 1 view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rib cartilage graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21230","description":"Rib cartilage graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye glass case","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2756","description":"Eye glass case","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of mastoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70120","description":"X-ray exam of mastoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc nstim apnea pls gn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0427T","description":"Insj/rplc nstim apnea pls gn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1033","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1033","description":"HCPCS-E1033","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0172A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPV","description":"HIPPS-1CGPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx contour defects 5.1-10cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11952","description":"Tx contour defects 5.1-10cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise esophagus & stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43325","description":"Revise esophagus & stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening tests dm done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3754F","description":"Screening tests dm done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHM6","description":"HIPPS-1CHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gr24 sealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2363","description":"Gr24 sealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trabectedin_ 0.1mg (Yondelis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9480","description":"Injection_ trabectedin_ 0.1mg (Yondelis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate oral 2.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8610","description":"Methotrexate oral 2.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cangrelor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9460","description":"Injection_ cangrelor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC07","description":"HIPPS-RVC07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0804","description":"HCPCS-C0804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Braf gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81210","description":"Braf gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0104","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0104","description":"HCPCS-C0104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam stability fetal lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83662","description":"Foam stability fetal lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy orchiectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54690","description":"Laparoscopy orchiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orion_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4276","description":"Orion_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+cell count <200cells/mm3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3494F","description":"Cd4+cell count <200cells/mm3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic sequential compression garment_ full leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0678","description":"Non-pneumatic sequential compression garment_ full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (e.g._ monkeypox virus_ cowpox virus_ vaccinia virus)_ amplified probe technique_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87593","description":"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (e.g._ monkeypox virus_ cowpox virus_ vaccinia virus)_ amplified probe technique_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult size brief/diaper med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4522","description":"Adult size brief/diaper med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implant material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19330","description":"Removal of implant material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Stent Repair Of Coarctation Of The Ascending_ Transverse_ Or Descending Thoracic Or Abdominal Aorta_ Involving Stent Placement; Not Crossing Major Side Branches","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33895","description":"Endovascular Stent Repair Of Coarctation Of The Ascending_ Transverse_ Or Descending Thoracic Or Abdominal Aorta_ Involving Stent Placement; Not Crossing Major Side Branches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo cholecystectomy/graph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47563","description":"Laparo cholecystectomy/graph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj subq impltbl dfb elctrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33271","description":"Insj subq impltbl dfb elctrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ siltuximab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2860","description":"Injection_ siltuximab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of hypotony","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1326","description":"Patients with a diagnosis of hypotony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A5103","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5103","description":"HCPCS-A5103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Formoterol comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7640","description":"Formoterol comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Soft interface above knee se","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2830","description":"Soft interface above knee se","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Term dev auto grasp feature","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6881","description":"Term dev auto grasp feature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve palsy fascial graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15840","description":"Nerve palsy fascial graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB141","description":"HIPPS-PB141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RUNX1 (runt related transcription factor 1) (eg_ acute myeloid leukemia_ familial platelet disorder with associated myeloid malignancy)_ gene analysis_ targeted sequence analy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81334","description":"RUNX1 (runt related transcription factor 1) (eg_ acute myeloid leukemia_ familial platelet disorder with associated myeloid malignancy)_ gene analysis_ targeted sequence analy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy partial w/nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57109","description":"Vaginectomy partial w/nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialys sol fld vol > 3999cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4724","description":"Dialys sol fld vol > 3999cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70200","description":"X-ray exam of eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation sphenoid sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31002","description":"Irrigation sphenoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26426","description":"Repair finger/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amitriptyline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6030","description":"Amitriptyline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seat lift incorp lift-chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0627","description":"Seat lift incorp lift-chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect tibia tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27645","description":"Resect tibia tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply intrcav radiat interm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77762","description":"Apply intrcav radiat interm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63091","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso full corset","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0974","description":"Tlso full corset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Out-of-hosp on call service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99027","description":"Out-of-hosp on call service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto w/prst8 commissurotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0619T","description":"Cysto w/prst8 commissurotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28585","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocollator unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0225","description":"Hydrocollator unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suicidal ideation and/or behavior symptoms based on the c-ssrs or equivalent assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1352","description":"Suicidal ideation and/or behavior symptoms based on the c-ssrs or equivalent assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA112","description":"HIPPS-BA112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patients with primary headache diagnosis and imaging other than CT or MRI obtained","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1028","description":"Documentation of patients with primary headache diagnosis and imaging other than CT or MRI obtained","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Positioning cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0190","description":"Positioning cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy w/bx & op scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31536","description":"Laryngoscopy w/bx & op scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35103","description":"Repair artery rupture aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optx of rib fx w/fixj scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21811","description":"Optx of rib fx w/fixj scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult electric hand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7007","description":"Adult electric hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht leg splnt fbrgl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4046","description":"Cast sup sht leg splnt fbrgl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1813","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1813","description":"HCPCS-E1813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Barrera sl or barrera dl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4281","description":"Barrera sl or barrera dl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX16","description":"HIPPS-RUX16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl girdle milwaukee orth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4000","description":"Repl girdle milwaukee orth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD245","description":"HIPPS-HD245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sodium thiosulfate (hope)_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0209","description":"Injection_ sodium thiosulfate (hope)_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monthly supplies for use of device coded at K1016","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1017","description":"Monthly supplies for use of device coded at K1016","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB20A","description":"HIPPS-HB20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1503","description":"HCPCS-C1503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous methb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88741","description":"Transcutaneous methb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immed max part dent metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5223","description":"Immed max part dent metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal biliary drg cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47537","description":"Removal biliary drg cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Canalith repositioning proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95992","description":"Canalith repositioning proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHK5","description":"HIPPS-1CHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deep sedation/general anesthesia-first 30 minutes","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9220","description":"Deep sedation/general anesthesia-first 30 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm_ genomic sequence analysis panel_ interrogation for sequence variants; DNA analysis_ copy number variants and microsatellite instability","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81458","description":"Solid organ neoplasm_ genomic sequence analysis panel_ interrogation for sequence variants; DNA analysis_ copy number variants and microsatellite instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGKX","description":"HIPPS-2CGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1/2 scrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63011","description":"Remove spine lamina 1/2 scrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX4B","description":"HIPPS-RVX4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmprs burngarment foot-knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6507","description":"Cmprs burngarment foot-knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt c/t 1 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64490","description":"Inj paravert f jnt c/t 1 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect prox humerus tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23220","description":"Resect prox humerus tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rn home care per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1030","description":"Rn home care per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37287","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37287","description":"CPT-37287","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak/bk self-aligning unit ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5617","description":"Ak/bk self-aligning unit ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hocm <=149 mg/ml iodine_ 1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9958","description":"Hocm <=149 mg/ml iodine_ 1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Homedelivered prepared meal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5170","description":"Homedelivered prepared meal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cntct toric prism ballast","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2511","description":"Cntct toric prism ballast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0670","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0670","description":"HCPCS-G0670","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC NONSM CLL LNG CA ALYS 23","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0179U","description":"ONC NONSM CLL LNG CA ALYS 23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glucose monitor platforms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4255","description":"Glucose monitor platforms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD13D","description":"HIPPS-LD13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intranasal biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30100","description":"Intranasal biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1078T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1078T","description":"CPT-1078T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL3D","description":"HIPPS-RUL3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI angio abdom w orw/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74185","description":"MRI angio abdom w orw/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial release of lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32225","description":"Partial release of lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"repair cast partial framework_ maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5622","description":"repair cast partial framework_ maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FY GNOTYP ACKR1 EXONS 1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0187U","description":"FY GNOTYP ACKR1 EXONS 1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD15D","description":"HIPPS-CD15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC210","description":"HIPPS-PC210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of previously implanted aortic counterpulsation ventricular assist device; subcutaneous electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0460T","description":"Repositioning of previously implanted aortic counterpulsation ventricular assist device; subcutaneous electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy stone removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52325","description":"Cystoscopy stone removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cervical semi-rigid adjustab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0140","description":"Cervical semi-rigid adjustab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31287","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human papilloma virus (HPV)_ high-risk types (ie_ 16_ 18_ 31_ 33_ 45_ 52 and 58) qualitative mRNA expression of E6/E7 by quantitative polymerase chain reaction (qPCR)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0354U","description":"Human papilloma virus (HPV)_ high-risk types (ie_ 16_ 18_ 31_ 33_ 45_ 52 and 58) qualitative mRNA expression of E6/E7 by quantitative polymerase chain reaction (qPCR)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd prerec msg>20min <=40min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2504","description":"Sgd prerec msg>20min <=40min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGK1","description":"HIPPS-1AGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aztreonam_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0457","description":"Injection_ aztreonam_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter w/o bag 2-way latex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4311","description":"Catheter w/o bag 2-way latex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27830","description":"Treat lower leg dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls insj prph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33951","description":"Ecmo/ecls insj prph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB12C","description":"HIPPS-LB12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization admin by intramuscular injection of s (SARS-CoV-2) ([COVID-19]) vacc_ mRNA-LNP_ spike protein_ presev free_ 30mcg/0.3 mL dosage_ tris-sucrose formula; third dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0053A","description":"Immunization admin by intramuscular injection of s (SARS-CoV-2) ([COVID-19]) vacc_ mRNA-LNP_ spike protein_ presev free_ 30mcg/0.3 mL dosage_ tris-sucrose formula; third dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultralightweight wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0005","description":"Ultralightweight wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing loss sequence analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81430","description":"Hearing loss sequence analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical repair of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43502","description":"Surgical repair of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bilirubin direct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82248","description":"Bilirubin direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gad-base mr contrast nos_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9579","description":"Gad-base mr contrast nos_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC224","description":"HIPPS-CC224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray of mammary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77053","description":"X-ray of mammary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL2A","description":"HIPPS-RUL2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC13","description":"HIPPS-RVC13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of carotene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82380","description":"Assay of carotene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99254","description":"Inpatient consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Design mlc device for imrt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77338","description":"Design mlc device for imrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0945T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0945T","description":"CPT-0945T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0479U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0479U","description":"CPT-0479U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogens_ identification of 21 bacterial and fungal organisms and identification of 21 associated antib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0374U","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogens_ identification of 21 bacterial and fungal organisms and identification of 21 associated antib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMU","description":"HIPPS-1BGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX42","description":"HIPPS-RLX42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remv/repl penis contain pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54416","description":"Remv/repl penis contain pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Next Generation ACO model_ 10-20min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9869","description":"Next Generation ACO model_ 10-20min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC5C","description":"HIPPS-RUC5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrogastrography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91132","description":"Electrogastrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA24A","description":"HIPPS-CA24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8X","description":"HIPPS-RUA8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjust toe ext/flex device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1830","description":"Adjust toe ext/flex device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy/removal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38510","description":"Biopsy/removal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coch implant trans coil repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8617","description":"Coch implant trans coil repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass/reop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33530","description":"Coronary artery bypass/reop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelography lumbar injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62304","description":"Myelography lumbar injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interv hlth/behav fam no pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96155","description":"Interv hlth/behav fam no pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ difelikefalin_ 0.1 microgram_ (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0879","description":"Injection_ difelikefalin_ 0.1 microgram_ (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76519","description":"Echo exam of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1202","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1202","description":"HCPCS-C1202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP20","description":"HIPPS-ATP20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had only urgent care visits during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1021","description":"Patient had only urgent care visits during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHN5","description":"HIPPS-3AHN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release palm contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26045","description":"Release palm contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL11","description":"HIPPS-RUL11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Within The Past 2 Years_ Calcium And/Or Vitamin D Optimization Has Not Been Ordered Or Performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2120","description":"Within The Past 2 Years_ Calcium And/Or Vitamin D Optimization Has Not Been Ordered Or Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostoma valve w diaphra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7501","description":"Tracheostoma valve w diaphra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES225","description":"HIPPS-ES225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMS","description":"HIPPS-2AGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Res care_ nos waiver/month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2032","description":"Res care_ nos waiver/month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exam of vulva w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56820","description":"Exam of vulva w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD235","description":"HIPPS-LD235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue in-situ hybridization","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0479","description":"Tissue in-situ hybridization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of intraosseous basivertebral nerve_ each additional vertebral body_ including imaging guidance (e.g._ fluoroscopy)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9753","description":"Destruction of intraosseous basivertebral nerve_ each additional vertebral body_ including imaging guidance (e.g._ fluoroscopy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC05","description":"HIPPS-RHC05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGMU","description":"HIPPS-4AGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise anal ext tag/papilla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46220","description":"Excise anal ext tag/papilla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath fl nongyn filter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88106","description":"Cytopath fl nongyn filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22612","description":"Lumbar spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor hysterectomy (including cold preservation); open_ from living donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0665T","description":"Donor hysterectomy (including cold preservation); open_ from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPW","description":"HIPPS-3CHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko w/0 joint rigid molded to","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1834","description":"Ko w/0 joint rigid molded to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rear whl complete solid tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0069","description":"Rear whl complete solid tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD221","description":"HIPPS-LD221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58558","description":"Hysteroscopy biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of system reason(s) for not prescribing warfarin or another FDA-approved anticoagulation due to patient being currently enrolled in a clinical trial related to A","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9927","description":"Documentation of system reason(s) for not prescribing warfarin or another FDA-approved anticoagulation due to patient being currently enrolled in a clinical trial related to A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp comm supp svc_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2015","description":"Comp comm supp svc_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gadofosveset trisodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9583","description":"Gadofosveset trisodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Completion pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32488","description":"Completion pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microbe suscept macrobroth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87188","description":"Microbe suscept macrobroth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infrared heating pad system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0221","description":"Infrared heating pad system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove maxilla cyst complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21048","description":"Remove maxilla cyst complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Episodes where the patient had a competing comorbid condition during the 12 months prior to or on the episode date (e.g._ tuberculosis_ neutropenia_ cystic fibrosis_ chronic b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2175","description":"Episodes where the patient had a competing comorbid condition during the 12 months prior to or on the episode date (e.g._ tuberculosis_ neutropenia_ cystic fibrosis_ chronic b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mold sckt ext knee shin sach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5150","description":"Mold sckt ext knee shin sach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4403","description":"HCPCS-Q4403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ustekinumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3357","description":"Ustekinumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whfo electric custom fitted","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3904","description":"Whfo electric custom fitted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ dalbavancin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0875","description":"Injection_ dalbavancin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment mouth roof lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42160","description":"Treatment mouth roof lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repr elbow lat ligmnt w/tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24343","description":"Repr elbow lat ligmnt w/tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK5","description":"HIPPS-2BGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0922T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0922T","description":"CPT-0922T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmv antibody igm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86645","description":"Cmv antibody igm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient admitted to the ICU in the last 30 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9853","description":"Patient admitted to the ICU in the last 30 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pland chemo docd b/4 txmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0519F","description":"Pland chemo docd b/4 txmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Candida species panel (C. albicans_ C. glabrata_ C. parapsilosis_ C. kruseii_ C tropicalis_ and C. auris)_ amplified probe technique with qualitative report of the presence or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0068U","description":"Candida species panel (C. albicans_ C. glabrata_ C. parapsilosis_ C. kruseii_ C tropicalis_ and C. auris)_ amplified probe technique with qualitative report of the presence or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mental/Behavioral Health Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4013","description":"Mental/Behavioral Health Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pd catheter anchor belt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4653","description":"Pd catheter anchor belt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Norsn not first line amox","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9314","description":"Norsn not first line amox","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine nrv >2 segmnts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63190","description":"Incise spine nrv >2 segmnts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c acc_saf belt pelv strap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0978","description":"W/c acc_saf belt pelv strap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interscap-thor myoelectronic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6975","description":"Interscap-thor myoelectronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD14B","description":"HIPPS-HD14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pfizer-BioNTech Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE BOOSTER)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1709","description":"Pfizer-BioNTech Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE BOOSTER)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TPMT (thiopurine S-methyltransferase)_ NUDT15 (nudix hydroxylase 15)(eg_ thiopurine metabolism)_ gene analysis_ common variants (ie_ TPMT *2_ *3A_ *3B_ *3C_ *4_ *5_ *6_ *8_ *1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0034U","description":"TPMT (thiopurine S-methyltransferase)_ NUDT15 (nudix hydroxylase 15)(eg_ thiopurine metabolism)_ gene analysis_ common variants (ie_ TPMT *2_ *3A_ *3B_ *3C_ *4_ *5_ *6_ *8_ *1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL1","description":"HIPPS-4CFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2956","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2956","description":"CDT-D2956","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sc r pos/lat pnl pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0633","description":"Lso sc r pos/lat pnl pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFKT","description":"HIPPS-3CFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreservation sperm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89259","description":"Cryopreservation sperm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genetic testing for severe inherited conditions (eg_ cystic fibrosis_ Ashkenazi Jewish-associated disorders [eg_ Bloom syndrome_ Canavan disease_ Fanconi anemia type C_ mucoli","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81443","description":"Genetic testing for severe inherited conditions (eg_ cystic fibrosis_ Ashkenazi Jewish-associated disorders [eg_ Bloom syndrome_ Canavan disease_ Fanconi anemia type C_ mucoli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fabrication athletic guard","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9941","description":"Fabrication athletic guard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFK5","description":"HIPPS-2CFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo transthoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93303","description":"Echo transthoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD220","description":"HIPPS-CD220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21452","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE150","description":"HIPPS-HE150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFN4","description":"HIPPS-1BFN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eswl for gallstones","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9034","description":"Eswl for gallstones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ edaravone_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9493","description":"Injection_ edaravone_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percut thrombect av fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36870","description":"Percut thrombect av fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy control bleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43227","description":"Esophagoscopy control bleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj occipital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64405","description":"N block inj occipital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1155","description":"Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8G","description":"HIPPS-RVA8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Minimally invasive direct co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2206","description":"Minimally invasive direct co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD136","description":"HIPPS-PD136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daratumumab 10 mg and hyaluronidase-fihj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9062","description":"Injection_ daratumumab 10 mg and hyaluronidase-fihj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Capecitabine_ oral_ 150 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8520","description":"Capecitabine_ oral_ 150 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35188","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE134","description":"HIPPS-CE134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unscheduled dressing change","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4920","description":"Unscheduled dressing change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD260","description":"HIPPS-HD260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tens two lead","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0720","description":"Tens two lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA4A","description":"HIPPS-RHA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology_ Red Blood Cell (Rbc) Adhesion To Endothelial/Subendothelial Adhesion Molecules_ Functional Assessment_ Whole Blood_ With Algorithmic Analysis And Result Reported A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0303U","description":"Hematology_ Red Blood Cell (Rbc) Adhesion To Endothelial/Subendothelial Adhesion Molecules_ Functional Assessment_ Whole Blood_ With Algorithmic Analysis And Result Reported A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genetic counsel 15 mins","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0265","description":"Genetic counsel 15 mins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human fibrinogen conc inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7178","description":"Human fibrinogen conc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monitoring feature/devicenoc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9279","description":"Monitoring feature/devicenoc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow med ligmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24346","description":"Reconstruct elbow med ligmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj mepivacaine hcl/10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0670","description":"Inj mepivacaine hcl/10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above elbow myoelectronic ct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6955","description":"Above elbow myoelectronic ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1_ BRCA2 (breast cancer 1 and 2) (eg_ hereditary breast and ovarian cancer) gene analysis; uncommon duplication/deletion variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81213","description":"BRCA1_ BRCA2 (breast cancer 1 and 2) (eg_ hereditary breast and ovarian cancer) gene analysis; uncommon duplication/deletion variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject skin lesions </w 7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11900","description":"Inject skin lesions </w 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-op service lvrs 1-9 dos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0304","description":"Pre-op service lvrs 1-9 dos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryo embryo transf case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4037","description":"Cryo embryo transf case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK1","description":"HIPPS-5AHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0674","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0674","description":"HCPCS-G0674","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Refill/maint pump/resvr syst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96522","description":"Refill/maint pump/resvr syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient  compression arm sleeve_ custom_ heavy weight_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6577","description":"Gradient  compression arm sleeve_ custom_ heavy weight_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm_ genomic sequence analysis panel_ cell-free nucleic acid (eg_ plasma)_ interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81462","description":"Solid organ neoplasm_ genomic sequence analysis panel_ cell-free nucleic acid (eg_ plasma)_ interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temproromandibular Joint Dysfunction - non-invasive physical therapies","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9130","description":"Temproromandibular Joint Dysfunction - non-invasive physical therapies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1901","description":"HCPCS-B1901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor_ including system activation and patient training","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0446T","description":"Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor_ including system activation and patient training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interdental wiring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21497","description":"Interdental wiring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open wedge/bx lung infiltr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32096","description":"Open wedge/bx lung infiltr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diuretic thxpy for 6 mos/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4221F","description":"Diuretic thxpy for 6 mos/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TB screening not performed or results not interpreted_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1005","description":"TB screening not performed or results not interpreted_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair middle ear structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69667","description":"Repair middle ear structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paricalcitol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2501","description":"Paricalcitol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays arms/legs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75716","description":"Artery x-rays arms/legs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood transfusion service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36430","description":"Blood transfusion service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amalgam 4 or > surfaces perm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2161","description":"Amalgam 4 or > surfaces perm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23450","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electro-uroflowmetry first","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51741","description":"Electro-uroflowmetry first","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Air fluidized bed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0194","description":"Air fluidized bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed patient lift system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0640","description":"Fixed patient lift system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGLV","description":"HIPPS-3BGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinsert spinal fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22849","description":"Reinsert spinal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup body cast fiberglas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4002","description":"Cast sup body cast fiberglas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA2A","description":"HIPPS-RMA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of shoulders","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73050","description":"X-ray exam of shoulders","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98003","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98003","description":"CPT-98003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Construct bladder opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51980","description":"Construct bladder opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Matristem wound matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4119","description":"Matristem wound matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX56","description":"HIPPS-RHX56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Intermittent Monitoring And Maintenance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95712","description":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Intermittent Monitoring And Maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost skn barr w/o conv >4 sqi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4415","description":"Ost skn barr w/o conv >4 sqi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA46","description":"HIPPS-RLA46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA217","description":"HIPPS-PA217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mibm but no dx of breast ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8946","description":"Mibm but no dx of breast ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise wrist/forearm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25280","description":"Revise wrist/forearm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0601U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0601U","description":"CPT-0601U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genotype cytomegalovirus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87910","description":"Genotype cytomegalovirus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy_ flexible; with injection(s) for augmentation (eg_ percutaneous_ transoral)_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31574","description":"Laryngoscopy_ flexible; with injection(s) for augmentation (eg_ percutaneous_ transoral)_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen concentrator_ dual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1391","description":"Oxygen concentrator_ dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocollator unit portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0239","description":"Hydrocollator unit portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve repair; with nerve allograft_ each nerve_ first strand (cable)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64912","description":"Nerve repair; with nerve allograft_ each nerve_ first strand (cable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGKT","description":"HIPPS-1BGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFMW","description":"HIPPS-2BFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHM4","description":"HIPPS-4CHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX06","description":"HIPPS-RHX06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd optical endomicroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43252","description":"Egd optical endomicroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastoidectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69501","description":"Mastoidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0407","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0407","description":"CDT-D0407","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antistreptolysin o screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86063","description":"Antistreptolysin o screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thaw preserved stem cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38208","description":"Thaw preserved stem cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 12.6-20 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12055","description":"Intmd rpr face/mm 12.6-20 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert self-contd prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54401","description":"Insert self-contd prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31367","description":"Partial removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pressure support ventilator with volume control mode_ may include pressure control mode_ used with invasive interface (e.g. tracheostomy tube)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0463","description":"Pressure support ventilator with volume control mode_ may include pressure control mode_ used with invasive interface (e.g. tracheostomy tube)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB255","description":"HIPPS-BB255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA06","description":"HIPPS-RUA06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27503","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prefabricated abutment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6056","description":"Prefabricated abutment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD160","description":"HIPPS-HD160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maxillary sinusotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7560","description":"Maxillary sinusotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1109T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1109T","description":"CPT-1109T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest Of Upper Extremity Artery_ 1 Segment_ For Coronary Artery Bypass Procedure_ Endoscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33509","description":"Harvest Of Upper Extremity Artery_ 1 Segment_ For Coronary Artery Bypass Procedure_ Endoscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial valve addl insert","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31651","description":"Bronchial valve addl insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Graft repair of spine defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63710","description":"Graft repair of spine defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ank-foot sys dors-plant flex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5973","description":"Ank-foot sys dors-plant flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limb nerve surgery add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64783","description":"Limb nerve surgery add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"J-cell batt for glucose mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4234","description":"J-cell batt for glucose mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES356","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES356","description":"HIPPS-ES356","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr epigastric hern blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49572","description":"Rpr epigastric hern blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA5B","description":"HIPPS-RVA5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor ix complex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7194","description":"Factor ix complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hib-hepb vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90748","description":"Hib-hepb vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arch supp att to shoe metata","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3080","description":"Arch supp att to shoe metata","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Angiotensin i enzyme test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82164","description":"Angiotensin i enzyme test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald neck_ loop ind receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5283","description":"Ald neck_ loop ind receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place needles pelvic for rt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55920","description":"Place needles pelvic for rt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compres burn garment leotard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6510","description":"Compres burn garment leotard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lyse chest fibrin subq day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32562","description":"Lyse chest fibrin subq day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tongue base vol reduction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41530","description":"Tongue base vol reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens variab asphericity sing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2410","description":"Lens variab asphericity sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tpa initi w/in 3 hrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8600","description":"Tpa initi w/in 3 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES33A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES33A","description":"HIPPS-ES33A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac rehabilitation progr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9472","description":"Cardiac rehabilitation progr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture of specimen by kit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87084","description":"Culture of specimen by kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct abdomen w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74150","description":"Ct abdomen w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant forearm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25310","description":"Transplant forearm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge resin w/noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6252","description":"Bridge resin w/noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vena cava filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1880","description":"Vena cava filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flex-walk sys low ext prosth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5981","description":"Flex-walk sys low ext prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ acetaminophen (fresenius kabi) not therapeutically equivalent to j0131_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0134","description":"Injection_ acetaminophen (fresenius kabi) not therapeutically equivalent to j0131_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove abdomen lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38780","description":"Remove abdomen lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP4","description":"HIPPS-1BHP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tone decay hearing test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92563","description":"Tone decay hearing test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body mass index docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3008F","description":"Body mass index docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Free skin flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15757","description":"Free skin flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0661T","description":"Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA35","description":"HIPPS-AAA35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscope procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58579","description":"Hysteroscope procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eardrum structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69635","description":"Repair eardrum structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of new patient-caregiver dyad with dementia_ high complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0521","description":"Management of new patient-caregiver dyad with dementia_ high complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spirmtry w/brnchdil inf-2 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94012","description":"Spirmtry w/brnchdil inf-2 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for consultation_ comprehensive_ with review of records and specimens_ with report on referred material (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0840T","description":"Digitization of glass microscope slides for consultation_ comprehensive_ with review of records and specimens_ with report on referred material (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation)_ other than for screening for peripheral arteria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0859T","description":"Noncontact near-infrared spectroscopy (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation)_ other than for screening for peripheral arteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ famotidine_ 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0028","description":"Injection_ famotidine_ 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maternity care procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59899","description":"Maternity care procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0205","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0205","description":"HCPCS-B0205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+ cell count >= 500 cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3496F","description":"Cd4+ cell count >= 500 cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2374","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2374","description":"HCPCS-J2374","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE10C","description":"HIPPS-LE10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of knee ligaments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27409","description":"Repair of knee ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1110T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1110T","description":"CPT-1110T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red cell survival kinetics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78135","description":"Red cell survival kinetics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5152","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5152","description":"HCPCS-Q5152","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLV","description":"HIPPS-2AFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt support & positioning sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0636","description":"Pt support & positioning sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy belt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4367","description":"Ostomy belt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGP1","description":"HIPPS-3CGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom abutment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6057","description":"Custom abutment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Normal saline solution infus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7030","description":"Normal saline solution infus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGMT","description":"HIPPS-3AGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap rmvl gastr adj device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43772","description":"Lap rmvl gastr adj device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1/2 lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63005","description":"Remove spine lamina 1/2 lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of chest artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37616","description":"Ligation of chest artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort ii anterior intrusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21150","description":"Lefort ii anterior intrusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Droperidol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1790","description":"Droperidol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of eye fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67005","description":"Partial removal of eye fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of colon/ileostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44156","description":"Removal of colon/ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFK1","description":"HIPPS-2AFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB225","description":"HIPPS-HB225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE234","description":"HIPPS-PE234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gallium ga-68_ dotatate_ diagnostic_ 0.1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9587","description":"Gallium ga-68_ dotatate_ diagnostic_ 0.1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drg >48 in w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6244","description":"Hydrogel drg >48 in w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bile tract surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47999","description":"Bile tract surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB23B","description":"HIPPS-BB23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA12C","description":"HIPPS-PA12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser surgery of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52647","description":"Laser surgery of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No bld inj at surg/1mos post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9627","description":"No bld inj at surg/1mos post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trach/laryn tube cuffed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7521","description":"Trach/laryn tube cuffed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ DNA (80 genes) and RNA (36 genes)_ by next-generation sequencing from plasma_ including single nucleotide variants_ insertions/deletions_ copy number a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0409U","description":"Oncology (solid tumor)_ DNA (80 genes) and RNA (36 genes)_ by next-generation sequencing from plasma_ including single nucleotide variants_ insertions/deletions_ copy number a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35190","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB02","description":"HIPPS-RLB02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB14","description":"HIPPS-RHB14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxford w supinat/pronat inf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3201","description":"Oxford w supinat/pronat inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coch imp ext proc/contr rplc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8619","description":"Coch imp ext proc/contr rplc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty; for laryngeal stenosis_ with graft_ without indwelling stent placement_ younger than 12 years of age","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31551","description":"Laryngoplasty; for laryngeal stenosis_ with graft_ without indwelling stent placement_ younger than 12 years of age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL5B","description":"HIPPS-RHL5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8011","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8011","description":"HCPCS-C8011","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/decompression","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44408","description":"Colonoscopy w/decompression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tension based scoliosis orth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1005","description":"Tension based scoliosis orth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB45","description":"HIPPS-RHB45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interferon alfa-2a inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9213","description":"Interferon alfa-2a inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peg interferon alfa-2a/180","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0145","description":"Peg interferon alfa-2a/180","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise & repair chest wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32905","description":"Revise & repair chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anal stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46700","description":"Repair of anal stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53020","description":"Incision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt lithium 4.5 v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0605","description":"Repl batt lithium 4.5 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8B","description":"HIPPS-RVL8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for exploration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61304","description":"Open skull for exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"KLF1 TARGETED SEQUENCING","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0195U","description":"KLF1 TARGETED SEQUENCING","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI brain w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70557","description":"MRI brain w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl spine lesn lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63282","description":"Bx/exc idrl spine lesn lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup long arm ped plster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4007","description":"Cast sup long arm ped plster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bld glucose monitor w lance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2101","description":"Bld glucose monitor w lance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx distal radial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25606","description":"Treat fx distal radial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq vertebral augmentation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22515","description":"Perq vertebral augmentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasopharyngoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92511","description":"Nasopharyngoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acute venous thrombus image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78456","description":"Acute venous thrombus image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmv ig iv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90291","description":"Cmv ig iv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove part lumbar vertebra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22114","description":"Remove part lumbar vertebra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office visit after hours","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9440","description":"Office visit after hours","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL56","description":"HIPPS-RVL56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shigella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86771","description":"Shigella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of toe tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28010","description":"Incision of toe tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc forearm tum deep 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25073","description":"Exc forearm tum deep 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht inj hormone diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9560","description":"Ht inj hormone diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60100","description":"Biopsy of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNW","description":"HIPPS-1BHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87449","description":"IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFM1","description":"HIPPS-3BFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spu Or Asc Patient Transferred To The Hospital Or Discharged From The Sp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0595","description":"Spu Or Asc Patient Transferred To The Hospital Or Discharged From The Sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62326","description":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ paclitaxel protein-bound particles (teva) not therapeutically equivalent to j9264_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9258","description":"Injection_ paclitaxel protein-bound particles (teva) not therapeutically equivalent to j9264_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls rmvl perph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33969","description":"Ecmo/ecls rmvl perph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immed man part denture resin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5222","description":"Immed man part denture resin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE13A","description":"HIPPS-PE13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0919T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0919T","description":"CPT-0919T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Formoterol fumarate_ inh","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7606","description":"Formoterol fumarate_ inh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD131","description":"HIPPS-HD131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cancer treatmentplan initial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0353","description":"Cancer treatmentplan initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19364","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec stim cancer treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0766","description":"Elec stim cancer treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace high roll cuff","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4060","description":"Replace high roll cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of knee ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27405","description":"Repair of knee ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 7.6-12.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12015","description":"Rpr f/e/e/n/l/m 7.6-12.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam entire spi 2/3 vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72082","description":"X-ray exam entire spi 2/3 vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB5A","description":"HIPPS-RHB5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous exchange of biliary drainage catheter (eg_ external_ internal-external_ or conversion of internal-external to external only)_ with removal of calculi/debris from","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7545","description":"Percutaneous exchange of biliary drainage catheter (eg_ external_ internal-external_ or conversion of internal-external to external only)_ with removal of calculi/debris from","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subs eval for condition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1121F","description":"Subs eval for condition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25500","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies)_ including lesion identification_ characterizatio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0865T","description":"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies)_ including lesion identification_ characterizatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18A","description":"HIPPS-HD18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occupational therapy evaluation_ moderate complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes an expanded review of","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97166","description":"Occupational therapy evaluation_ moderate complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes an expanded review of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin hydral swg ph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5814","description":"Endo knee-shin hydral swg ph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lever-activated wheel drive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0988","description":"Lever-activated wheel drive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD114","description":"HIPPS-CD114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28A","description":"HIPPS-ES28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44373","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9026","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9026","description":"HCPCS-J9026","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Offset/lat rocker arm w/ela","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2632","description":"Offset/lat rocker arm w/ela","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spectrophotometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84311","description":"Spectrophotometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove neuroreceiver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61888","description":"Revise/remove neuroreceiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFM2","description":"HIPPS-4BFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31375","description":"Partial removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKS","description":"HIPPS-2AGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin substitute_ synthetic_ resorbable_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1849","description":"Skin substitute_ synthetic_ resorbable_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28725","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair with fixed arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0163","description":"Commode chair with fixed arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9482","description":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; delivery of radiation therapy_ arrhythmia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0747T","description":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; delivery of radiation therapy_ arrhythmia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36015","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bio mtrls to aid soft/os reg","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4265","description":"Bio mtrls to aid soft/os reg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of protein urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84156","description":"Assay of protein urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFMU","description":"HIPPS-2CFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91451","description":"Anesth removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 vhd mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0863","description":"Pwc gp3 vhd mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam drg > 48 sq in w/border","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6214","description":"Foam drg > 48 sq in w/border","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair tooth socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41874","description":"Repair tooth socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (atypical hemolytic uremic syndrome [aHUS])_ genomic sequence analysis of 15 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ aHUS Genetic Evaluation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0268U","description":"Hematology (atypical hemolytic uremic syndrome [aHUS])_ genomic sequence analysis of 15 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ aHUS Genetic Evaluation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL6","description":"HIPPS-1CHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18B","description":"HIPPS-HE18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4406","description":"HCPCS-Q4406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX1C","description":"HIPPS-RUX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corneal topography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92025","description":"Corneal topography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ 120 or more drugs and substances_ definitive tandem mass spectrometry with chromatography_ urine_ qualitative report of presence (including quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0006U","description":"Prescription drug monitoring_ 120 or more drugs and substances_ definitive tandem mass spectrometry with chromatography_ urine_ qualitative report of presence (including quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gene test niemann-pick","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3849","description":"Gene test niemann-pick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trichomonas vagin dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87660","description":"Trichomonas vagin dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ each multiplex antibody stain procedure (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0762T","description":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ each multiplex antibody stain procedure (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN2","description":"HIPPS-1CGN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1002","description":"HCPCS-A1002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt access bil tree sm bwl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47541","description":"Plmt access bil tree sm bwl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8497","description":"Cabg meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemophilus influenza b vaccine (hib)_ prp-d conjugate_ for booster use only_ intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90646","description":"Hemophilus influenza b vaccine (hib)_ prp-d conjugate_ for booster use only_ intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bath/shower chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0240","description":"Bath/shower chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63266","description":"Excise intrspinl lesion thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No reason for no hep c geno","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9208","description":"No reason for no hep c geno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA25","description":"HIPPS-RUA25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA5A","description":"HIPPS-RHA5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33412","description":"Replacement of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64630","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroretinography (ERG)_ with interpretation and report; full field (ie_ ffERG_ flash ERG_ Ganzfeld ERG)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92273","description":"Electroretinography (ERG)_ with interpretation and report; full field (ie_ ffERG_ flash ERG_ Ganzfeld ERG)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Identify sperm tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89264","description":"Identify sperm tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth lens surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14251","description":"Anesth lens surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Free fascial flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15758","description":"Free fascial flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sympathetic nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64804","description":"Remove sympathetic nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43361","description":"Gastrointestinal repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Organic acids qual each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83919","description":"Organic acids qual each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Physiologic Monitoring Treatment Management Services_ Clinical Staff/Physician/Other Qualified Health Care Professional Time In A Calendar Month Requiring Interactive C","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99458","description":"Remote Physiologic Monitoring Treatment Management Services_ Clinical Staff/Physician/Other Qualified Health Care Professional Time In A Calendar Month Requiring Interactive C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1053T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1053T","description":"CPT-1053T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK2","description":"HIPPS-4CHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy lwr extrem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15879","description":"Suction lipectomy lwr extrem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC42","description":"HIPPS-RHC42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy & revise urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52270","description":"Cystoscopy & revise urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL5D","description":"HIPPS-RUL5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos air press prescribe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8852","description":"Pos air press prescribe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vc lesion scope/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31546","description":"Remove vc lesion scope/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGMX","description":"HIPPS-4AGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove mesh from abd wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11008","description":"Remove mesh from abd wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tick-borne encephalitis virus vaccine_ inactivated; 0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90627","description":"Tick-borne encephalitis virus vaccine_ inactivated; 0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ infliximab-abda_ biosimilar_ (Renflexis)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5104","description":"Injection_ infliximab-abda_ biosimilar_ (Renflexis)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB14B","description":"HIPPS-HB14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop dsg & 1 cast chg ak/d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5420","description":"Postop dsg & 1 cast chg ak/d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Take-home supply of nasal naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2215","description":"Take-home supply of nasal naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uvl replacement bulb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4633","description":"Uvl replacement bulb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phys review of motion tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96004","description":"Phys review of motion tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL2","description":"HIPPS-2BGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65101","description":"Removal of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inlay repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2981","description":"Inlay repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srs cranial lesion simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61796","description":"Srs cranial lesion simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental occlusal guard","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9940","description":"Dental occlusal guard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vascular flow imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78445","description":"Vascular flow imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wellness assessment by nonph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5190","description":"Wellness assessment by nonph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Services for high intensity clinical services associated with the initial engagement and outreach of beneficiaries assigned to the sip component of the pcf model (do not bill","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2020","description":"Services for high intensity clinical services associated with the initial engagement and outreach of beneficiaries assigned to the sip component of the pcf model (do not bill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect diaphragm simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39560","description":"Resect diaphragm simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB11","description":"HIPPS-RVB11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9305","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9305","description":"HCPCS-C9305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No start/rec antvir tx hep c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9499","description":"No start/rec antvir tx hep c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligate esophagus veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43400","description":"Ligate esophagus veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ear protector evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92596","description":"Ear protector evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat metatarsal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28475","description":"Treat metatarsal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of digoxin free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80163","description":"Assay of digoxin free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1103T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1103T","description":"CPT-1103T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27369","description":"Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spoke protectors","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0065","description":"Spoke protectors","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser surgery of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57513","description":"Laser surgery of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ravulizumab-cwvz_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1303","description":"Injection_ ravulizumab-cwvz_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 VAC AD26 .5ML B","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0034A","description":"ADM SARSCOV2 VAC AD26 .5ML B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD135","description":"HIPPS-PD135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefepime hydrochloride (baxter)_ not therapeutically equivalent to maxipime_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0701","description":"Injection_ cefepime hydrochloride (baxter)_ not therapeutically equivalent to maxipime_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95983","description":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ arm_ padded_ for nighttime use_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6522","description":"Gradient compression garment_ arm_ padded_ for nighttime use_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHKS","description":"HIPPS-2CHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9170","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9170","description":"HCPCS-C9170","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove carotid body lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60605","description":"Remove carotid body lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daratumumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9145","description":"Injection_ daratumumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cell marker study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88182","description":"Cell marker study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair hand joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26540","description":"Repair hand joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient does not have a caregiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2184","description":"Patient does not have a caregiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frontier extended stay demo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9140","description":"Frontier extended stay demo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mcp joint repl 2 pc or more","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8631","description":"Mcp joint repl 2 pc or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive care for joint replacement model_ home visit for patient assemssment performed by clinical staff for an individual not considered homebound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9490","description":"Comprehensive care for joint replacement model_ home visit for patient assemssment performed by clinical staff for an individual not considered homebound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sialolithotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7980","description":"Sialolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker crutch attachment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0157","description":"Walker crutch attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney dialysate delivry sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1510","description":"Kidney dialysate delivry sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00948","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00948","description":"CPT-00948","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99342","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx dprsd malar fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21360","description":"Opn tx dprsd malar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1137","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA145","description":"HIPPS-PA145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol amino acid 5.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4172","description":"Parenteral sol amino acid 5.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Humidifier nonheated w pap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0561","description":"Humidifier nonheated w pap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lymph nodes neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38720","description":"Removal of lymph nodes neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA10A","description":"HIPPS-BA10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"guided tissue regeneration - non-resorbable barrier_ per implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6107","description":"guided tissue regeneration - non-resorbable barrier_ per implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete ft_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4271","description":"Complete ft_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLW","description":"HIPPS-4CFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ bin_ bte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5261","description":"Hearing aid_ digit_ bin_ bte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis 1 vertebral seg lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22214","description":"Incis 1 vertebral seg lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0500U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0500U","description":"CPT-0500U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ infliximab-qbtx_ biosimilar_ (Ixifi)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5109","description":"Injection_ infliximab-qbtx_ biosimilar_ (Ixifi)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull (press relief)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61343","description":"Incise skull (press relief)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nose polyp(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30115","description":"Removal of nose polyp(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral hip_ knee_ ankle_ foot device_ powered_ includes pelvic component_ single or double upright(s)_ knee joints any type_ with or without ankle joints any type_ includes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1007","description":"Bilateral hip_ knee_ ankle_ foot device_ powered_ includes pelvic component_ single or double upright(s)_ knee joints any type_ with or without ankle joints any type_ includes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX44","description":"HIPPS-RVX44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair deformity of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28313","description":"Repair deformity of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit new pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99324","description":"Domicil/r-home visit new pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine_ polyvalent_ intramuscular_ for children from five years to nine years of age who have not previously received the vaccine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0195","description":"Pneumococcal conjugate vaccine_ polyvalent_ intramuscular_ for children from five years to nine years of age who have not previously received the vaccine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pml/raralpha 1 breakpoint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81316","description":"Pml/raralpha 1 breakpoint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ATXN10 (ataxin 10) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81183","description":"ATXN10 (ataxin 10) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES12B","description":"HIPPS-ES12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conformity evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5020","description":"Conformity evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metacarp fx orthosis pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3917","description":"Metacarp fx orthosis pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocyte transformation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86353","description":"Lymphocyte transformation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC106","description":"HIPPS-HC106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esano aaa_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4273","description":"Esano aaa_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seat/back cus no dmepdac ver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0669","description":"Seat/back cus no dmepdac ver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat metacarpal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26607","description":"Treat metacarpal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spine surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22899","description":"Spine surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB07","description":"HIPPS-RMB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Child fostercare th per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5145","description":"Child fostercare th per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ vaginal pathogen panel_ identification of 27 organisms_ amplified probe technique_ vaginal swab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0330U","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ vaginal pathogen panel_ identification of 27 organisms_ amplified probe technique_ vaginal swab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder & nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51585","description":"Removal of bladder & nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD114","description":"HIPPS-HD114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ plasminogen_ human-tvmh_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2998","description":"Injection_ plasminogen_ human-tvmh_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrics (expanded carrier screening)_ 145 genes by nextgeneration sequencing_ fragment analysis and multiplex ligationdependent probe amplification_ DNA_ reported as carrie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0400U","description":"Obstetrics (expanded carrier screening)_ 145 genes by nextgeneration sequencing_ fragment analysis and multiplex ligationdependent probe amplification_ DNA_ reported as carrie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Or Care Partner Decline Assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0036","description":"Patient Or Care Partner Decline Assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay dipstick","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83518","description":"Immunoassay dipstick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap colectomy part w/ileum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44205","description":"Lap colectomy part w/ileum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aor/carot/innom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35526","description":"Art byp grft aor/carot/innom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB211","description":"HIPPS-LB211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetone assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82010","description":"Acetone assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bordetella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86615","description":"Bordetella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE125","description":"HIPPS-HE125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coombs test indirect titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86886","description":"Coombs test indirect titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood fungus culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87103","description":"Blood fungus culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lung extrapleural","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32445","description":"Removal of lung extrapleural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0106","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0106","description":"HCPCS-A0106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hydrocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55060","description":"Repair of hydrocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of oral tissue hard","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7285","description":"Biopsy of oral tissue hard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1342","description":"Patients who died during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP4","description":"HIPPS-3CHP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial)_ mRNA_ gene expression profiling by real-time quantit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0119U","description":"Oncology (urothelial)_ mRNA_ gene expression profiling by real-time quantit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bl draw <3 yrs other vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36406","description":"Bl draw <3 yrs other vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGMW","description":"HIPPS-3BGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18B","description":"HIPPS-HB18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA45","description":"HIPPS-RUA45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55712","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55712","description":"CPT-55712","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blinded or nonblinded procedure for symptomatic New York Heart Association (NYHA) Class II_ III_ IVA heart failure; transcatheter implantation of left atrial to coronary sinus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9792","description":"Blinded or nonblinded procedure for symptomatic New York Heart Association (NYHA) Class II_ III_ IVA heart failure; transcatheter implantation of left atrial to coronary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cbc/diffwbc w/o platelet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0306","description":"Cbc/diffwbc w/o platelet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28C","description":"HIPPS-HE28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX5B","description":"HIPPS-RVX5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC PAN-TUM DNA&RNA GNRJ SEQ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0211U","description":"ONC PAN-TUM DNA&RNA GNRJ SEQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt notrcvng1st antitnf txmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6150F","description":"Pt notrcvng1st antitnf txmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis auto w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81001","description":"Urinalysis auto w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52234","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thorabd diaphr hern repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43336","description":"Thorabd diaphr hern repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin hip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15834","description":"Excise excessive skin hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27392","description":"Incision of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8H","description":"HIPPS-RMX8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17286","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Hymovis_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9471","description":"Hyaluronan or derivative_ Hymovis_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogate crtd sns dev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0272T","description":"Interrogate crtd sns dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE110","description":"HIPPS-HE110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hocm 300-349mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9962","description":"Hocm 300-349mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special anesthesia procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99135","description":"Special anesthesia procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of sternum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21620","description":"Partial removal of sternum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK3","description":"HIPPS-1BFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24101","description":"Explore/treat elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surface emg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3900","description":"Surface emg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) for microstructural and morphological imaging of skin_ image acquisition_ interpretation_ and report; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0470T","description":"Optical coherence tomography (OCT) for microstructural and morphological imaging of skin_ image acquisition_ interpretation_ and report; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26412","description":"Repair/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision malig lesion>1.25cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7414","description":"Excision malig lesion>1.25cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFK1","description":"HIPPS-4BFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD22A","description":"HIPPS-CD22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of eye fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67010","description":"Partial removal of eye fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not die within 30 days of the procedure or during the index hospitalization","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9813","description":"Patient did not die within 30 days of the procedure or during the index hospitalization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of sciatic nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64712","description":"Revision of sciatic nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disease mgmt per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0317","description":"Disease mgmt per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL5","description":"HIPPS-3AFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0593U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0593U","description":"CPT-0593U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGKX","description":"HIPPS-3CGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole lauroxil_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1942","description":"Injection_ aripiprazole lauroxil_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96132","description":"Neuropsychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB11C","description":"HIPPS-PB11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1458","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1458","description":"HCPCS-M1458","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE10A","description":"HIPPS-LE10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92990","description":"Revision of pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap place gastr adj device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43770","description":"Lap place gastr adj device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of hip tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27097","description":"Revision of hip tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53621","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE20D","description":"HIPPS-PE20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of finger/thumb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26951","description":"Amputation of finger/thumb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"DMPK (DM1 protein kinase) (eg_ myotonic dystrophy type 1) gene analysis; characterization of alleles (eg_ expanded size)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81239","description":"DMPK (DM1 protein kinase) (eg_ myotonic dystrophy type 1) gene analysis; characterization of alleles (eg_ expanded size)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam with photos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92250","description":"Eye exam with photos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dil macula/fundus exam/w doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8397","description":"Dil macula/fundus exam/w doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb skin bone at fx site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11012","description":"Deb skin bone at fx site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1270","description":"Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso axilla sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1010","description":"Ctlso axilla sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP22","description":"HIPPS-ATP22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin grft f/n/hfg add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15156","description":"Cult skin grft f/n/hfg add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth pacemaker insertion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53051","description":"Anesth pacemaker insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0905T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0905T","description":"CPT-0905T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emtricitabine 200mg and tenofovir alafenamide 25mg_ oral_ fda approved prescription_ only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0751","description":"Emtricitabine 200mg and tenofovir alafenamide 25mg_ oral_ fda approved prescription_ only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial exchange transfusion_ blood_ plasma or crystalloid necessitating the skill of a physician or other qualified health care professional_ newborn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36456","description":"Partial exchange transfusion_ blood_ plasma or crystalloid necessitating the skill of a physician or other qualified health care professional_ newborn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01920","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01920","description":"CPT-01920","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/insert drug implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11983","description":"Remove/insert drug implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic thrombosis)_ genomic sequence analysis of 12 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Thrombosis Panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0278U","description":"Hematology (genetic thrombosis)_ genomic sequence analysis of 12 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Thrombosis Panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC0B","description":"HIPPS-RHC0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE235","description":"HIPPS-PE235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27001","description":"Incision of hip tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asst oocyte fert case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4022","description":"Asst oocyte fert case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv semi-rig adj molded chn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0150","description":"Cerv semi-rig adj molded chn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath insertion tray w/bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4354","description":"Cath insertion tray w/bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PIGF Preeclampsia Screen_ PerkinElmer Genetics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0243U","description":"PIGF Preeclampsia Screen_ PerkinElmer Genetics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision/drain abscess extra","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7521","description":"Incision/drain abscess extra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd srv 1 visit p mo 2-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90956","description":"Esrd srv 1 visit p mo 2-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0519","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0519","description":"HCPCS-Q0519","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise graft w/nonauto graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35883","description":"Revise graft w/nonauto graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP6","description":"HIPPS-1CGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21139","description":"Reduction of forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emer rspns system purchase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5162","description":"Emer rspns system purchase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPT","description":"HIPPS-1BFPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD25C","description":"HIPPS-PD25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implant from hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26320","description":"Removal of implant from hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calcium gluconate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0610","description":"Calcium gluconate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No pneumococcal admin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8867","description":"No pneumococcal admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL0C","description":"HIPPS-RVL0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy_ flexible; with therapeutic injection(s) (eg_ chemodenervation agent or corticosteroid_ injected percutaneous_ transoral_ or via endoscope channel)_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31573","description":"Laryngoscopy_ flexible; with therapeutic injection(s) (eg_ chemodenervation agent or corticosteroid_ injected percutaneous_ transoral_ or via endoscope channel)_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy extraperitoneal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57282","description":"Colpopexy extraperitoneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming; transmitter component only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0863T","description":"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming; transmitter component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Social work visit_ in the ho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9127","description":"Social work visit_ in the ho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply r&l pulm art bands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33620","description":"Apply r&l pulm art bands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLT","description":"HIPPS-4CFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC20","description":"HIPPS-RHC20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extrnl beam other than prost","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4201F","description":"Extrnl beam other than prost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ hymovis_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7322","description":"Hyaluronan or derivative_ hymovis_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75880","description":"Vein x-ray eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical exposure prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55860","description":"Surgical exposure prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tetanus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86774","description":"Tetanus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthovisc inj per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7324","description":"Orthovisc inj per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee autograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27416","description":"Osteochondral knee autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5172","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5172","description":"HCPCS-Q5172","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36557","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Lung Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1094","description":"Radiation Therapy For Lung Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0964T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0964T","description":"CPT-0964T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leptospira antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86720","description":"Leptospira antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc no pain comfort 48hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9251","description":"Doc no pain comfort 48hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant eye drug system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67027","description":"Implant eye drug system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38D","description":"HIPPS-ES38D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44626","description":"Repair bowel opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB11C","description":"HIPPS-CB11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18X","description":"HIPPS-LB18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28I","description":"HIPPS-LE28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacteria and fungi)_ gram-positive organism identification and drug resistance element detection_ DNA (20 gram-positive bacterial targets_ 4 resistance gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0141U","description":"Infectious disease (bacteria and fungi)_ gram-positive organism identification and drug resistance element detection_ DNA (20 gram-positive bacterial targets_ 4 resistance gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal neck/armpit lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38550","description":"Removal neck/armpit lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius/ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25600","description":"Treat fracture radius/ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sulfamethoxazole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0039","description":"Injection_ sulfamethoxazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins device for rt guide open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49412","description":"Ins device for rt guide open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc cur funct assess","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8541","description":"No doc cur funct assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2388","description":"Foam drive wheel tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1098T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1098T","description":"CPT-1098T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alglucosidase alfa injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0220","description":"Alglucosidase alfa injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preop asses 4 cataract surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3325F","description":"Preop asses 4 cataract surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endometrial cryoablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58356","description":"Endometrial cryoablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla x-math non-cytotoxic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86825","description":"Hla x-math non-cytotoxic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of biotinidase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82261","description":"Assay of biotinidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath occlusion cns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61624","description":"Transcath occlusion cns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33762","description":"Major vessel shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonmed family planning ed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1010","description":"Nonmed family planning ed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8G","description":"HIPPS-RMB8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFN4","description":"HIPPS-3BFN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemical peel face epiderm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15788","description":"Chemical peel face epiderm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1801","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1801","description":"CDT-D1801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMS","description":"HIPPS-3AHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Activated carbon filter_ ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4680","description":"Activated carbon filter_ ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ qualitative; paper_ 1-dimensional_ analyte not elsewhere specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82487","description":"Chromatography_ qualitative; paper_ 1-dimensional_ analyte not elsewhere specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contracted services per day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1022","description":"Contracted services per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8G","description":"HIPPS-RVC8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging without contrast_ breast; bilateral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8907","description":"Magnetic resonance imaging without contrast_ breast; bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stimulated iui case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4035","description":"Stimulated iui case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6007","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc of tobacco user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9276","description":"Doc of tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation medicine (allograft rejection_ renal)_ measurement of donor and third-party-induced CD154+T-cytotoxic memory cells_ utilizing whole peripheral blood_ algorithm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0018M","description":"Transplantation medicine (allograft rejection_ renal)_ measurement of donor and third-party-induced CD154+T-cytotoxic memory cells_ utilizing whole peripheral blood_ algorithm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspirate pleura w/ imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32555","description":"Aspirate pleura w/ imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59130","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC15B","description":"HIPPS-LC15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26410","description":"Repair hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99243","description":"Office consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diazoxide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1730","description":"Diazoxide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.6-1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11301","description":"Shave skin lesion 0.6-1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Left ventricular ejection fraction (lvef) less than or equal to 40% or documentation of moderately or severely depressed left ventricular systolic function","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1150","description":"Left ventricular ejection fraction (lvef) less than or equal to 40% or documentation of moderately or severely depressed left ventricular systolic function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief alcohol misuse counsel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0443","description":"Brief alcohol misuse counsel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diathermy eg microwave","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97024","description":"Diathermy eg microwave","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK1","description":"HIPPS-4AHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21450","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15952","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithrombin iii injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7197","description":"Antithrombin iii injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Six volt bat otto bock/eq ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7360","description":"Six volt bat otto bock/eq ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1440","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1440","description":"HCPCS-M1440","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial vaginosis and vaginitis)_ multiplex amplified probe technique_ for detection of bacterial vaginosis-associated bacteria (BVAB-2_ Atopobium vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0352U","description":"Infectious disease (bacterial vaginosis and vaginitis)_ multiplex amplified probe technique_ for detection of bacterial vaginosis-associated bacteria (BVAB-2_ Atopobium vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quinupristin/dalfopristin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2770","description":"Quinupristin/dalfopristin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Humidif extens supple w ippb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0550","description":"Humidif extens supple w ippb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mobile arm support supinator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2633","description":"Mobile arm support supinator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow harvest autolog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38232","description":"Bone marrow harvest autolog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of phrenic nerve stimulator system (pulse generator and stimulating lead[s])_ including vessel catheterization_ all imaging guidance_ and pulse generator initial ana","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33276","description":"Insertion of phrenic nerve stimulator system (pulse generator and stimulating lead[s])_ including vessel catheterization_ all imaging guidance_ and pulse generator initial ana","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam pelvic limited","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76857","description":"Us exam pelvic limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFMU","description":"HIPPS-3AFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; low-level laser therapy (ie_ nonthermal and non-ablative) for post-operative pain reduction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97037","description":"Application of a modality to 1 or more areas; low-level laser therapy (ie_ nonthermal and non-ablative) for post-operative pain reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of floor of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41108","description":"Biopsy of floor of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray bend only l-s spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72120","description":"X-ray bend only l-s spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory virus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86756","description":"Respiratory virus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGKT","description":"HIPPS-5AGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair salivary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42505","description":"Repair salivary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55711","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55711","description":"CPT-55711","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA14D","description":"HIPPS-BA14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28G","description":"HIPPS-PB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX34","description":"HIPPS-RUX34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES345","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES345","description":"HIPPS-ES345","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of donor heart/lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33930","description":"Removal of donor heart/lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvf assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3020F","description":"Lvf assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc hip/pelv tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27048","description":"Exc hip/pelv tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK1","description":"HIPPS-1CFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ subsequent treatment_ including noninvasive electroneurographic localizat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0769T","description":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ subsequent treatment_ including noninvasive electroneurographic localizat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainable pch w ex wear barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4388","description":"Drainable pch w ex wear barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES32C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES32C","description":"HIPPS-ES32C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drg <= 16 in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6245","description":"Hydrogel drg <= 16 in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34702","description":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove windpipe lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31786","description":"Remove windpipe lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect apical lung tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32503","description":"Resect apical lung tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28D","description":"HIPPS-HE28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33427","description":"Repair of mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB0D","description":"HIPPS-RVB0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fluphenazine hcl_ 1.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2679","description":"Injection_ fluphenazine hcl_ 1.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD251","description":"HIPPS-PD251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exposure behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by physician or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0363T","description":"Exposure behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by physician or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq & icut allg test venoms","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95017","description":"Perq & icut allg test venoms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB213","description":"HIPPS-PB213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Number Of Adult Patient-Months In The Denominator Who Were On Maintenance Hemodialysis Using A Catheter Continuously For Three Months Or Longer Under The Care Of The Same","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1026","description":"The Number Of Adult Patient-Months In The Denominator Who Were On Maintenance Hemodialysis Using A Catheter Continuously For Three Months Or Longer Under The Care Of The Same","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kcentra_ per i.u.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9132","description":"Kcentra_ per i.u.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (with or without the patient present)_ face-to-face with gua","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97156","description":"Family adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (with or without the patient present)_ face-to-face with gua","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep b vac series prev recvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4157F","description":"Hep b vac series prev recvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25400","description":"Repair radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28C","description":"HIPPS-LC28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB1C","description":"HIPPS-RUB1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53660","description":"Dilation of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9301","description":"HCPCS-C9301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral everolimus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7527","description":"Oral everolimus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC4A","description":"HIPPS-RHC4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX60","description":"HIPPS-RMX60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34001","description":"Removal of artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Accessories for patient inserted indwelling intraurethral drainage device with valve_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4342","description":"Accessories for patient inserted indwelling intraurethral drainage device with valve_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC12","description":"HIPPS-RVC12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4364","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4364","description":"HCPCS-Q4364","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44405","description":"Colonoscopy w/dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61686","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE256","description":"HIPPS-HE256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar spine process addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0172T","description":"Lumbar spine process addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN2","description":"HIPPS-1AGN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0230T","description":"Njx tfrml eprl w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"COMT (catechol-O-methyltransferase)(drug metabolism) gene analysis_ c.472G>A (rs4680) variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0032U","description":"COMT (catechol-O-methyltransferase)(drug metabolism) gene analysis_ c.472G>A (rs4680) variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of anterior segment aqueous drainage device_ with creation of intraocular reservoir_ internal approach_ into the supraciliary space","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0474T","description":"Insertion of anterior segment aqueous drainage device_ with creation of intraocular reservoir_ internal approach_ into the supraciliary space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm ear level receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5284","description":"Ald fm/dm ear level receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Propranolol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1800","description":"Propranolol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tonguemuscle_ controlled by hardware remote","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0490","description":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tonguemuscle_ controlled by hardware remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo assay seven anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81506","description":"Endo assay seven anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd serv 4 visits p mo <2yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90951","description":"Esrd serv 4 visits p mo <2yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB236","description":"HIPPS-CB236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC255","description":"HIPPS-HC255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55842","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osseous surgery per quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4260","description":"Osseous surgery per quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB1B","description":"HIPPS-RVB1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive (75 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2005","description":"Extensive (75 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8F","description":"HIPPS-RLB8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of residual cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57550","description":"Removal of residual cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL5","description":"HIPPS-3CHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0490T","description":"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"End-tidal control of inhaled anesthetic agents and oxygen to assist anesthesia care delivery (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0887T","description":"End-tidal control of inhaled anesthetic agents and oxygen to assist anesthesia care delivery (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist joint cartilage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25107","description":"Remove wrist joint cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sio rig pnl pelv/sac pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0623","description":"Sio rig pnl pelv/sac pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gum graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41870","description":"Gum graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8F","description":"HIPPS-RUA8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA51","description":"HIPPS-RHA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC23","description":"HIPPS-RVC23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lngleg cylndr ped f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4036","description":"Cast sup lngleg cylndr ped f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unspecified oral anti-emetic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0181","description":"Unspecified oral anti-emetic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40840","description":"Reconstruction of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza dna amp prob addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87503","description":"Influenza dna amp prob addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1007","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1007","description":"HCPCS-L1007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone replacement graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7953","description":"Bone replacement graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dis site  tele svcs RHC/FQHC","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2025","description":"Dis site  tele svcs RHC/FQHC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFN3","description":"HIPPS-3BFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no abx therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9559","description":"Doc med reas no abx therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prefab glove for term device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6890","description":"Prefab glove for term device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical foods for noninborn errors of metabolism","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9432","description":"Medical foods for noninborn errors of metabolism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC13A","description":"HIPPS-LC13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB25C","description":"HIPPS-BB25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of finger tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26471","description":"Fusion of finger tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dispensing fee bicros","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5240","description":"Dispensing fee bicros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chimerism anal w/cell select","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81268","description":"Chimerism anal w/cell select","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28B","description":"HIPPS-HB28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of prostaglandin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84150","description":"Assay of prostaglandin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB121","description":"HIPPS-BB121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repr per/vag pouch sngl proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46710","description":"Repr per/vag pouch sngl proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antiviral ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9245","description":"Antiviral ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth esophageal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50051","description":"Anesth esophageal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trigeminal block anesthesia","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9212","description":"Trigeminal block anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE14B","description":"HIPPS-CE14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pin radioulnar dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25671","description":"Pin radioulnar dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit cont insulin diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9353","description":"Hit cont insulin diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis glass test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81020","description":"Urinalysis glass test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt ureteral stent prq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50695","description":"Plmt ureteral stent prq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHK1","description":"HIPPS-4BHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0901","description":"HCPCS-B0901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ methotrexate (accord) not therapeutically equivalent to j9250 and j9260_ 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9255","description":"Injection_ methotrexate (accord) not therapeutically equivalent to j9250 and j9260_ 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28435","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLT","description":"HIPPS-3CFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC150","description":"HIPPS-PC150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB245","description":"HIPPS-LB245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33400","description":"Repair of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8I","description":"HIPPS-RHL8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tte w or w/o fol w/cont_ f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8922","description":"Tte w or w/o fol w/cont_ f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28F","description":"HIPPS-LB28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mtms by pharm addl 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99607","description":"Mtms by pharm addl 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt immunity to hep b docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3216F","description":"Pt immunity to hep b docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL4A","description":"HIPPS-RVL4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove mastoid air cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69670","description":"Remove mastoid air cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1402","description":"HCPCS-A1402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gallium ga-68 psma-11_ diagnostic_ (ucla)_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9594","description":"Gallium ga-68 psma-11_ diagnostic_ (ucla)_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA12B","description":"HIPPS-PA12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Typhoid vaccine_ heat- and phenol-inactivated (h-p)_ for subcutaneous orintradermal use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90692","description":"Typhoid vaccine_ heat- and phenol-inactivated (h-p)_ for subcutaneous orintradermal use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ldh enzymes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83625","description":"Assay of ldh enzymes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB146","description":"HIPPS-PB146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cane adjust/fixed quad/3 pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0105","description":"Cane adjust/fixed quad/3 pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression gauntlet_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6565","description":"Gradient compression gauntlet_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cyclophosphamide_ not otherwise specified_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9075","description":"Injection_ cyclophosphamide_ not otherwise specified_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGL4","description":"HIPPS-1CGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0681","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0681","description":"HCPCS-G0681","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX01","description":"HIPPS-RUX01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0971T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0971T","description":"CPT-0971T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD14B","description":"HIPPS-CD14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Buprenorphine (Oral); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2068","description":"Medication Assisted Treatment_ Buprenorphine (Oral); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA250","description":"HIPPS-CA250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tenecteplase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3101","description":"Tenecteplase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited ankle motion ea jnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2200","description":"Limited ankle motion ea jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artificial larynx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8500","description":"Artificial larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of forehead wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15824","description":"Removal of forehead wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hf assessment tool completed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3117F","description":"Hf assessment tool completed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of phrenic nerve stimulator transvenous sensing lead (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33277","description":"Insertion of phrenic nerve stimulator transvenous sensing lead (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51845","description":"Repair bladder neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 3RD DOSE MODERNA","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0013A","description":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 3RD DOSE MODERNA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1803","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1803","description":"CDT-D1803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total cortisol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82533","description":"Total cortisol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44340","description":"Revision of colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No impro med time pain med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9427","description":"No impro med time pain med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1404","description":"HCPCS-M1404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28D","description":"HIPPS-LE28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHKW","description":"HIPPS-3BHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27248","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rufinamide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80210","description":"Rufinamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1113","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61510","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair single ventricle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33617","description":"Repair single ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01220","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01220","description":"CPT-01220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pancreatic)_ 59 methylation haplotype block markers_ next-generation sequencing_ plasma_ reported as cancer signal detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0405U","description":"Oncology (pancreatic)_ 59 methylation haplotype block markers_ next-generation sequencing_ plasma_ reported as cancer signal detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM1","description":"HIPPS-4AFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mdd severe w/psych","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3091F","description":"Mdd severe w/psych","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trach pros cleaning device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8513","description":"Trach pros cleaning device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban (auromedics)_ not therapeutically equivalent to j0884_ 1 mg (for esrd on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0899","description":"Injection_ argatroban (auromedics)_ not therapeutically equivalent to j0884_ 1 mg (for esrd on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dark field examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87166","description":"Dark field examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Administration of home sleep apnea test","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9956","description":"Administration of home sleep apnea test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Atropine sulfate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0461","description":"Atropine sulfate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver and spleen imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78215","description":"Liver and spleen imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Modify speech aid prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5960","description":"Modify speech aid prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision graft extremity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35903","description":"Excision graft extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain appendix abscess open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44900","description":"Drain appendix abscess open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient admitted to a SPU or an ASC for monitoring and observation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0597","description":"Patient admitted to a SPU or an ASC for monitoring and observation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evoked auditory tst complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92588","description":"Evoked auditory tst complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00752","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00752","description":"CPT-00752","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA5C","description":"HIPPS-AAA5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Composite drsg > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6205","description":"Composite drsg > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl & rpl car modulj pls gn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0414T","description":"Rmvl & rpl car modulj pls gn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Organic acid single quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83921","description":"Organic acid single quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFMS","description":"HIPPS-2BFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cpap full face mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7030","description":"Cpap full face mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0685","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0685","description":"HCPCS-G0685","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA113","description":"HIPPS-CA113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dacarbazine 100 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9130","description":"Dacarbazine 100 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tissue expander(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11960","description":"Insert tissue expander(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of umbilicus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49250","description":"Excision of umbilicus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX31","description":"HIPPS-RUX31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK1","description":"HIPPS-5BHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"C-1 esterase_ cinryze","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0598","description":"C-1 esterase_ cinryze","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5167","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5167","description":"HCPCS-Q5167","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"App topical fluoride varnish","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99188","description":"App topical fluoride varnish","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cftr gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81223","description":"Cftr gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB125","description":"HIPPS-HB125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of forearm bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25031","description":"Drainage of forearm bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect radius tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24152","description":"Resect radius tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ ep_ 19 or few elect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1730","description":"Cath_ ep_ 19 or few elect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colon ca scrn; barium enema","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0120","description":"Colon ca scrn; barium enema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB154","description":"HIPPS-CB154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/repair chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32110","description":"Explore/repair chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm adult plstr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4009","description":"Cast sup sht arm adult plstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC24A","description":"HIPPS-LC24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL4","description":"HIPPS-3AFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA0D","description":"HIPPS-RUA0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped wc modify width adjustm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1011","description":"Ped wc modify width adjustm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of arm nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64861","description":"Repair of arm nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Betamethasone comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7624","description":"Betamethasone comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Procure donor sperm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4026","description":"Procure donor sperm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputate metacarpal bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26910","description":"Amputate metacarpal bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat pelvic fracture(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27215","description":"Treat pelvic fracture(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35371","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFN1","description":"HIPPS-1CFN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhv-6 dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87533","description":"Hhv-6 dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prenatalcare enhanced srv pk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1005","description":"Prenatalcare enhanced srv pk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand/finger surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26989","description":"Hand/finger surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA131","description":"HIPPS-PA131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mmr vaccine sc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90707","description":"Mmr vaccine sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE24C","description":"HIPPS-CE24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Construct bowel bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50820","description":"Construct bowel bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp aorsubcl/carot/innom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35626","description":"Art byp aorsubcl/carot/innom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins endovas vena cava filtr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37191","description":"Ins endovas vena cava filtr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay caffeine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80155","description":"Drug assay caffeine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxford w/ supinator/pronator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3203","description":"Oxford w/ supinator/pronator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Podiatry Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4028","description":"Podiatry Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA13B","description":"HIPPS-PA13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intro/sheath_ laser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2629","description":"Intro/sheath_ laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other carot sten 120 days/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9007F","description":"Other carot sten 120 days/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61330","description":"Decompress eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37230","description":"Tib/per revasc w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj trigeminal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64400","description":"N block inj trigeminal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic exenteration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45126","description":"Pelvic exenteration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete occlusal adjustment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9952","description":"Complete occlusal adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap ablat uterine fibroids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0336T","description":"Lap ablat uterine fibroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4030","description":"Pulmonology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Not medically necessary svc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9986","description":"Not medically necessary svc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph optical endomicroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43206","description":"Esoph optical endomicroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHLT","description":"HIPPS-1CHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated Retinal Eye Exam With Interpretation By An Ophthalmologist Or Optometrist Documented And Reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2102","description":"Dilated Retinal Eye Exam With Interpretation By An Ophthalmologist Or Optometrist Documented And Reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLU","description":"HIPPS-4CFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stereotactic body radiation therapy_ treatment delivery_ per fraction to 1 or more lesions_ including image guidance and real-time positron emissions-based delivery adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9795","description":"Stereotactic body radiation therapy_ treatment delivery_ per fraction to 1 or more lesions_ including image guidance and real-time positron emissions-based delivery adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter placement of intravascular stent(s)_ central dialysis segment_ performed through dialysis circuit_ including all imaging and radiological supervision and interpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36908","description":"Transcatheter placement of intravascular stent(s)_ central dialysis segment_ performed through dialysis circuit_ including all imaging and radiological supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caster wheel excludes tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2395","description":"Caster wheel excludes tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL4","description":"HIPPS-4AGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fda approved prescription drug_ only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)_ not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0799","description":"Fda approved prescription drug_ only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)_ not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8H","description":"HIPPS-RVA8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel pad & depress for","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3480","description":"Shoe heel pad & depress for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device_ percutaneous approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0545T","description":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device_ percutaneous approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ibalizumab-uiyk_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1746","description":"Injection_ ibalizumab-uiyk_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Histrelin acetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1675","description":"Histrelin acetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0574","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0574","description":"HCPCS-G0574","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self care d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8989","description":"Self care d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt has resp insufficiency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1504F","description":"Pt has resp insufficiency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel sach cushion type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3450","description":"Shoe heel sach cushion type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Who cock-up nonmolde pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3908","description":"Who cock-up nonmolde pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of anal fissure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46200","description":"Removal of anal fissure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice respite care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2044","description":"Hospice respite care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onlay porc/crmc >=3 surfaces","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6609","description":"Onlay porc/crmc >=3 surfaces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54308","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health And Well-Being Coaching Face-To-Face; Individual_ Initial Assessment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0591T","description":"Health And Well-Being Coaching Face-To-Face; Individual_ Initial Assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC241","description":"HIPPS-CC241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Warfarin or another FDA-approved oral anticoagulant is prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8967","description":"Warfarin or another FDA-approved oral anticoagulant is prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prol intubation req","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8569","description":"Prol intubation req","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0403","description":"HCPCS-B0403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Observational behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by one tec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0361T","description":"Observational behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by one tec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt education noc group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9446","description":"Pt education noc group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiaxial ankle w dorsiflex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5968","description":"Multiaxial ankle w dorsiflex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam/fabric leg strap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5114","description":"Foam/fabric leg strap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specimen handling pt-lab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99001","description":"Specimen handling pt-lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B Vaccine (Hepb)_ 3-Antigen (S_ Pre-S1_ Pre-S2)_ 10 Mcg Dosage_ 3 Dose Schedule_ For Intramuscular Use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90759","description":"Hepatitis B Vaccine (Hepb)_ 3-Antigen (S_ Pre-S1_ Pre-S2)_ 10 Mcg Dosage_ 3 Dose Schedule_ For Intramuscular Use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy ureterolithotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50945","description":"Laparoscopy ureterolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1106","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40530","description":"Partial removal of lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vbac class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9439","description":"Vbac class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died from cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9852","description":"Patients who died from cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay nephelometry not spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83883","description":"Assay nephelometry not spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHMX","description":"HIPPS-2CHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg > 48 sq in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6256","description":"Absorpt drg > 48 sq in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Prostate Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1100","description":"Radiation Therapy For Prostate Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not prescribing warfarin or another FDA-approved oral anticoagulant that is FDA approved for the prevention of thromboembolism (e.g._ pa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8969","description":"Documentation of patient reason(s) for not prescribing warfarin or another FDA-approved oral anticoagulant that is FDA approved for the prevention of thromboembolism (e.g._ pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair hand deformity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26580","description":"Repair hand deformity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99284","description":"Emergency dept visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus_ monoclonal antibody_ seasonal dose; 0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90380","description":"Respiratory syncytial virus_ monoclonal antibody_ seasonal dose; 0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGP5","description":"HIPPS-1AGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin long acting 5 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5553","description":"Insulin long acting 5 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonvascular shunt x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75809","description":"Nonvascular shunt x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay tumor ca 15-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86300","description":"Immunoassay tumor ca 15-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sacituzumab govitecan-hziy_ 2.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9317","description":"Injection_ sacituzumab govitecan-hziy_ 2.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of posterior pelvic ring fracture(s)_ dislocation(s)_ diastasis or subluxation of the ilium_ sacroiliac joint_ and/or sacrum_ with or without anterior pelvic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27198","description":"Closed treatment of posterior pelvic ring fracture(s)_ dislocation(s)_ diastasis or subluxation of the ilium_ sacroiliac joint_ and/or sacrum_ with or without anterior pelvic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinogen activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85384","description":"Fibrinogen activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary arterial angiography_ bilateral (List sep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93573","description":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary arterial angiography_ bilateral (List sep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75962","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Full length surg stocking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4510","description":"Full length surg stocking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0586T","description":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 1 hd 301-450 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0801","description":"Pov group 1 hd 301-450 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec osteogen stim implanted","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0749","description":"Elec osteogen stim implanted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE251","description":"HIPPS-LE251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66740","description":"Destruction ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unplnd hosp readm in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9310","description":"Unplnd hosp readm in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11463","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Intracardiac Shunt (Tis) Creation By Stent Placement For Congenital Cardiac Anomalies To Establish Effective Intracardiac Flow_ Including All Imaging Guidance By","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33745","description":"Transcatheter Intracardiac Shunt (Tis) Creation By Stent Placement For Congenital Cardiac Anomalies To Establish Effective Intracardiac Flow_ Including All Imaging Guidance By","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release wrist/forearm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25295","description":"Release wrist/forearm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGM1","description":"HIPPS-2AGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB51","description":"HIPPS-RLB51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay metl 4/more sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2544","description":"Dental onlay metl 4/more sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e._ remote patient monitoring)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0322","description":"The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e._ remote patient monitoring)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethro cut ejacul duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52402","description":"Cystourethro cut ejacul duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0214T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-76016","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76016","description":"CPT-76016","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ThyGeNEXT® Thyroid Oncogene Panel_ Interpace Diagnostics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0245U","description":"ThyGeNEXT® Thyroid Oncogene Panel_ Interpace Diagnostics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of hematoma/fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10140","description":"Drainage of hematoma/fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC2D","description":"HIPPS-RVC2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of lingual tonsil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42870","description":"Excision of lingual tonsil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40845","description":"Reconstruction of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurorraphy w/vein autograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64911","description":"Neurorraphy w/vein autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gonadotropin hormone panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80426","description":"Gonadotropin hormone panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC15","description":"HIPPS-RMC15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Jaw motion rehab system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1700","description":"Jaw motion rehab system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4379","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4379","description":"HCPCS-Q4379","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise tear duct opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68705","description":"Revise tear duct opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/tr/ext 7.6-12.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12034","description":"Intmd rpr s/tr/ext 7.6-12.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhs/hospice of rn ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0299","description":"Hhs/hospice of rn ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA03","description":"HIPPS-RVA03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB131","description":"HIPPS-BB131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagomyotomy thoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43331","description":"Esophagomyotomy thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of skull tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61564","description":"Excision of skull tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aminophyllin 250 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0280","description":"Aminophyllin 250 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Itraconazole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80189","description":"Itraconazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Statin med pres at disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8816","description":"Statin med pres at disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluoro exam of g/colon tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49465","description":"Fluoro exam of g/colon tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score knee >= 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8647","description":"Fun stat score knee >= 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus vaccine_ mRNA lipid nanoparticles_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90683","description":"Respiratory syncytial virus vaccine_ mRNA lipid nanoparticles_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocation of testis(es)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54680","description":"Relocation of testis(es)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast 1st lesion strtctc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19081","description":"Bx breast 1st lesion strtctc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA60","description":"HIPPS-RHA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc serum pretx incubj/inhib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86977","description":"Rbc serum pretx incubj/inhib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rx ace or arb therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8935","description":"Rx ace or arb therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pan-tumor)_ genetic profiling of 8 DNA-regulatory (epigenetic) markers by quantitative polymerase chain reaction (qPCR)_ whole blood_ reported as a high or low proba","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0332U","description":"Oncology (pan-tumor)_ genetic profiling of 8 DNA-regulatory (epigenetic) markers by quantitative polymerase chain reaction (qPCR)_ whole blood_ reported as a high or low proba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj lumbar plexus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64449","description":"N block inj lumbar plexus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27727","description":"Repair of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainable rubber pch w/o fp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4378","description":"Drainable rubber pch w/o fp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc arm/elbow les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24071","description":"Exc arm/elbow les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of upper nose/throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42806","description":"Biopsy of upper nose/throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00916","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00916","description":"CPT-00916","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove interim implant component","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6198","description":"Remove interim implant component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gauze >16<=48 no w/sal w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6223","description":"Gauze >16<=48 no w/sal w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK1","description":"HIPPS-3BGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Man w/ch acc seat w>=20in<24in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2201","description":"Man w/ch acc seat w>=20in<24in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41899","description":"Dental surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC11A","description":"HIPPS-CC11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70380","description":"X-ray exam of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Counterimmunoelectrophoresis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86185","description":"Counterimmunoelectrophoresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHM2","description":"HIPPS-3AHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD146","description":"HIPPS-LD146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1402","description":"HCPCS-M1402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of esophagus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43100","description":"Excision of esophagus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop follow-up visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99024","description":"Postop follow-up visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC140","description":"HIPPS-PC140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD160","description":"HIPPS-PD160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 hd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0879","description":"Pwc gp4 hd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8H","description":"HIPPS-RVB8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58290","description":"Vag hyst complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ copy number variants_ common variants with reflex to targeted sequence anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0028U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ copy number variants_ common variants with reflex to targeted sequence anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reopen fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58345","description":"Reopen fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54318","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retrieval of oocyte","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58970","description":"Retrieval of oocyte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt ed re ft care inspct rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4305F","description":"Pt ed re ft care inspct rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55714","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55714","description":"CPT-55714","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Secondary urethral surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54344","description":"Secondary urethral surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth head vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21651","description":"Anesth head vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermabrasion segmental face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15781","description":"Dermabrasion segmental face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen class list a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80301","description":"Drug screen class list a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; venovenous collaterals originating below the heart (e","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93588","description":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; venovenous collaterals originating below the heart (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90889","description":"Preparation of report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct colonography dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74261","description":"Ct colonography dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for bone marrow_ smear interpretation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0855T","description":"Digitization of glass microscope slides for bone marrow_ smear interpretation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; each additional single probe stain procedure (List separately in addition to code f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0849T","description":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; each additional single probe stain procedure (List separately in addition to code f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9876","description":"Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alpha-1-antitrypsin total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82103","description":"Alpha-1-antitrypsin total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of rib fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21812","description":"Treatment of rib fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/pericard exc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32661","description":"Thoracoscopy w/pericard exc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estriol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82677","description":"Assay of estriol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous Home Care - A flat per hourly rate before area wage adjustment for intensive home nursing care delivered by personnel when the need for such care exceeds 8 hours","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0603","description":"Continuous Home Care - A flat per hourly rate before area wage adjustment for intensive home nursing care delivered by personnel when the need for such care exceeds 8 hours","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo pla sin up w/wo k/a cus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2034","description":"Kafo pla sin up w/wo k/a cus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast noble metal inlay 2 sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6606","description":"Cast noble metal inlay 2 sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0592","description":"Hospital Special Treatment Room Support Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB112","description":"HIPPS-CB112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE15B","description":"HIPPS-PE15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise & treat bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51020","description":"Incise & treat bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sub pt/ot current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8993","description":"Sub pt/ot current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 1.1-2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11307","description":"Shave skin lesion 1.1-2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Job Coaching 1:2 to 1:4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1734","description":"Employment - Job Coaching 1:2 to 1:4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC02","description":"HIPPS-RVC02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with 3-dimensional high resolution esophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0240T","description":"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with 3-dimensional high resolution esophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9687","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of facial/other nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64868","description":"Fusion of facial/other nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscop mucosal resect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43211","description":"Esophagoscop mucosal resect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroguide for spine inject","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77003","description":"Fluoroguide for spine inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limb exercise test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95875","description":"Limb exercise test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ crotalidae immune F(ab_)2 (equine)_ 120 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0841","description":"Injection_ crotalidae immune F(ab_)2 (equine)_ 120 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isolation- tooth w rubb dam","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3910","description":"Isolation- tooth w rubb dam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58540","description":"Revision of uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fix g/colon tube w/device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49460","description":"Fix g/colon tube w/device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental inlay metallic 2 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2520","description":"Dental inlay metallic 2 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8I","description":"HIPPS-RLB8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection abdominal shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49427","description":"Injection abdominal shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cgh test developmental delay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3870","description":"Cgh test developmental delay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sps knee device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1811","description":"Sps knee device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung cancer)_ four-probe FISH (3q29_ 3p22.1_ 10q22.3_ 10cen) assay_ whole blood_ predictive algorithm-generated evaluation reported as decreased or increased risk fo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0317U","description":"Oncology (lung cancer)_ four-probe FISH (3q29_ 3p22.1_ 10q22.3_ 10cen) assay_ whole blood_ predictive algorithm-generated evaluation reported as decreased or increased risk fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93642","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 2ND DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0002A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 2ND DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of leg vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37780","description":"Revision of leg vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLU","description":"HIPPS-4CHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chronic Care Management Services With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months_ Or Until The Death Of The","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99439","description":"Chronic Care Management Services With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months_ Or Until The Death Of The","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy planning","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77262","description":"Radiation therapy planning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert pulse gen sngl lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33212","description":"Insert pulse gen sngl lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGMX","description":"HIPPS-2BGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CT/MRI brain done w/in 24hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3111F","description":"CT/MRI brain done w/in 24hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Holotranscobalamin_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0103T","description":"Holotranscobalamin_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35021","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB5D","description":"HIPPS-RMB5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Histochemical stains add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88314","description":"Histochemical stains add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of cleft lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10251","description":"Anesth repair of cleft lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00800","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00800","description":"CPT-00800","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLX","description":"HIPPS-3AFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair corporeal tear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54437","description":"Repair corporeal tear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28E","description":"HIPPS-LB28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01160","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01160","description":"CPT-01160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate w/rise psa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9080","description":"Onc dx prostate w/rise psa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL6","description":"HIPPS-1BHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29856","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Translum dil eye canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66174","description":"Translum dil eye canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental bitewings two films","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0272","description":"Dental bitewings two films","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s)_ all","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34708","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s)_ all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA12","description":"HIPPS-RVA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Consultation with family","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90887","description":"Consultation with family","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98986","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98986","description":"CPT-98986","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1501","description":"HCPCS-A1501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10120","description":"Remove foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB21","description":"HIPPS-RMB21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC42","description":"HIPPS-RMC42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC22A","description":"HIPPS-PC22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA20","description":"HIPPS-RMA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transpl allograft pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48554","description":"Transpl allograft pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28I","description":"HIPPS-LD28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15950","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor xi pta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85270","description":"Clot factor xi pta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body pos current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8981","description":"Body pos current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFPX","description":"HIPPS-1CFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive hearing test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92557","description":"Comprehensive hearing test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of wrist prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25251","description":"Removal of wrist prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Color vision examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92283","description":"Color vision examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX30","description":"HIPPS-RHX30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mopath procedure level 9","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81408","description":"Mopath procedure level 9","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Laser Surgical Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0617","description":"Hospital Special Treatment Room Support Component (Hstrsc) Laser Surgical Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM2","description":"HIPPS-1AFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tee w or w/o fol w/cont_cong","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8926","description":"Tee w or w/o fol w/cont_cong","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of facial bone(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21026","description":"Excision of facial bone(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous diskectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62287","description":"Percutaneous diskectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHK3","description":"HIPPS-1BHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply interstit radiat compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77778","description":"Apply interstit radiat compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68100","description":"Biopsy of eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30435","description":"Revision of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most recent assess vol mgmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8955","description":"Most recent assess vol mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc sed rate automated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85652","description":"Rbc sed rate automated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethra defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53275","description":"Repair of urethra defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transtracheal oxygen cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4608","description":"Transtracheal oxygen cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA210","description":"HIPPS-BA210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation with","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7557","description":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA4D","description":"HIPPS-RUA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp preop assess cat surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0014F","description":"Comp preop assess cat surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Txmnts 2 phys/qhp by 1 mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5020F","description":"Txmnts 2 phys/qhp by 1 mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert body dcmprn thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63085","description":"Remove vert body dcmprn thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bio imm resp mod presc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9506","description":"Bio imm resp mod presc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Avalglucosidase Alfa-Ngpt_ 4 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9085","description":"Injection_ Avalglucosidase Alfa-Ngpt_ 4 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of dibucaine number","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82638","description":"Assay of dibucaine number","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA130","description":"HIPPS-CA130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood/lymph nuclear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78199","description":"Blood/lymph nuclear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB11","description":"HIPPS-RLB11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC260","description":"HIPPS-PC260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Homemaker service nos /diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5131","description":"Homemaker service nos /diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-60661","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60661","description":"CPT-60661","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehen metabolic panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80053","description":"Comprehen metabolic panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86551","description":"Anesth removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-P9027","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9027","description":"HCPCS-P9027","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of amikacin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80150","description":"Assay of amikacin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iiv3 vaccine 3 yrs+ im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90658","description":"Iiv3 vaccine 3 yrs+ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Md home visit outside cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0273","description":"Md home visit outside cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputate hand at wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25922","description":"Amputate hand at wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL3D","description":"HIPPS-RHL3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln part mand chr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5741","description":"Denture reln part mand chr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shlder disart int lock elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6300","description":"Shlder disart int lock elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1144","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transparent film > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6259","description":"Transparent film > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penile venous occlusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37790","description":"Penile venous occlusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain neck/chest lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21501","description":"Drain neck/chest lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E3200","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E3200","description":"HCPCS-E3200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cetirizine hydrochloride_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1201","description":"Injection_ cetirizine hydrochloride_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FlowerDerm_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4179","description":"FlowerDerm_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24125","description":"Remove/graft bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of cheek nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64734","description":"Incision of cheek nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84651","description":"Anesth hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy retro balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43213","description":"Esophagoscopy retro balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o fol w/cont_ abd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8902","description":"Mra w/o fol w/cont_ abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ heparin sodium (pfizer)_ not therapeutically equivalent to j1644_ per 1000 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1643","description":"Injection_ heparin sodium (pfizer)_ not therapeutically equivalent to j1644_ per 1000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suture complicate wnd > 5 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7912","description":"Suture complicate wnd > 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFPV","description":"HIPPS-1CFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01844","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01844","description":"CPT-01844","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iiv3 vacc no prsv 6-35 mo im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90655","description":"Iiv3 vacc no prsv 6-35 mo im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin buttck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15835","description":"Excise excessive skin buttck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Larynx surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31599","description":"Larynx surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0604","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0604","description":"HCPCS-A0604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cycler dialysis machine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1594","description":"Cycler dialysis machine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compression stocking bk30-40","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6531","description":"Compression stocking bk30-40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26765","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reuse diaper/brief any size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4539","description":"Reuse diaper/brief any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin b-6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84207","description":"Assay of vitamin b-6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Im admin each addl component","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90461","description":"Im admin each addl component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No pt care icu/vent in 24hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4169F","description":"No pt care icu/vent in 24hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0547U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0547U","description":"CPT-0547U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE104","description":"HIPPS-CE104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biovance tri-layer or biovance 3l_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4283","description":"Biovance tri-layer or biovance 3l_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy vagus nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43652","description":"Laparoscopy vagus nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX1B","description":"HIPPS-RUX1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37292","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37292","description":"CPT-37292","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motion test w/ft press meas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96001","description":"Motion test w/ft press meas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ occlusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2628","description":"Catheter_ occlusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99152","description":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Direct refer hospital observ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0379","description":"Direct refer hospital observ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0105","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0105","description":"CDT-D0105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplt autol hct/donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38241","description":"Transplt autol hct/donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v auto rescreen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88148","description":"Cytopath c/v auto rescreen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA50","description":"HIPPS-RVA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGP2","description":"HIPPS-3CGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA201","description":"HIPPS-BA201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHPT","description":"HIPPS-1CHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vascular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93976","description":"Vascular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disp wound suct_ drsg/access","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9272","description":"Disp wound suct_ drsg/access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy_ with endoscopic cannulation of papilla with direct visualization of pancreatic/common bi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7543","description":"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy_ with endoscopic cannulation of papilla with direct visualization of pancreatic/common bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For Not On A Daily Aspirin Or Other Antiplatelet (E.G. History Of Gastrointestinal Bleed_ Intra-Cranial Bleed_ Blood Disorders_ Idiopathic T","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2128","description":"Documentation Of Medical Reason(S) For Not On A Daily Aspirin Or Other Antiplatelet (E.G. History Of Gastrointestinal Bleed_ Intra-Cranial Bleed_ Blood Disorders_ Idiopathic T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17281","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC240","description":"HIPPS-HC240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetric panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80081","description":"Obstetric panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red cell mass multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78121","description":"Red cell mass multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg pulmon sequest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2403","description":"Fetal surg pulmon sequest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1 (BRCA1_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81165","description":"BRCA1 (BRCA1_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Integra flowable wound matri","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4114","description":"Integra flowable wound matri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29834","description":"Elbow arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical place mini implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6013","description":"Surgical place mini implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver disease_ analysis of 3 biomarkers (hyaluronic acid [ha]_ procollagen iii amino terminal peptide [piiinp]_ tissue inhibitor of metalloproteinase 1 [timp-1])_ using immuno","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0014M","description":"Liver disease_ analysis of 3 biomarkers (hyaluronic acid [ha]_ procollagen iii amino terminal peptide [piiinp]_ tissue inhibitor of metalloproteinase 1 [timp-1])_ using immuno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.25d/4.25-6d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2109","description":"Spherocylinder 4.25d/4.25-6d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corticotropin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0800","description":"Corticotropin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK3","description":"HIPPS-2BGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50976","description":"Ureter endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release palm contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26040","description":"Release palm contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA43","description":"HIPPS-AAA43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analyze neurostim no prog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95970","description":"Analyze neurostim no prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise lower leg tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27691","description":"Revise lower leg tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)_ including sphenoidotomy_ with removal of tissue from the sphenoid sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31259","description":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)_ including sphenoidotomy_ with removal of tissue from the sphenoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA11A","description":"HIPPS-BA11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oseltamivir phosphate 75mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9019","description":"Oseltamivir phosphate 75mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous Platelet Rich Plasma (Prp) For Diabetic Chronic Wounds/Ulcers_ Using An Fda-Cleared Device (Includes Administration_ Dressings_ Phlebotomy_ Centrifug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0465","description":"Autologous Platelet Rich Plasma (Prp) For Diabetic Chronic Wounds/Ulcers_ Using An Fda-Cleared Device (Includes Administration_ Dressings_ Phlebotomy_ Centrifug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visit to determ ldct elig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0296","description":"Visit to determ ldct elig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain ostomy pouch w/flange","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5063","description":"Drain ostomy pouch w/flange","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digital sub 2 or more images","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0394","description":"Digital sub 2 or more images","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB12C","description":"HIPPS-PB12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHN3","description":"HIPPS-3BHN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sympathetic nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64822","description":"Remove sympathetic nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP4","description":"HIPPS-1CFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal application device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7034","description":"Nasal application device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antinuclear antibodies (ana)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86039","description":"Antinuclear antibodies (ana)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD23C","description":"HIPPS-CD23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem groups 2+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46260","description":"Remove in/ex hem groups 2+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent observation care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99226","description":"Subsequent observation care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56640","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast 1st lesion us imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19083","description":"Bx breast 1st lesion us imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid frame hyperex pre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0472","description":"Tlso rigid frame hyperex pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress spine cord add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63057","description":"Decompress spine cord add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK5","description":"HIPPS-4BGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc renal art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0234T","description":"Trluml perip athrc renal art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP5","description":"HIPPS-1BHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0663U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0663U","description":"CPT-0663U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolysins screen i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85390","description":"Fibrinolysins screen i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Using Dual X-Ray Absorptiometry (Dxa) Or Other Imaging Data On Gray-Scale Variogram_ Calculati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77089","description":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Using Dual X-Ray Absorptiometry (Dxa) Or Other Imaging Data On Gray-Scale Variogram_ Calculati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement (including removal of existing device)_ osseointegrated implant_ skull; with magnetic transcutaneous attachment to external speech processor_ outside the mastoid a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69730","description":"Replacement (including removal of existing device)_ osseointegrated implant_ skull; with magnetic transcutaneous attachment to external speech processor_ outside the mastoid a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mast radical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19305","description":"Mast radical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elevated or hypertensive blood pressure reading documented_ indicated follow-up not documented_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1279","description":"Elevated or hypertensive blood pressure reading documented_ indicated follow-up not documented_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC112","description":"HIPPS-HC112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFKW","description":"HIPPS-4AFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hallus-valgus nt dyn pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3100","description":"Hallus-valgus nt dyn pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA52","description":"HIPPS-RUA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment aid(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77334","description":"Radiation treatment aid(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise hip/thigh nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64763","description":"Incise hip/thigh nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryocautery of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57511","description":"Cryocautery of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy for foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44390","description":"Colonoscopy for foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD13C","description":"HIPPS-LD13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50360","description":"Transplantation of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB234","description":"HIPPS-LB234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fast/dir ldl = 190 mg/dl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9663","description":"Fast/dir ldl = 190 mg/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rubeola antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86765","description":"Rubeola antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX33","description":"HIPPS-RLX33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0029","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trim skin lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11055","description":"Trim skin lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid exam both ears","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92591","description":"Hearing aid exam both ears","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinogen test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85370","description":"Fibrinogen test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot arch supp longitud/meta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3060","description":"Foot arch supp longitud/meta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC21","description":"HIPPS-RMC21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC26","description":"HIPPS-RMC26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1066T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1066T","description":"CPT-1066T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal monitor w/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59050","description":"Fetal monitor w/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remis 6m w/6mos phq-9 <5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9573","description":"Remis 6m w/6mos phq-9 <5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD20B","description":"HIPPS-PD20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting_ isolation and preparation of harvested cells_ i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0717T","description":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting_ isolation and preparation of harvested cells_ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"F9 (coagulation factor IX) (eg_ hemophilia B)_ full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81238","description":"F9 (coagulation factor IX) (eg_ hemophilia B)_ full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj cutting of a muscle","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7856","description":"Tmj cutting of a muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNS","description":"HIPPS-1BFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of knee cartilage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27333","description":"Removal of knee cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abscess imaging ltd area","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78805","description":"Abscess imaging ltd area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFMX","description":"HIPPS-4CFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4426","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4426","description":"HCPCS-Q4426","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8X","description":"HIPPS-RHC8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem mntr pulm flu mntr setup","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0607T","description":"Rem mntr pulm flu mntr setup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES231","description":"HIPPS-ES231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21465","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Copd symptoms assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1015F","description":"Copd symptoms assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fosphenytoin inj pe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2009","description":"Fosphenytoin inj pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL2","description":"HIPPS-1BGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ C1 esterase inhibitor (human)_ Haegarda_ 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9015","description":"Injection_ C1 esterase inhibitor (human)_ Haegarda_ 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elastic garment/covering","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4466","description":"Elastic garment/covering","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M.tuberculo dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87557","description":"M.tuberculo dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary plastic pouch w/o fp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4381","description":"Urinary plastic pouch w/o fp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repeat drainage of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33011","description":"Repeat drainage of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; initial single probe stain p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0851T","description":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; initial single probe stain p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulpal regeneration interim","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3356","description":"Pulpal regeneration interim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal leg bone(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27360","description":"Partial removal leg bone(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19350","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD15C","description":"HIPPS-LD15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj celiac pelus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64530","description":"N block inj celiac pelus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow inter loc elbow forarm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6250","description":"Elbow inter loc elbow forarm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87594","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87594","description":"CPT-87594","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61892","description":"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18I","description":"HIPPS-PC18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove nasal foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30310","description":"Remove nasal foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN6","description":"HIPPS-1CHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ low density flat foam sheet_ per 250 square centimeters_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6604","description":"Gradient compression bandaging supply_ low density flat foam sheet_ per 250 square centimeters_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens fitting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92312","description":"Contact lens fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech therapy_ re-eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9152","description":"Speech therapy_ re-eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of troponin quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84484","description":"Assay of troponin quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr wc drivewheel gear repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2369","description":"Pwr wc drivewheel gear repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Detect agent nos dna amp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87798","description":"Detect agent nos dna amp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl leath cuff kafo-afo cal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4110","description":"Repl leath cuff kafo-afo cal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tumor imaging (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78803","description":"Tumor imaging (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray urinary tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74425","description":"Contrst x-ray urinary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home Adaptations (<$6_000)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0140","description":"Home Adaptations (<$6_000)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal endoscopy_ surgical_ ethmoid sinus_ placement of drug eluting implant; with biopsy_ polypectomy or debridement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0407T","description":"Nasal endoscopy_ surgical_ ethmoid sinus_ placement of drug eluting implant; with biopsy_ polypectomy or debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular reconst transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65780","description":"Ocular reconst transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled air analysis o2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94680","description":"Exhaled air analysis o2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB240","description":"HIPPS-LB240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med abortion inc all ex drug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0199","description":"Med abortion inc all ex drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB140","description":"HIPPS-CB140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00600","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00600","description":"CPT-00600","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX54","description":"HIPPS-RLX54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove by ligat int hem grp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46945","description":"Remove by ligat int hem grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died from cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9859","description":"Patients who died from cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC23D","description":"HIPPS-PC23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE25D","description":"HIPPS-CE25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove part lumbar vertebra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22102","description":"Remove part lumbar vertebra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vacuum drain bottle/tube kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7048","description":"Vacuum drain bottle/tube kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt recvd aspirin w/in 24 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4563F","description":"Pt recvd aspirin w/in 24 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cranial Electrotherapy Stimulation (Ces) System_ Includes All Supplies And Accessories_ Any Type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1002","description":"Cranial Electrotherapy Stimulation (Ces) System_ Includes All Supplies And Accessories_ Any Type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phone e/m phys/qhp 21-30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99443","description":"Phone e/m phys/qhp 21-30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ labetalol hydrochloride_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1920","description":"Injection_ labetalol hydrochloride_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brca2 gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81216","description":"Brca2 gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies)_ including lesion detection_ characterization_ an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0866T","description":"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies)_ including lesion detection_ characterization_ an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traction frame attach pelvic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0890","description":"Traction frame attach pelvic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy planning","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77263","description":"Radiation therapy planning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5909","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5909","description":"CDT-D5909","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand held low vision aids","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2600","description":"Hand held low vision aids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sprvsd xrcz back pn >12 wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4242F","description":"Sprvsd xrcz back pn >12 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMX","description":"HIPPS-2AHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB36","description":"HIPPS-RHB36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection into hemorrhoid(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46500","description":"Injection into hemorrhoid(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain shoulder bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23031","description":"Drain shoulder bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLU","description":"HIPPS-1BGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/ax/gen/trnk2.6-7.5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12002","description":"Rpr s/n/ax/gen/trnk2.6-7.5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressants class 1 or 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80332","description":"Antidepressants class 1 or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removable unilateral partial denture - one piece cast metal_ maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5282","description":"Removable unilateral partial denture - one piece cast metal_ maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Professional services for the administration of chemotherapy for each infusion drug administration calendar day in the individu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0070","description":"Professional services for the administration of chemotherapy for each infusion drug administration calendar day in the individu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE13A","description":"HIPPS-CE13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethra injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53502","description":"Repair of urethra injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB126","description":"HIPPS-CB126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB101","description":"HIPPS-BB101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of reason(s) sentinel lymph node biopsy not performed (e.g._ reasons could include but not limited to; non-invasive cancer_ incidental discovery of breast cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8880","description":"Documentation of reason(s) sentinel lymph node biopsy not performed (e.g._ reasons could include but not limited to; non-invasive cancer_ incidental discovery of breast cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary rubber pouch w/o fp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4383","description":"Urinary rubber pouch w/o fp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tongue jaw & neck surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41155","description":"Tongue jaw & neck surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKS","description":"HIPPS-4CFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16070","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16070","description":"CPT-16070","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.25d/over 6d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2110","description":"Spherocylinder 4.25d/over 6d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect heart sac lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33050","description":"Resect heart sac lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise spermatic cord veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55535","description":"Revise spermatic cord veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC212","description":"HIPPS-HC212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69644","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev breast 1st strtctc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19283","description":"Perq dev breast 1st strtctc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation_ upper extremity_ single access of both the peripheral artery and peripheral vein_ including fistula maturation procedures (eg_ tra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36836","description":"Percutaneous arteriovenous fistula creation_ upper extremity_ single access of both the peripheral artery and peripheral vein_ including fistula maturation procedures (eg_ tra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bed pan fracture","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0276","description":"Bed pan fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA23C","description":"HIPPS-CA23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qty act card prev mg perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9677","description":"Qty act card prev mg perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB101","description":"HIPPS-LB101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft axill/fem/fem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35533","description":"Art byp grft axill/fem/fem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic Interventions That Focus On Cognitive Function (Eg_ Attention_ Memory_ Reasoning_ Executive Function_ Problem Solving_ And/Or Pragmatic Functioning) And Compensato","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97129","description":"Therapeutic Interventions That Focus On Cognitive Function (Eg_ Attention_ Memory_ Reasoning_ Executive Function_ Problem Solving_ And/Or Pragmatic Functioning) And Compensato","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for reconstructive procedures of eyelid (eg_ blepharoplasty_ pto","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0114U","description":"Anesthesia for reconstructive procedures of eyelid (eg_ blepharoplasty_ pto","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermabind sl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4284","description":"Dermabind sl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic control band & belt b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2640","description":"Pelvic control band & belt b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay tumor qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86294","description":"Immunoassay tumor qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap radical hyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58548","description":"Lap radical hyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic platelet function disorder)_ genomic sequence analysis of 31 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Platelet Function Disorder Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0277U","description":"Hematology (genetic platelet function disorder)_ genomic sequence analysis of 31 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Platelet Function Disorder Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behavior counsel obesity 15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0447","description":"Behavior counsel obesity 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of tricuspid valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33460","description":"Revision of tricuspid valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prostatic rf thermotx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53852","description":"Prostatic rf thermotx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA256","description":"HIPPS-BA256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of existing tract_ percutaneous_ for an endourologic procedure including imaging guidance (eg_ ultrasound and/or fluoroscopy) and all associated radiological supervis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50436","description":"Dilation of existing tract_ percutaneous_ for an endourologic procedure including imaging guidance (eg_ ultrasound and/or fluoroscopy) and all associated radiological supervis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN6","description":"HIPPS-3CFN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung cx bx rpt no doc class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9421","description":"Lung cx bx rpt no doc class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ abdominal aorta_ real time with image documentation_ screening study for abdominal aortic aneurysm (AAA)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76706","description":"Ultrasound_ abdominal aorta_ real time with image documentation_ screening study for abdominal aortic aneurysm (AAA)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of vein clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34401","description":"Removal of vein clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate heart dysrhythm focus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33261","description":"Ablate heart dysrhythm focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker wheel attachment_pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0155","description":"Walker wheel attachment_pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE124","description":"HIPPS-PE124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB14B","description":"HIPPS-CB14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tretinoin topical 5 g","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0117","description":"Tretinoin topical 5 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone replce graft each add","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4264","description":"Bone replce graft each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL4","description":"HIPPS-1BGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 7.6-12.5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12054","description":"Intmd rpr face/mm 7.6-12.5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions)_ DNA_ 22 drug metabolism and transporter genes_ real-time PCR_ blood or buccal swab_ genotype and metabolizer status for therapeutic d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0015U","description":"Drug metabolism (adverse drug reactions)_ DNA_ 22 drug metabolism and transporter genes_ real-time PCR_ blood or buccal swab_ genotype and metabolizer status for therapeutic d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PERIURETHRAL TRANSPERINEAL ADJUSTABLE BALLOON CONTINENCE DEVICE; UNILATERAL INSERTION_ INCLUDING CYSTOURETHROSCOPY AND IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53452","description":"PERIURETHRAL TRANSPERINEAL ADJUSTABLE BALLOON CONTINENCE DEVICE; UNILATERAL INSERTION_ INCLUDING CYSTOURETHROSCOPY AND IMAGING GUIDANCE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ infliximab-dyyb (Zymfentra)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1748","description":"Injection_ infliximab-dyyb (Zymfentra)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGMT","description":"HIPPS-4AGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Root surgery ea add root","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3426","description":"Root surgery ea add root","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist tendon lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25110","description":"Remove wrist tendon lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chd risk imt study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0126T","description":"Chd risk imt study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct uppr extremity w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73202","description":"Ct uppr extremity w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Talk pt/crgvr re areds prev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4177F","description":"Talk pt/crgvr re areds prev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ketogenic steroids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83582","description":"Assay of ketogenic steroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc abd aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0236T","description":"Trluml perip athrc abd aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove impacted ear wax uni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69210","description":"Remove impacted ear wax uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy lower leg soft tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27614","description":"Biopsy lower leg soft tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01272","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01272","description":"CPT-01272","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES116","description":"HIPPS-ES116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I131 iodobenguate_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9508","description":"I131 iodobenguate_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65410","description":"Biopsy of cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM6","description":"HIPPS-2CGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin stability screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83068","description":"Hemoglobin stability screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein five","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33514","description":"Cabg vein five","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rec cortico>60d or 1rx 600mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9469","description":"Rec cortico>60d or 1rx 600mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-27458","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27458","description":"CPT-27458","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microcapillary tube sealant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4652","description":"Microcapillary tube sealant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise foot tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28088","description":"Excise foot tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home injectable therapy_ immunotherapy_ including administrative services_ professional pharmacy services_ care coordination_ and all necessary supplies and equipment (drugs a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9563","description":"Home injectable therapy_ immunotherapy_ including administrative services_ professional pharmacy services_ care coordination_ and all necessary supplies and equipment (drugs a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/sm tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34800","description":"Endovas aaa repr w/sm tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meckels divert exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78290","description":"Meckels divert exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNT","description":"HIPPS-1BHNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab-qyyp_ biosimilar_ (trazimera)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5116","description":"Injection_ trastuzumab-qyyp_ biosimilar_ (trazimera)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of on-body injector (includes cannula insertion) for timed subcutaneous injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96377","description":"Application of on-body injector (includes cannula insertion) for timed subcutaneous injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Actin (Smooth Muscle) Antibody (Asma)_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86015","description":"Actin (Smooth Muscle) Antibody (Asma)_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xenon xe-129 hyperpolarized gas_ diagnostic_ per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9150","description":"Xenon xe-129 hyperpolarized gas_ diagnostic_ per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trastuzumab not administered within 12 months of diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9837","description":"Trastuzumab not administered within 12 months of diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablative laser treatment_ non-contact_ full field and fractional ablation_ open wound_ per day_ total treatment surface area; each additional 20 sq cm_ or part thereof (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0492T","description":"Ablative laser treatment_ non-contact_ full field and fractional ablation_ open wound_ per day_ total treatment surface area; each additional 20 sq cm_ or part thereof (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE22B","description":"HIPPS-CE22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX25","description":"HIPPS-RMX25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pne scrn done doc not ind","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9281","description":"Pne scrn done doc not ind","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replc tth&acrlc mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5671","description":"Replc tth&acrlc mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1097T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1097T","description":"CPT-1097T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lubricant per ounce","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4402","description":"Lubricant per ounce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmprs burngarment foot-thigh","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6508","description":"Cmprs burngarment foot-thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA53","description":"HIPPS-RUA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Woundfix_ BioWound_ Woundfix Plus_ BioWound Plus_ Woundfix Xplus or BioWound Xplus_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4217","description":"Woundfix_ BioWound_ Woundfix Plus_ BioWound Plus_ Woundfix Xplus or BioWound Xplus_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Csf shunt reprogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62252","description":"Csf shunt reprogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC15A","description":"HIPPS-HC15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE135","description":"HIPPS-PE135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collection of microorganisms","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0415","description":"Collection of microorganisms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE24C","description":"HIPPS-PE24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL5","description":"HIPPS-3CFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suicide risk based on their clinician_s evaluation or a clinician-rated tool","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1361","description":"Suicide risk based on their clinician_s evaluation or a clinician-rated tool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx laryngoscopy excl nb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31525","description":"Dx laryngoscopy excl nb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin graft f/n/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15155","description":"Cult skin graft f/n/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Community Transition Svcs (House Hold Suppl)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7332","description":"Community Transition Svcs (House Hold Suppl)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only_ multiple density insert_ made by direct carving with CAM technology from a rectified CAD model created from","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5514","description":"For diabetics only_ multiple density insert_ made by direct carving with CAM technology from a rectified CAD model created from","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing device_ monaural_ in the canal (ITC)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5172","description":"Hearing aid_ contralateral routing device_ monaural_ in the canal (ITC)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periodontal scaling 1-3teeth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4342","description":"Periodontal scaling 1-3teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without fusion_ including image guidance when performed_ with open decompression_ lumbar; sing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22867","description":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without fusion_ including image guidance when performed_ with open decompression_ lumbar; sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable collection and storage bag for breast milk_ any size_ any type_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4287","description":"Disposable collection and storage bag for breast milk_ any size_ any type_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00172","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00172","description":"CPT-00172","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trnscrv uterin fibroid abltj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0404T","description":"Trnscrv uterin fibroid abltj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0171A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHKW","description":"HIPPS-3AHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove nasal foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30300","description":"Remove nasal foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pouch absorbent material","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4422","description":"Ost pouch absorbent material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak/knee disartic silesian ba","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5698","description":"Ak/knee disartic silesian ba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28E","description":"HIPPS-PE28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of nucleotidase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83915","description":"Assay of nucleotidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0572U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0572U","description":"CPT-0572U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44366","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of total thyroxine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84436","description":"Assay of total thyroxine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tubing with heating element","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4604","description":"Tubing with heating element","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatology (nonalcoholic fatty liver disease [NAFLD])_ semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0344U","description":"Hepatology (nonalcoholic fatty liver disease [NAFLD])_ semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK6","description":"HIPPS-5CGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins/rep subq defibrillator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33270","description":"Ins/rep subq defibrillator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB01","description":"HIPPS-RVB01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL12","description":"HIPPS-RVL12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC17","description":"HIPPS-RVC17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neutron beam tx simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77422","description":"Neutron beam tx simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spine disk surgery thorax","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63077","description":"Spine disk surgery thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pectin based ostomy paste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4406","description":"Pectin based ostomy paste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reposition vad diff session","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33993","description":"Reposition vad diff session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGNT","description":"HIPPS-3AGNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0213T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement impl pump cathet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0785","description":"Replacement impl pump cathet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal Aneuploidy Short Tandem-Repeat Comparative Analysis_ Fetal Dna From Products Of Conception_ Reported As Normal (Euploidy)_ Monosomy_ Trisomy_ Or Partial Deletion/Duplica","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0252U","description":"Fetal Aneuploidy Short Tandem-Repeat Comparative Analysis_ Fetal Dna From Products Of Conception_ Reported As Normal (Euploidy)_ Monosomy_ Trisomy_ Or Partial Deletion/Duplica","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M.tuberculo dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87556","description":"M.tuberculo dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"vaccine administration-human papillomavirus - Dose 2","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1782","description":"vaccine administration-human papillomavirus - Dose 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic & hip control thigh c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1680","description":"Pelvic & hip control thigh c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow socket ins use w/lock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6694","description":"Elbow socket ins use w/lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hard protect helmet custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A8003","description":"Hard protect helmet custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGM3","description":"HIPPS-4AGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18E","description":"HIPPS-HB18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fungus isolation culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87102","description":"Fungus isolation culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Department of Veterans Affairs Whole Health Partner Services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9004","description":"Department of Veterans Affairs Whole Health Partner Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX41","description":"HIPPS-RUX41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr angiography neck w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70547","description":"Mr angiography neck w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test cran nerv unilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95867","description":"Muscle test cran nerv unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lamina/facets lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63012","description":"Remove lamina/facets lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meals for clinical trial par","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9996","description":"Meals for clinical trial par","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear rx intra-articular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79440","description":"Nuclear rx intra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1701","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1701","description":"CDT-D1701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary colon ca dsordrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81435","description":"Hereditary colon ca dsordrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB235","description":"HIPPS-LB235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE10B","description":"HIPPS-LE10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Architect ecm px fx 1 sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4147","description":"Architect ecm px fx 1 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flex thermoplastic collar mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0130","description":"Flex thermoplastic collar mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain lining lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61512","description":"Remove brain lining lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add tooth to partial denture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5650","description":"Add tooth to partial denture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Promethazine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2550","description":"Promethazine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01610","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01610","description":"CPT-01610","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC15C","description":"HIPPS-CC15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg_ drug metabolism)_ gene analysis_ common variants (eg_ *2_ *3_ *4_ *5_ *6_ *7)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81231","description":"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg_ drug metabolism)_ gene analysis_ common variants (eg_ *2_ *3_ *4_ *5_ *6_ *7)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Merkel cell carcinoma)_ detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1)_ serum_ reported as positive or negative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0059U","description":"Oncology (Merkel cell carcinoma)_ detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1)_ serum_ reported as positive or negative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indirect immunofluorescence","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0483","description":"Indirect immunofluorescence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98985","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98985","description":"CPT-98985","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays bone survey complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77075","description":"X-rays bone survey complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject spine w/cath crv/thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62318","description":"Inject spine w/cath crv/thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27087","description":"Remove hip foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88261","description":"Chromosome analysis 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sotalol hydrochloride_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9482","description":"Injection_ sotalol hydrochloride_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise spinal cord vsls crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63250","description":"Revise spinal cord vsls crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD134","description":"HIPPS-CD134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair lower leg tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27676","description":"Repair lower leg tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mrs disc pain acquisj data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0609T","description":"Mrs disc pain acquisj data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty; for laryngeal stenosis_ with graft_ with indwelling stent placement_ younger than 12 years of age","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31553","description":"Laryngoplasty; for laryngeal stenosis_ with graft_ with indwelling stent placement_ younger than 12 years of age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC13D","description":"HIPPS-HC13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thorac cont lat support upri","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2680","description":"Thorac cont lat support upri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mst rcnt hbb < 10g/dl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8973","description":"Mst rcnt hbb < 10g/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental bitewing single film","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0270","description":"Dental bitewing single film","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC12","description":"HIPPS-RHC12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML5B","description":"HIPPS-RML5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8B","description":"HIPPS-RUL8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of neck vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37565","description":"Ligation of neck vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58943","description":"Removal of ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immediate mandibular partial denture - flexible base (including any clasps_ rests and teeth)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5228","description":"Immediate mandibular partial denture - flexible base (including any clasps_ rests and teeth)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient is dysarthric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3762F","description":"Patient is dysarthric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53460","description":"Revision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87183","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87183","description":"CPT-87183","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inflammatory bowel dis mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8899","description":"Inflammatory bowel dis mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical Quantification Measurement(S) Single Area (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78835","description":"Radiopharmaceutical Quantification Measurement(S) Single Area (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl nstim apnea stimj ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0430T","description":"Rmvl nstim apnea stimj ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic servi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0771T","description":"Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic servi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary service/procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94799","description":"Pulmonary service/procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0879T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE15D","description":"HIPPS-LE15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4288","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4288","description":"HCPCS-A4288","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation handling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77790","description":"Radiation handling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGM4","description":"HIPPS-2AGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC255","description":"HIPPS-CC255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNV","description":"HIPPS-3CFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid plastic custom fa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0480","description":"Tlso rigid plastic custom fa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bekesy audiometry diagnosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92561","description":"Bekesy audiometry diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow child myoelectronic ct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7191","description":"Elbow child myoelectronic ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam filled caster tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2387","description":"Foam filled caster tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterovirus antibody dfa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87267","description":"Enterovirus antibody dfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0903T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0903T","description":"CPT-0903T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay growth hormone (hgh)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83003","description":"Assay growth hormone (hgh)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPT","description":"HIPPS-1AFPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of jaw muscle/bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21296","description":"Revision of jaw muscle/bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB215","description":"HIPPS-HB215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 hd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0858","description":"Pwc gp3 hd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tympanostomy (Requiring Insertion Of Ventilating Tube)_ Using An Automated Tube Delivery System_ Iontophoresis Local Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0583T","description":"Tympanostomy (Requiring Insertion Of Ventilating Tube)_ Using An Automated Tube Delivery System_ Iontophoresis Local Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vertebral body tethering_ anterior; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0657T","description":"Vertebral body tethering_ anterior; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O shoe add felt w leath insl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3520","description":"O shoe add felt w leath insl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76498","description":"MRI procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL3","description":"HIPPS-2CFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA07","description":"HIPPS-RVA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Progressive lens per lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2781","description":"Progressive lens per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam drg > 48 sq in w/o brdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6211","description":"Foam drg > 48 sq in w/o brdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cetuximab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9055","description":"Cetuximab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE230","description":"HIPPS-LE230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Restorigin_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4191","description":"Restorigin_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1704","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1704","description":"CDT-D1704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress spinal cord thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63055","description":"Decompress spinal cord thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy_ flexible_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter fo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0886T","description":"Sigmoidoscopy_ flexible_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGKX","description":"HIPPS-4CGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8H","description":"HIPPS-RHX8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cogenex Flowable Amnion_ per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4230","description":"Cogenex Flowable Amnion_ per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair humerus with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24435","description":"Repair humerus with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone/skin graft metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20972","description":"Bone/skin graft metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 2.1-3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11603","description":"Exc tr-ext mal+marg 2.1-3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cog&behav imprmnt scrng done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3755F","description":"Cog&behav imprmnt scrng done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Androgen deprivation therapy prescribed/administered in combination with external beam radiotherapy to the prostate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9894","description":"Androgen deprivation therapy prescribed/administered in combination with external beam radiotherapy to the prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75756","description":"Artery x-rays chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"First Medicare Diabetes Prevention Program (MDPP) core session was attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP service tha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9873","description":"First Medicare Diabetes Prevention Program (MDPP) core session was attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP service tha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGKU","description":"HIPPS-5AGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ibuprofen injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1741","description":"Ibuprofen injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g._ pregnancy_ history of angioedema to ace-i_ oth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1201","description":"Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g._ pregnancy_ history of angioedema to ace-i_ oth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental suture wound to 5 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7911","description":"Dental suture wound to 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supplies and accessories (e.g._ transducer) for low frequency ultrasonic diathermy treatment device_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1036","description":"Supplies and accessories (e.g._ transducer) for low frequency ultrasonic diathermy treatment device_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urethrlys transvag w/ scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53500","description":"Urethrlys transvag w/ scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer with compression","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0570","description":"Nebulizer with compression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4440","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4440","description":"HCPCS-Q4440","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc hip/pelvis les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27047","description":"Exc hip/pelvis les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor function mapping ntms","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0310T","description":"Motor function mapping ntms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6032","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6032","description":"HCPCS-L6032","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole lauroxil_ 1 mg (Aristada)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9470","description":"Injection_ aripiprazole lauroxil_ 1 mg (Aristada)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69955","description":"Release facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01939","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01939","description":"CPT-01939","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allergen specific IgE; quantitative or semiquantitative_ recombinant or purified component_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86008","description":"Allergen specific IgE; quantitative or semiquantitative_ recombinant or purified component_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (Cutaquig)_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1551","description":"Injection_ immune globulin (Cutaquig)_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50010","description":"Exploration of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla i & ii typing hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81378","description":"Hla i & ii typing hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydroxyzine pamoate 25mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0177","description":"Hydroxyzine pamoate 25mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ artesunate_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0391","description":"Injection_ artesunate_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina wall partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57106","description":"Remove vagina wall partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair windpipe opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31614","description":"Repair windpipe opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath abd/l-ext art 2nd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36246","description":"Ins cath abd/l-ext art 2nd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth sitting procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60451","description":"Anesth sitting procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA22B","description":"HIPPS-BA22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52276","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath tbs c/v redo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88165","description":"Cytopath tbs c/v redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder prosthesis removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23334","description":"Shoulder prosthesis removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shunt accessory","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4740","description":"Shunt accessory","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL24","description":"HIPPS-RVL24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFL1","description":"HIPPS-3BFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reopen fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58350","description":"Reopen fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cabazitaxel (Sandoz)_ not therapeutically equivalent to J9043_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9064","description":"Injection_ cabazitaxel (Sandoz)_ not therapeutically equivalent to J9043_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelet antibodies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86022","description":"Platelet antibodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01622","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01622","description":"CPT-01622","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Professional services for the administration of subcutaneous immunotherapy for each infusion drug administration calendar day i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0069","description":"Professional services for the administration of subcutaneous immunotherapy for each infusion drug administration calendar day i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE236","description":"HIPPS-HE236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38B","description":"HIPPS-ES38B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGMV","description":"HIPPS-3BGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug/substance nos 1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80375","description":"Drug/substance nos 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE112","description":"HIPPS-PE112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35311","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens trifocal seg width > 28","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2319","description":"Lens trifocal seg width > 28","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Encephaltis st louis antbody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86653","description":"Encephaltis st louis antbody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise lip or cheek fold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40819","description":"Excise lip or cheek fold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lower Esophageal Myotomy_ Transoral (Ie_ Peroral Endoscopic Myotomy [Poem])","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43497","description":"Lower Esophageal Myotomy_ Transoral (Ie_ Peroral Endoscopic Myotomy [Poem])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip flexible cover system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5966","description":"Hip flexible cover system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of spinal muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27105","description":"Transfer of spinal muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHK4","description":"HIPPS-1BHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9062","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9062","description":"HCPCS-J9062","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lo flex l1-below l5 pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0625","description":"Lo flex l1-below l5 pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin for insulin pump use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1817","description":"Insulin for insulin pump use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet image w/ct skull-thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78815","description":"Pet image w/ct skull-thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0502T","description":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hm postpar hyper per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9212","description":"Hm postpar hyper per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delay flap arms/legs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15610","description":"Delay flap arms/legs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35306","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ thigh length_ 30-40 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6557","description":"Gradient compression stocking_ thigh length_ 30-40 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA14B","description":"HIPPS-PA14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Idet single level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22526","description":"Idet single level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anticoagulant mgmt subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99364","description":"Anticoagulant mgmt subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At One Year (9 To 15 Months) Postoperatively Was Greater Than 22 And Functional Status Measured","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2143","description":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At One Year (9 To 15 Months) Postoperatively Was Greater Than 22 And Functional Status Measured","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo sing bar clasp attach sh","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1910","description":"Afo sing bar clasp attach sh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of anal septum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46070","description":"Incision of anal septum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Growth hormone panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80430","description":"Growth hormone panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arch suprt att to sho longit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3070","description":"Arch suprt att to sho longit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputate leg at thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27590","description":"Amputate leg at thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA41","description":"HIPPS-RVA41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm_ genomic sequence analysis panel_ interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis_ copy number variants_ microsatellite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81459","description":"Solid organ neoplasm_ genomic sequence analysis panel_ interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis_ copy number variants_ microsatellite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise knuckle with implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26531","description":"Revise knuckle with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine pch w ex wear bar conv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4393","description":"Urine pch w ex wear bar conv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary pan cancer (eg_ hereditary breast and ovarian cancer_ hereditary endometrial cancer_ hereditary colorectal cancer)_ genomic sequence analysis panel utilizing a comb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0104U","description":"Hereditary pan cancer (eg_ hereditary breast and ovarian cancer_ hereditary endometrial cancer_ hereditary colorectal cancer)_ genomic sequence analysis panel utilizing a comb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9341","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9341","description":"HCPCS-J9341","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hexagnal phosph pltlt neutrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85598","description":"Hexagnal phosph pltlt neutrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lidocaine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80176","description":"Assay of lidocaine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brca2 gene known fam variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81217","description":"Brca2 gene known fam variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair tongue laceration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41250","description":"Repair tongue laceration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physical medicine procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97139","description":"Physical medicine procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis_ first evalua","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0835T","description":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis_ first evalua","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5146","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5146","description":"HCPCS-Q5146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX14","description":"HIPPS-RUX14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0946T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0946T","description":"CPT-0946T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vacc 2 dose adult im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90739","description":"Hepb vacc 2 dose adult im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA0C","description":"HIPPS-RUA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0643U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0643U","description":"CPT-0643U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam si joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72200","description":"X-ray exam si joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc thigh/knee tum dep 5cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27339","description":"Exc thigh/knee tum dep 5cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGKW","description":"HIPPS-1AGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exercise equipment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9300","description":"Exercise equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of sirolimus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80195","description":"Assay of sirolimus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc antibio not given","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4042F","description":"Doc antibio not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chore services per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5121","description":"Chore services per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX0B","description":"HIPPS-RVX0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64742","description":"Incision of facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Morphine 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0093","description":"Morphine 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home health care supervision","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0181","description":"Home health care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB256","description":"HIPPS-PB256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cancelled appointment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9987","description":"Cancelled appointment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-adher band w <3in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6453","description":"Self-adher band w <3in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.25-7/4.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2209","description":"Lens sphcy bifocal 4.25-7/4.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC41","description":"HIPPS-RHC41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD144","description":"HIPPS-PD144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration behind abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49010","description":"Exploration behind abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exercise test for bronchospasm_ including pre- and post-spirometry_ electrocardiographic recording(s)_ and pulse oximetry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94617","description":"Exercise test for bronchospasm_ including pre- and post-spirometry_ electrocardiographic recording(s)_ and pulse oximetry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor_ including system ac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0448T","description":"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor_ including system ac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX06","description":"HIPPS-RUX06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay resin 4/mre sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2664","description":"Dental onlay resin 4/mre sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; complete system (electrode and implantable monitor)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0530T","description":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; complete system (electrode and implantable monitor)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg cong cyst malf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2402","description":"Fetal surg cong cyst malf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGM1","description":"HIPPS-4AGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tiss exam molecular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88387","description":"Tiss exam molecular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Buprenorphine (Implant Insertion And Removal); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual An","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2072","description":"Medication Assisted Treatment_ Buprenorphine (Implant Insertion And Removal); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual An","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc_ frz/deg/wsh_ l/r_ irrad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9057","description":"Rbc_ frz/deg/wsh_ l/r_ irrad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Administration of caregiver-focused health risk assessment instrument (eg_ depression inventory) for the benefit of the patient_ with scoring and documentation_ per standardiz","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96161","description":"Administration of caregiver-focused health risk assessment instrument (eg_ depression inventory) for the benefit of the patient_ with scoring and documentation_ per standardiz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s)_ with insertion of pacing electrode_ cardiac venous system_ for lef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7539","description":"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s)_ with insertion of pacing electrode_ cardiac venous system_ for lef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert xdrl body crvcl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63300","description":"Remove vert xdrl body crvcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelets_ irradiated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9032","description":"Platelets_ irradiated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69540","description":"Remove ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28D","description":"HIPPS-HD28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrical bone stimulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20975","description":"Electrical bone stimulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL44","description":"HIPPS-RHL44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of nose lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30020","description":"Drainage of nose lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uvl sys panel 6 ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0693","description":"Uvl sys panel 6 ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery chrgr six volt otto","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7362","description":"Battery chrgr six volt otto","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve w/byp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33368","description":"Replace aortic valve w/byp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0948T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0948T","description":"CPT-0948T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pm device progr eval multi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93281","description":"Pm device progr eval multi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC11","description":"HIPPS-RVC11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL3A","description":"HIPPS-RVL3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan care lipid control docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0556F","description":"Plan care lipid control docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1101","description":"HCPCS-B1101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert 1 electrode pm-defib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33216","description":"Insert 1 electrode pm-defib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagus surgery for veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43401","description":"Esophagus surgery for veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect foot/toe tumor 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28047","description":"Resect foot/toe tumor 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol ipratrop non-comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7620","description":"Albuterol ipratrop non-comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prefab steel crown primary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2934","description":"Prefab steel crown primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1454","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1454","description":"HCPCS-M1454","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1004","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1004","description":"HCPCS-B1004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc oviduct-ovary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58679","description":"Laparo proc oviduct-ovary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth penis nodes removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93651","description":"Anesth penis nodes removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair stomach opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43870","description":"Repair stomach opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ bone-substitute material for bone and/or soft tissue hardware fixation augmentation_ including intraoperative imaging guidance_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0869T","description":"Injection(s)_ bone-substitute material for bone and/or soft tissue hardware fixation augmentation_ including intraoperative imaging guidance_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epoprostenol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1325","description":"Epoprostenol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin fetal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85460","description":"Hemoglobin fetal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow switch control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6930","description":"Below elbow switch control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Copy number (EG_ intellectual disability_ dysmorphology)_ sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0156U","description":"Copy number (EG_ intellectual disability_ dysmorphology)_ sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN1","description":"HIPPS-3AFN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD10A","description":"HIPPS-LD10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28B","description":"HIPPS-ES28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy comp/disp serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9430","description":"Pharmacy comp/disp serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ammonia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82140","description":"Assay of ammonia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Near ifr spectrsc of wounds","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0286T","description":"Near ifr spectrsc of wounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD141","description":"HIPPS-PD141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ldr prostate brachy comp rat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0458","description":"Ldr prostate brachy comp rat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cst bse mtl inlay 2 surfaces","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6604","description":"Cst bse mtl inlay 2 surfaces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O shoe add instep extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3570","description":"O shoe add instep extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drg >16<=48 in w/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6246","description":"Hydrogel drg >16<=48 in w/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27355","description":"Remove femur lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunotherapy 2/> injections","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95125","description":"Immunotherapy 2/> injections","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place breast rad tube/caths","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19298","description":"Place breast rad tube/caths","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod sedat phys/qhp ea 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99145","description":"Mod sedat phys/qhp ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE113","description":"HIPPS-HE113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex for speech device rx addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92608","description":"Ex for speech device rx addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental Case Management - Patients With Special Health Care Needs","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9997","description":"Dental Case Management - Patients With Special Health Care Needs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent observation care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99224","description":"Subsequent observation care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA236","description":"HIPPS-PA236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glycopyrrolate (Glyrx-PF)_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1597","description":"Injection_ glycopyrrolate (Glyrx-PF)_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ravulizumab-cwvz_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9052","description":"Injection_ ravulizumab-cwvz_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPX","description":"HIPPS-1BFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test def 1-7 classes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0480","description":"Drug test def 1-7 classes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flutemetamol F18_ diagnostic_ per study dose_ up to 5 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9459","description":"Flutemetamol F18_ diagnostic_ per study dose_ up to 5 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch clsd w barrier/filtr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4416","description":"Ost pch clsd w barrier/filtr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA41","description":"HIPPS-RUA41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28F","description":"HIPPS-PA28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA23D","description":"HIPPS-BA23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of midfoot joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28264","description":"Release of midfoot joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65280","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28F","description":"HIPPS-CC28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution_ 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1097","description":"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution_ 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8E","description":"HIPPS-RVL8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Potassium hydroxide preps","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0112","description":"Potassium hydroxide preps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37268","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37268","description":"CPT-37268","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFK4","description":"HIPPS-2CFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputee adapter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0959","description":"Amputee adapter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB215","description":"HIPPS-BB215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58920","description":"Partial removal of ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal endoscopy_ surgical_ ethmoid sinus_ placement of drug eluting implant;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0406T","description":"Nasal endoscopy_ surgical_ ethmoid sinus_ placement of drug eluting implant;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGK3","description":"HIPPS-4CGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Init bk ptb plaster direct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5500","description":"Init bk ptb plaster direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB2D","description":"HIPPS-RMB2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex hd hosp bed > 600 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0302","description":"Ex hd hosp bed > 600 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25230","description":"Partial removal of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFN3","description":"HIPPS-1BFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Joint survey single view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77077","description":"Joint survey single view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental house call","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9410","description":"Dental house call","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virus inoculation shell via","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87254","description":"Virus inoculation shell via","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc thigh/knee tum deep <5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27328","description":"Exc thigh/knee tum deep <5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped power wheelchair nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1239","description":"Ped power wheelchair nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total or near total esophagectomy_ with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy_ with or without pyloroplasty (ie_ McKeown esophagectomy or tri-i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43112","description":"Total or near total esophagectomy_ with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy_ with or without pyloroplasty (ie_ McKeown esophagectomy or tri-i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGMW","description":"HIPPS-4AGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB25","description":"HIPPS-RLB25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal vaccine inhalation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3530","description":"Nasal vaccine inhalation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_ autosys_ rescr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0148","description":"Scr c/v cyto_ autosys_ rescr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB212","description":"HIPPS-HB212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1001T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1001T","description":"CPT-1001T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0902","description":"HCPCS-B0902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL22","description":"HIPPS-RHL22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rig fram pelvic pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0468","description":"Tlso rig fram pelvic pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx cml dx status unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9139","description":"Onc dx cml dx status unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"B-12 binding capacity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82608","description":"B-12 binding capacity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted case management","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1017","description":"Targeted case management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient died prior to the end of the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1060","description":"Patient died prior to the end of the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3373","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3373","description":"HCPCS-J3373","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47451","description":"Anesth surgery of rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ allopurinol sodium_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0206","description":"Injection_ allopurinol sodium_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Renin stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80416","description":"Renin stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair hand joint with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26541","description":"Repair hand joint with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB154","description":"HIPPS-HB154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA130","description":"HIPPS-PA130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohols biomarkers 3/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80322","description":"Alcohols biomarkers 3/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag r an/pos pnl pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0648","description":"Lso sag r an/pos pnl pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Expandable controller_ repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2376","description":"Expandable controller_ repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oseltamivir phosp_ brand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9035","description":"Oseltamivir phosp_ brand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo partial colectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44204","description":"Laparo partial colectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enteral feed supp pump per d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4035","description":"Enteral feed supp pump per d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Betadine/phisohex solution","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4246","description":"Betadine/phisohex solution","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of percutaneous transhepatic stent for internal and external biliary drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47511","description":"Introduction of percutaneous transhepatic stent for internal and external biliary drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68362","description":"Revise eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ toripalimab-tpzi_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3263","description":"Injection_ toripalimab-tpzi_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted reprod med lab proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89398","description":"Unlisted reprod med lab proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat shoulder blade fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23570","description":"Treat shoulder blade fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mannitol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2150","description":"Mannitol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ avacincaptad pegol_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9162","description":"Injection_ avacincaptad pegol_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ transbronchial ablation of lesion(s) by microwave energy_ including fluoroscopic guidance_ whe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9751","description":"Bronchoscopy_ rigid or flexible_ transbronchial ablation of lesion(s) by microwave energy_ including fluoroscopic guidance_ whe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE11C","description":"HIPPS-CE11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct hrt w/3d image congen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75573","description":"Ct hrt w/3d image congen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Presbyopia-correct function","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2788","description":"Presbyopia-correct function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast percut w/o image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19100","description":"Bx breast percut w/o image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48145","description":"Partial removal of pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esketamine_ nasal spray_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0013","description":"Esketamine_ nasal spray_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Jaw arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29800","description":"Jaw arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant connecting bar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6055","description":"Implant connecting bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test socket below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5620","description":"Test socket below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE255","description":"HIPPS-PE255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA22B","description":"HIPPS-PA22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ankle joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27625","description":"Remove ankle joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18E","description":"HIPPS-HE18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dtap vaccine < 7 yrs im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90700","description":"Dtap vaccine < 7 yrs im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD204","description":"HIPPS-LD204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8G","description":"HIPPS-RLX8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC22C","description":"HIPPS-LC22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB56","description":"HIPPS-RVB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo intralesional up to 7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96405","description":"Chemo intralesional up to 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 120 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0150U","description":"Drug assay_ definitive_ 120 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame free standing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0930","description":"Fracture frame free standing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec childcare waiver 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2027","description":"Spec childcare waiver 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1429","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1429","description":"HCPCS-M1429","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) that follow-up imaging is indicated (e.g._ patient has a known malignancy that can metastasize_ other medical reason(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9755","description":"Documentation of medical reason(s) that follow-up imaging is indicated (e.g._ patient has a known malignancy that can metastasize_ other medical reason(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dehydroepiandrosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82627","description":"Dehydroepiandrosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX25","description":"HIPPS-RLX25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronch ebus ivntj perph les","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31654","description":"Bronch ebus ivntj perph les","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFKS","description":"HIPPS-3AFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert electrd/pm cath sngl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33210","description":"Insert electrd/pm cath sngl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB4D","description":"HIPPS-RMB4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not rcvng warf thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4301F","description":"Pt not rcvng warf thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD12B","description":"HIPPS-HD12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA3D","description":"HIPPS-RVA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther/proph/diag iv inf addon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96366","description":"Ther/proph/diag iv inf addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl trifocal over 12","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2314","description":"Lens sphcyl trifocal over 12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychological testing (eg_ Halstead-Reitan Neuropsychological Battery_ Wechsler Memory Scales and Wisconsin Card Sorting Test)_ with qualified health care professional in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96119","description":"Neuropsychological testing (eg_ Halstead-Reitan Neuropsychological Battery_ Wechsler Memory Scales and Wisconsin Card Sorting Test)_ with qualified health care professional in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins lt atrl mont pres lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0294T","description":"Ins lt atrl mont pres lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral mucoadhesive_ any type (liquid_ gel_ paste_ etc.)_ per 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9156","description":"Oral mucoadhesive_ any type (liquid_ gel_ paste_ etc.)_ per 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33736","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown lengthen hard tissue","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4249","description":"Crown lengthen hard tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dress/debrid p-thick burn s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16020","description":"Dress/debrid p-thick burn s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap gastric bypass/roux-en-y","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43644","description":"Lap gastric bypass/roux-en-y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB14D","description":"HIPPS-CB14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1102","description":"HCPCS-B1102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular function screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99172","description":"Ocular function screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD20D","description":"HIPPS-CD20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57410","description":"Pelvic examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Full Gene Sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81351","description":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Full Gene Sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cftr gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81220","description":"Cftr gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC MRNA 5 genes ur alg rish urothelial cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0012M","description":"ONC MRNA 5 genes ur alg rish urothelial cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA11","description":"HIPPS-RHA11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25676","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap resect s/intestine addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44203","description":"Lap resect s/intestine addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plt_ pher_ l/r cmv-neg_ irr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9053","description":"Plt_ pher_ l/r cmv-neg_ irr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA3B","description":"HIPPS-RLA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Serial salivary imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78231","description":"Serial salivary imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC234","description":"HIPPS-LC234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE130","description":"HIPPS-LE130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph balloon distension tst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91040","description":"Esoph balloon distension tst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of rbc galactokinase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82759","description":"Assay of rbc galactokinase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Image cath fluid trns/vgnl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49407","description":"Image cath fluid trns/vgnl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA14C","description":"HIPPS-CA14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy arm/elbow soft tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24065","description":"Biopsy arm/elbow soft tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2005","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2005","description":"CDT-D2005","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc prac cond noadd by guide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9061","description":"Onc prac cond noadd by guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Instillation of antineoplastic pharmacologic/biologic agent into renal pelvis_ any method_ including all imaging guidance_including volumetric measurement if performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9789","description":"Instillation of antineoplastic pharmacologic/biologic agent into renal pelvis_ any method_ including all imaging guidance_including volumetric measurement if performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ definitive_ utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0659","description":"Drug test(s)_ definitive_ utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Buttock fasciotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27027","description":"Buttock fasciotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ho post-op hip abduction","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1686","description":"Ho post-op hip abduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply multlay comprs upr arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29583","description":"Apply multlay comprs upr arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hydrocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55500","description":"Removal of hydrocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic dysfunction/dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81411","description":"Aortic dysfunction/dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair spinal fluid leakage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63707","description":"Repair spinal fluid leakage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7176","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7176","description":"HCPCS-J7176","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft leg bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27638","description":"Remove/graft leg bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA25C","description":"HIPPS-CA25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; adjustment of balloon(s) fluid volume","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0551T","description":"Transperineal periurethral balloon continence device; adjustment of balloon(s) fluid volume","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC03","description":"HIPPS-RUC03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disease progn ra poor docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3475F","description":"Disease progn ra poor docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal Tract Imaging_ Intraluminal (Eg_ Capsule Endoscopy)_ Colon_ With Interpretation And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91113","description":"Gastrointestinal Tract Imaging_ Intraluminal (Eg_ Capsule Endoscopy)_ Colon_ With Interpretation And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ neurostimulator (implantable)_ non-rechargeable_ with implantable stimulation lead and external paired stimulation controller","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1827","description":"Generator_ neurostimulator (implantable)_ non-rechargeable_ with implantable stimulation lead and external paired stimulation controller","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radxps in end rprt4fluro pxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6045F","description":"Radxps in end rprt4fluro pxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin b-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84252","description":"Assay of vitamin b-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bp sys <140 and dias <90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8476","description":"Bp sys <140 and dias <90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release middle ear bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69650","description":"Release middle ear bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid plastic pre one","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0490","description":"Tlso rigid plastic pre one","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0957T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0957T","description":"CPT-0957T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01650","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01650","description":"CPT-01650","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGMU","description":"HIPPS-2BGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pooling blood platelets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86965","description":"Pooling blood platelets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conform band s w >=5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6447","description":"Conform band s w >=5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove electrd antrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43882","description":"Revise/remove electrd antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA5D","description":"HIPPS-RVA5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB15D","description":"HIPPS-BB15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult electric hook","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7009","description":"Adult electric hook","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1203","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1203","description":"HCPCS-B1203","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLW","description":"HIPPS-4AGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post op service lvrs min 6","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0305","description":"Post op service lvrs min 6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp animat ret imag series","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0380T","description":"Comp animat ret imag series","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFKU","description":"HIPPS-3BFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replc sockt above elbow disa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6884","description":"Replc sockt above elbow disa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovaginal Cryogen-Cooled_ Monopolar Radiofrequency Remodeling Of The Tissues Surrounding The Female Bladder Neck And Proximal Urethra For Urinary Incontinence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0672T","description":"Endovaginal Cryogen-Cooled_ Monopolar Radiofrequency Remodeling Of The Tissues Surrounding The Female Bladder Neck And Proximal Urethra For Urinary Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHPV","description":"HIPPS-1AHPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK1","description":"HIPPS-3AGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vedolizumab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3380","description":"Injection_ vedolizumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA11C","description":"HIPPS-BA11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23156","description":"Removal of humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recording of fetal magnetic cardiac signal using at least 3 channels; patient recording_ data scanning_ with raw electronic signal transfer of data and storage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0476T","description":"Recording of fetal magnetic cardiac signal using at least 3 channels; patient recording_ data scanning_ with raw electronic signal transfer of data and storage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ phenylephrine hydrochloride_ 20 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2371","description":"Injection_ phenylephrine hydrochloride_ 20 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC51","description":"HIPPS-RUC51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess cat in dbase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"7020F","description":"Mammo assess cat in dbase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bitolterol mesylate comp unt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7629","description":"Bitolterol mesylate comp unt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair extra toe(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28344","description":"Repair extra toe(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive preoperative assessment performed for cataract surgery with i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0122U","description":"Comprehensive preoperative assessment performed for cataract surgery with i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGKX","description":"HIPPS-1AGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES154","description":"HIPPS-ES154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE110","description":"HIPPS-CE110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9300","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9300","description":"HCPCS-C9300","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse esophagus & stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43320","description":"Fuse esophagus & stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21462","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism National Imaging Associates_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1005","description":"Clinical Decision Support Mechanism National Imaging Associates_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explr/decompress eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67445","description":"Explr/decompress eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multi-axial rotation unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5986","description":"Multi-axial rotation unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise sacral spine tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49215","description":"Excise sacral spine tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.25-7/2.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2208","description":"Lens sphcy bifocal 4.25-7/2.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23485","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL07","description":"HIPPS-RHL07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amino acids quant 2-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82136","description":"Amino acids quant 2-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance 02 life sustaining","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0422","description":"Ambulance 02 life sustaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart flow reserve measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93572","description":"Heart flow reserve measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bortezomib (MAIA)_ not therapeutically equivalent to J9041_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9051","description":"Injection_ bortezomib (MAIA)_ not therapeutically equivalent to J9041_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not respond to the question of patient felt heard and understood by this provider and team","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1239","description":"Patient did not respond to the question of patient felt heard and understood by this provider and team","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA0B","description":"HIPPS-RVA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trilaciclib_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9078","description":"Injection_ trilaciclib_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peginesatide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0890","description":"Peginesatide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES246","description":"HIPPS-ES246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD25A","description":"HIPPS-PD25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Predominantly Base Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6086","description":"Implant Supported Crown - Predominantly Base Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove collar bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23170","description":"Remove collar bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6006","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE20A","description":"HIPPS-HE20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise pharynx lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42808","description":"Excise pharynx lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28F","description":"HIPPS-HB28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of tibia fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27758","description":"Treatment of tibia fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald unspecified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5274","description":"Ald unspecified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23929","description":"Shoulder surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge resin w/high noble","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6250","description":"Bridge resin w/high noble","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onlay cst hgh nbl mtl 2 srfc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6610","description":"Onlay cst hgh nbl mtl 2 srfc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Path rpt malig cancer docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3318F","description":"Path rpt malig cancer docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8H","description":"HIPPS-RLX8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4336","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4336","description":"HCPCS-Q4336","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ureter & kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50750","description":"Fusion of ureter & kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Free assay (ft-3)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84481","description":"Free assay (ft-3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza imm rec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4035F","description":"Influenza imm rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telavancin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3095","description":"Telavancin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy volvul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45321","description":"Proctosigmoidoscopy volvul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrde addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61868","description":"Implant neuroelectrde addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Activation device for intraurethral drainage device with valve_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1011","description":"Activation device for intraurethral drainage device with valve_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4429","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4429","description":"HCPCS-Q4429","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phenothiazine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6057","description":"Phenothiazine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clsd red simpl mandible fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7640","description":"Clsd red simpl mandible fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lev 2 hosp type b ed visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0381","description":"Lev 2 hosp type b ed visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BCAT1 (Branched chain amino acid transaminase 1) or IKZF1 (IKAROS family zinc finger 1) (eg_ colorectal cancer) promoter methylation analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0229U","description":"BCAT1 (Branched chain amino acid transaminase 1) or IKZF1 (IKAROS family zinc finger 1) (eg_ colorectal cancer) promoter methylation analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB113","description":"HIPPS-LB113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complex cystometrogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51726","description":"Complex cystometrogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33413","description":"Replacement of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31238","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had more than one emergency department visit in the last 30 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9850","description":"Patient had more than one emergency department visit in the last 30 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cervical cap contraceptive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4261","description":"Cervical cap contraceptive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft local add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20936","description":"Sp bone agrft local add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB16","description":"HIPPS-RLB16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0285T","description":"Periph field stimul analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <26.15 & Age >84.5_ comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0108","description":"Stroke with Motor <26.15 & Age >84.5_ comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC14C","description":"HIPPS-HC14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62258","description":"Replace brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Csi any other than pci 2 yr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8964","description":"Csi any other than pci 2 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ cervical or vaginal (any reporting system)_ requiring interpretation by physician (List separately in addition to co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0831T","description":"Digitization of glass microscope slides for cytopathology_ cervical or vaginal (any reporting system)_ requiring interpretation by physician (List separately in addition to co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion or subcutaneous injection_ casirivimaband imdevimab_ includes infusion or injection and post administration monitoring_ subsequent repeat doses","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0240","description":"Intravenous infusion or subcutaneous injection_ casirivimaband imdevimab_ includes infusion or injection and post administration monitoring_ subsequent repeat doses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dimethyl sulfoxide 50% 50 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1212","description":"Dimethyl sulfoxide 50% 50 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Private duty/independent nsg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1000","description":"Private duty/independent nsg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0621U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0621U","description":"CPT-0621U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ustekinumab_ for intravenous injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3358","description":"Ustekinumab_ for intravenous injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7567","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7567","description":"HCPCS-C7567","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body-worn binaur hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5120","description":"Body-worn binaur hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove renal tube w/fluoro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50389","description":"Remove renal tube w/fluoro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special service/proc/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99199","description":"Special service/proc/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0428","description":"Bls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Instillation_ Bupivacaine And Meloxicam_ 1 Mg/0.03 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9088","description":"Instillation_ Bupivacaine And Meloxicam_ 1 Mg/0.03 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1402","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1402","description":"CDT-D1402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rolapitant_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2797","description":"Injection_ rolapitant_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp mal+marg 0.5/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11620","description":"Exc h-f-nk-sp mal+marg 0.5/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25650","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01967","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01967","description":"CPT-01967","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telemonitoring/home per mnth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9110","description":"Telemonitoring/home per mnth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL0A","description":"HIPPS-RVL0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA212","description":"HIPPS-BA212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arbutamine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0395","description":"Arbutamine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB5B","description":"HIPPS-RLB5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3391","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3391","description":"HCPCS-J3391","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB120","description":"HIPPS-CB120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art trnsposj vertbrl carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35691","description":"Art trnsposj vertbrl carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal donor liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47142","description":"Partial removal donor liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHK4","description":"HIPPS-1CHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB0C","description":"HIPPS-RLB0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGMS","description":"HIPPS-4AGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lysis penil circumic lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54162","description":"Lysis penil circumic lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tens four lead","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0730","description":"Tens four lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Creatinine clearance test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82575","description":"Creatinine clearance test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral - occlusal radiographic image - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0706","description":"Intraoral - occlusal radiographic image - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKT","description":"HIPPS-1CHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt reason for no beta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9191","description":"Pt reason for no beta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nutrition/Dietician Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4017","description":"Nutrition/Dietician Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone harvest_auto graft proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7295","description":"Bone harvest_auto graft proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18C","description":"HIPPS-CC18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA30","description":"HIPPS-RMA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ann breast exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0613","description":"Ann breast exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ferumoxytol_ esrd use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0139","description":"Ferumoxytol_ esrd use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart infarct image (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78469","description":"Heart infarct image (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31256","description":"Exploration maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-77437","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77437","description":"CPT-77437","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB10","description":"HIPPS-RLB10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC136","description":"HIPPS-CC136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; With Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0637T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; With Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB245","description":"HIPPS-PB245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debridement_ bone (includes epidermis_ dermis_ subcutaneous tissue_ muscle and/or fascia_ if performed); first 20 sq cm or less with manual preparation and insertion of drug-d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7561","description":"Debridement_ bone (includes epidermis_ dermis_ subcutaneous tissue_ muscle and/or fascia_ if performed); first 20 sq cm or less with manual preparation and insertion of drug-d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ multianalyte molecular profile by photometric detection of macromolecules adsorbed on nanosponge array slides with machine learning_ utilizing first morni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0228U","description":"Oncology (prostate)_ multianalyte molecular profile by photometric detection of macromolecules adsorbed on nanosponge array slides with machine learning_ utilizing first morni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair throat esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42953","description":"Repair throat esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient achieved a PDC of at least 75% for their asthma controller medication","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9810","description":"Patient achieved a PDC of at least 75% for their asthma controller medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coch implant headset replace","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8615","description":"Coch implant headset replace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/o pseudobulbaffect/als","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3757F","description":"Pt w/o pseudobulbaffect/als","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interferential stim 4 chan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8131","description":"Interferential stim 4 chan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient was not prescribed a 180-day course of treatment with beta-blockers post discharge for AMI","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9804","description":"Patient was not prescribed a 180-day course of treatment with beta-blockers post discharge for AMI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0106","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0106","description":"HCPCS-B0106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glassia injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0257","description":"Glassia injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bilobectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32482","description":"Bilobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Int therapeutic restoration","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2941","description":"Int therapeutic restoration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Statin not presc disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9443","description":"Statin not presc disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 hd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0824","description":"Pwc gp 2 hd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable nebulizer prefill","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7008","description":"Disposable nebulizer prefill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99255","description":"Inpatient consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA124","description":"HIPPS-BA124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic injection/implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51715","description":"Endoscopic injection/implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (chronic kidney disease)_ nuclear magnetic resonance spectroscopy measurement of myo-inositol_ valine_ and creatinine_ algorithmically combined with cystatin C (by","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0259U","description":"Nephrology (chronic kidney disease)_ nuclear magnetic resonance spectroscopy measurement of myo-inositol_ valine_ and creatinine_ algorithmically combined with cystatin C (by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2192","description":"Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX5C","description":"HIPPS-RMX5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AFF2 (AF4/FMR2 family_ member 2 [FMR2]) (eg_ fragile X mental retardation 2 [FRAXE]) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81171","description":"AFF2 (AF4/FMR2 family_ member 2 [FMR2]) (eg_ fragile X mental retardation 2 [FRAXE]) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9191","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9191","description":"HCPCS-J9191","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cdifficile testing performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3520F","description":"Cdifficile testing performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28292","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nsclc stg3b-4 metasta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9066","description":"Onc dx nsclc stg3b-4 metasta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Macroscopic exam parasite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87169","description":"Macroscopic exam parasite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC20B","description":"HIPPS-HC20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryoablate prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55873","description":"Cryoablate prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms) gene analysis_ full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81236","description":"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms) gene analysis_ full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment with protocol modification_ administered by physician or other qualified health care professional_ which may include simultaneous direction of tech","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97155","description":"Adaptive behavior treatment with protocol modification_ administered by physician or other qualified health care professional_ which may include simultaneous direction of tech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98009","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98009","description":"CPT-98009","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFM4","description":"HIPPS-4BFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Support broker waiver/15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2041","description":"Support broker waiver/15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had history of immunocompromising conditions prior to or during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1158","description":"Patient had history of immunocompromising conditions prior to or during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES110","description":"HIPPS-ES110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain open lung lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32200","description":"Drain open lung lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status not performed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9918","description":"Functional status not performed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sc r ant/pos pnl pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0650","description":"Lso sc r ant/pos pnl pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0024","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv tstng asked/docd/revwd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3292F","description":"Hiv tstng asked/docd/revwd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meniscal trnspl knee w/scpe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29868","description":"Meniscal trnspl knee w/scpe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove inner ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69910","description":"Remove inner ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61312","description":"Open skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0918T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0918T","description":"CPT-0918T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylindr 7.25d/.25-2.25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2111","description":"Spherocylindr 7.25d/.25-2.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin frct swg & st","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5812","description":"Endo knee-shin frct swg & st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ortho dvc repair per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4205","description":"Ortho dvc repair per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1479","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1479","description":"HCPCS-M1479","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29888","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA15B","description":"HIPPS-BA15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB2A","description":"HIPPS-RLB2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic Analysis With Simple Programming Of Implanted Integrated Neurostimulation System (Eg_ Electrode Array And Receiver)_ Including Contact Group(S)_ Amplitude_ Pulse Wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0589T","description":"Electronic Analysis With Simple Programming Of Implanted Integrated Neurostimulation System (Eg_ Electrode Array And Receiver)_ Including Contact Group(S)_ Amplitude_ Pulse Wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of tibia epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27730","description":"Repair of tibia epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ATXN7 (ataxin 7) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81181","description":"ATXN7 (ataxin 7) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28X","description":"HIPPS-PC28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia removal pleura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54251","description":"Anesthesia removal pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40842","description":"Reconstruction of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty_ central dialysis segment_ performed through dialysis circuit_ including all imaging and radiological supervision and interpretation required","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36907","description":"Transluminal balloon angioplasty_ central dialysis segment_ performed through dialysis circuit_ including all imaging and radiological supervision and interpretation required","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ranibizumab-nuna_ biosimilar_ (Byooviz)_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5124","description":"Injection_ ranibizumab-nuna_ biosimilar_ (Byooviz)_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us bone stimulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20979","description":"Us bone stimulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC145","description":"HIPPS-LC145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smallpox and monkeypox vaccine_ attenuated vaccinia virus_ live_ non-replicating_ preservative free_ 0.5 mL dosage_ suspension_ for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90611","description":"Smallpox and monkeypox vaccine_ attenuated vaccinia virus_ live_ non-replicating_ preservative free_ 0.5 mL dosage_ suspension_ for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coagulation time otr method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85348","description":"Coagulation time otr method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMS","description":"HIPPS-4CGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI brain stem w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70552","description":"MRI brain stem w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg_ oral_ fda approved prescription_ only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0750","description":"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg_ oral_ fda approved prescription_ only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of hip bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27156","description":"Revision of hip bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC45","description":"HIPPS-RMC45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj menotropins 75 iu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0122","description":"Inj menotropins 75 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asp therp used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8598","description":"Asp therp used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7527","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB25A","description":"HIPPS-HB25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological or neuropsychological test administration and scoring by technician_ two or more tests_ any method; each additional 30 minutes (List separately in addition to co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96139","description":"Psychological or neuropsychological test administration and scoring by technician_ two or more tests_ any method; each additional 30 minutes (List separately in addition to co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPW","description":"HIPPS-1BGPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA26","description":"HIPPS-RMA26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGK6","description":"HIPPS-2CGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA15B","description":"HIPPS-PA15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject sinus tract for x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20501","description":"Inject sinus tract for x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof_ or 1% of body surface area of infants and childre","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0479T","description":"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof_ or 1% of body surface area of infants and childre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cygnus Matrix_ Per Square Centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4199","description":"Cygnus Matrix_ Per Square Centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX11","description":"HIPPS-RLX11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Int mam art used for cabg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4110F","description":"Int mam art used for cabg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28636","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hip joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27054","description":"Removal of hip joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA220","description":"HIPPS-CA220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; Unmonitored","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95714","description":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; Unmonitored","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00548","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00548","description":"CPT-00548","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE23C","description":"HIPPS-CE23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD22B","description":"HIPPS-PD22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visc & infraren abd 1 prosth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34845","description":"Visc & infraren abd 1 prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj arthroscopy disc reposit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7874","description":"Tmj arthroscopy disc reposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressant tricyclic 3-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80336","description":"Antidepressant tricyclic 3-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cine/video x-rays","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76120","description":"Cine/video x-rays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1401","description":"HCPCS-M1401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC21C","description":"HIPPS-LC21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0551","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0551","description":"HCPCS-G0551","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision orbitofacial bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21275","description":"Revision orbitofacial bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA03","description":"HIPPS-RLA03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87426","description":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMT","description":"HIPPS-1AFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g._ spirometry equipment not available at the time of the encounter)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1217","description":"Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g._ spirometry equipment not available at the time of the encounter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE221","description":"HIPPS-HE221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ mon_ bte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5257","description":"Hearing aid_ digit_ mon_ bte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK2","description":"HIPPS-2AHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC20A","description":"HIPPS-HC20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Site not small cell lung ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9285","description":"Site not small cell lung ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01270","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01270","description":"CPT-01270","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limit oral eval problm focus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0140","description":"Limit oral eval problm focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX0C","description":"HIPPS-RMX0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-linked intellectual dblt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81470","description":"X-linked intellectual dblt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise parotid gland/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42426","description":"Excise parotid gland/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25263","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41008","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are counseled on connection with a csp and explicitly opt out","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1317","description":"Patients who are counseled on connection with a csp and explicitly opt out","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fall risk assessment docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3288F","description":"Fall risk assessment docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open tx nose fx w/skele fixj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21330","description":"Open tx nose fx w/skele fixj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB113","description":"HIPPS-PB113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB22B","description":"HIPPS-BB22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excess skin fat pad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15838","description":"Excise excess skin fat pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC24","description":"HIPPS-RVC24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis spine 3 column lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22207","description":"Incis spine 3 column lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed ditromethamine_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9323","description":"Injection_ pemetrexed ditromethamine_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of spinal herniation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63700","description":"Repair of spinal herniation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain shoulder bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23035","description":"Drain shoulder bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine urobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84583","description":"Assay of urine urobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary plastic pouch w fcpl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4379","description":"Urinary plastic pouch w fcpl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Omental flap intra-abdom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49905","description":"Omental flap intra-abdom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not receive cervical cytology or an HPV test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9807","description":"Patients who did not receive cervical cytology or an HPV test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01112","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01112","description":"CPT-01112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87638","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87638","description":"CPT-87638","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice or home hlth in home","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5001","description":"Hospice or home hlth in home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB2B","description":"HIPPS-RUB2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of skull & brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62145","description":"Repair of skull & brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45309","description":"Proctosigmoidoscopy removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R hrt coronary artery angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93456","description":"R hrt coronary artery angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB42","description":"HIPPS-RMB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast stacked diep/gap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2067","description":"Breast stacked diep/gap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair tcat mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33419","description":"Repair tcat mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay clozapine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80159","description":"Drug assay clozapine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammogram one breast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77055","description":"Mammogram one breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair degenerated kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27418","description":"Repair degenerated kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair septal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33853","description":"Repair septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25624","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Benesch boot pair child","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3213","description":"Benesch boot pair child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01214","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01214","description":"CPT-01214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction anal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46910","description":"Destruction anal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef < 40% or lvsd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8923","description":"Lvef < 40% or lvsd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Histotripsy (ie_ non-thermal ablation via acoustic energy delivery) of malignant renal tissue_ including imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0888T","description":"Histotripsy (ie_ non-thermal ablation via acoustic energy delivery) of malignant renal tissue_ including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA5B","description":"HIPPS-RHA5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epieffect_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4278","description":"Epieffect_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGMT","description":"HIPPS-2BGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC22C","description":"HIPPS-PC22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological testing (includes psychodiagnostic assessment of emotionality_ intellectual abilities_ personality and psychopathology_ eg_ MMPI and WAIS)_ with qualified health","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96102","description":"Psychological testing (includes psychodiagnostic assessment of emotionality_ intellectual abilities_ personality and psychopathology_ eg_ MMPI and WAIS)_ with qualified health","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of nos vitamin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84591","description":"Assay of nos vitamin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNS","description":"HIPPS-3BFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/wedge resect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32666","description":"Thoracoscopy w/wedge resect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mopath procedure level 8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81407","description":"Mopath procedure level 8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auricular prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5914","description":"Auricular prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0004","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4433","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4433","description":"HCPCS-Q4433","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cln cncr stage 1 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3384F","description":"Ajcc cln cncr stage 1 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHN6","description":"HIPPS-1BHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protein c concentrate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2724","description":"Protein c concentrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prochlorperazine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0780","description":"Prochlorperazine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Talymed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4127","description":"Talymed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlmyd/gonrh tsts docd done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3511F","description":"Chlmyd/gonrh tsts docd done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc neck les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21552","description":"Exc neck les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA134","description":"HIPPS-BA134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(S)_ Anesthetic Agent(S) And/Or Steroid; Nerves Innervating The Sacroiliac Joint_ With Image Guidance (Ie_ Fluoroscopy Or Computed Tomography)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64451","description":"Injection(S)_ Anesthetic Agent(S) And/Or Steroid; Nerves Innervating The Sacroiliac Joint_ With Image Guidance (Ie_ Fluoroscopy Or Computed Tomography)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8G","description":"HIPPS-RUL8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetate conc sol per gallon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4708","description":"Acetate conc sol per gallon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intensive outpatient psychia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9480","description":"Intensive outpatient psychia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level VI_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0755T","description":"Digitization of glass microscope slides for level VI_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis g dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87526","description":"Hepatitis g dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left ventricular pacing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0518T","description":"Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left ventricular pacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unspecified periodontal proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4999","description":"Unspecified periodontal proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine infusion device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62365","description":"Remove spine infusion device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0162","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0162","description":"HCPCS-J0162","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Memoderm/derma/tranz/integup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4126","description":"Memoderm/derma/tranz/integup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Streptokinase antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86590","description":"Streptokinase antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Global eswl kidney","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0400","description":"Global eswl kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2196","description":"Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablation_ Malignant Breast Tumor(S)_ Percutaneous_ Cryotherapy_ Including Imaging Guidance When Performed_ Unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0581T","description":"Ablation_ Malignant Breast Tumor(S)_ Percutaneous_ Cryotherapy_ Including Imaging Guidance When Performed_ Unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt referral psych docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4062F","description":"Pt referral psych docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0504T","description":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27502","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28F","description":"HIPPS-ES28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking thighlngth 18-30","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6533","description":"Gc stocking thighlngth 18-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enter feed supkit syr by day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4034","description":"Enter feed supkit syr by day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9486","description":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC25B","description":"HIPPS-HC25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28293","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile eye pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6410","description":"Sterile eye pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_onabotulinumtoxina","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0585","description":"Injection_onabotulinumtoxina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGMW","description":"HIPPS-1CGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31290","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clsd red comp malar/zygma fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7760","description":"Clsd red comp malar/zygma fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99155","description":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD24B","description":"HIPPS-HD24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Larynscop remve cart + scop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31561","description":"Larynscop remve cart + scop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Refract not +/- 1.0 w/in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9520","description":"Refract not +/- 1.0 w/in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA10D","description":"HIPPS-BA10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tenolysis triceps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24332","description":"Tenolysis triceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Memory goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9169","description":"Memory goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull/brain biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61750","description":"Incise skull/brain biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29530","description":"Strapping of knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0461","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0461","description":"CDT-D0461","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8G","description":"HIPPS-RUC8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skn sub grft f/n/hf/g child","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15277","description":"Skn sub grft f/n/hf/g child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0044A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peristomal hernia supprt blt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4396","description":"Peristomal hernia supprt blt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo plas sing free knee mol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2037","description":"Kafo plas sing free knee mol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt couns 4 txmnt opt prost","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4163F","description":"Pt couns 4 txmnt opt prost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg coma or sleep only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95822","description":"Eeg coma or sleep only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8C","description":"HIPPS-RUL8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Promethazine hcl 12.5mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0169","description":"Promethazine hcl 12.5mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal finger bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26236","description":"Partial removal finger bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lift assist for elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6635","description":"Lift assist for elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O2/water vapor enrich w/o he","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1406","description":"O2/water vapor enrich w/o he","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7514","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7514","description":"HCPCS-J7514","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay alkaline phosphatase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84078","description":"Assay alkaline phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep bk ptb thermopls molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5530","description":"Prep bk ptb thermopls molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8C","description":"HIPPS-RML8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self care current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8987","description":"Self care current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61606","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oprelvekin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2355","description":"Oprelvekin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX4A","description":"HIPPS-RUX4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spacer without mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8100","description":"Spacer without mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ertapenem injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1335","description":"Ertapenem injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00952","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00952","description":"CPT-00952","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoglobulin assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86023","description":"Immunoglobulin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revis reconst shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23474","description":"Revis reconst shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish access to artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36100","description":"Establish access to artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Technetium tc99m arcitumomab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9568","description":"Technetium tc99m arcitumomab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduct compnd facial bone fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7780","description":"Reduct compnd facial bone fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of protein other","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84157","description":"Assay of protein other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL21","description":"HIPPS-RVL21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artificial saliva","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9155","description":"Artificial saliva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disp home glucose monitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9275","description":"Disp home glucose monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA155","description":"HIPPS-BA155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient was in hospice or receiving palliative care at any time during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1059","description":"Patient was in hospice or receiving palliative care at any time during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c wdth 20-23 in seat frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2340","description":"W/c wdth 20-23 in seat frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC44","description":"HIPPS-RHC44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Finger tendon transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26497","description":"Finger tendon transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syst corticosteroids not rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4136F","description":"Syst corticosteroids not rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc perm/cont/parox atr fib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1060F","description":"Doc perm/cont/parox atr fib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc of dsm-iv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9213","description":"No doc of dsm-iv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial thyroid excision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60210","description":"Partial thyroid excision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0216T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18H","description":"HIPPS-HC18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had anaphylaxis due to the hpv vaccine any time on or before the patient_s 13th birthday","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1163","description":"Patient had anaphylaxis due to the hpv vaccine any time on or before the patient_s 13th birthday","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL3C","description":"HIPPS-RHL3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP5","description":"HIPPS-1AHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC213","description":"HIPPS-PC213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Composite drsg >16<=48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6204","description":"Composite drsg >16<=48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (papillary thyroid cancer)_ gene-expression profiling via targeted hybrid capture–enrichment RNA sequencing of 82 content genes and 10 housekeeping genes_ formalin-fi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0362U","description":"Oncology (papillary thyroid cancer)_ gene-expression profiling via targeted hybrid capture–enrichment RNA sequencing of 82 content genes and 10 housekeeping genes_ formalin-fi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42961","description":"Control throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glasses bicros hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5230","description":"Glasses bicros hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed fx ht w/o rails w/m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0290","description":"Hosp bed fx ht w/o rails w/m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFM5","description":"HIPPS-3BFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFK2","description":"HIPPS-3CFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA and RNA)_ respiratory tract infection_ 17 bacteria_ 8 fungus_ 13 virus_ and 16 antibiotic-resistance genes_ multiplex amplified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0373U","description":"Infectious agent detection by nucleic acid (DNA and RNA)_ respiratory tract infection_ 17 bacteria_ 8 fungus_ 13 virus_ and 16 antibiotic-resistance genes_ multiplex amplified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Root amputation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3450","description":"Root amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD256","description":"HIPPS-HD256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation carotid add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35390","description":"Reoperation carotid add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rectal sensation test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91120","description":"Rectal sensation test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.25-7/ov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2210","description":"Lens sphcy bifocal 4.25-7/ov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bcr/abl1 gene other bp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81208","description":"Bcr/abl1 gene other bp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9326","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9326","description":"HCPCS-J9326","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA206","description":"HIPPS-BA206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFMU","description":"HIPPS-3CFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg_ DiGeorge syndrome_ Cri-du-chat syndrome)_ circulating cell-free fetal DNA in maternal blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81422","description":"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg_ DiGeorge syndrome_ Cri-du-chat syndrome)_ circulating cell-free fetal DNA in maternal blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFLV","description":"HIPPS-4AFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ethanolamine oleate 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1430","description":"Ethanolamine oleate 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepa vacc ped/adol 2 dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90633","description":"Hepa vacc ped/adol 2 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23500","description":"Treat clavicle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81538","description":"Oncology lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15734","description":"Muscle-skin graft trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doxorubicin inj 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2050","description":"Doxorubicin inj 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatic function panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80076","description":"Hepatic function panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33364","description":"Replace aortic valve open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap paraesoph her rpr w/mesh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43282","description":"Lap paraesoph her rpr w/mesh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 2ND DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0012A","description":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 2ND DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-43889","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43889","description":"CPT-43889","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD156","description":"HIPPS-LD156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of peripherally inserted central venous catheter (PICC)_ without subcutaneous port or pump_ including all imaging guidance_ image documentation_ and all associated r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36572","description":"Insertion of peripherally inserted central venous catheter (PICC)_ without subcutaneous port or pump_ including all imaging guidance_ image documentation_ and all associated r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt ref doc oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8559","description":"Pt ref doc oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGL3","description":"HIPPS-3BGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical home level 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9148","description":"Medical home level 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecg/signal-averaged","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93278","description":"Ecg/signal-averaged","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFMV","description":"HIPPS-4CFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX5A","description":"HIPPS-RHX5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phq-scr >9 doc in 12m time","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9572","description":"Phq-scr >9 doc in 12m time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing care not clinically indicated because the patient needed a home program only_ referral to another provider or facility_ or consultation only_ as documented in the medi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1146","description":"Ongoing care not clinically indicated because the patient needed a home program only_ referral to another provider or facility_ or consultation only_ as documented in the medi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair wide w/ leg rests","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1092","description":"Wheelchair wide w/ leg rests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onlay cst nbl mtl 2 surfaces","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6614","description":"Onlay cst nbl mtl 2 surfaces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens variable asphericity bi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2430","description":"Lens variable asphericity bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA0D","description":"HIPPS-RHA0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semen anal sperm detection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89321","description":"Semen anal sperm detection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Normal blood pressure reading documented_ follow-up not required","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1294","description":"Normal blood pressure reading documented_ follow-up not required","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Section recurrent laryngeal nerve_ therapeutic (separate procedure)_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31595","description":"Section recurrent laryngeal nerve_ therapeutic (separate procedure)_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postoperative biliary duct calculus removal_ percutaneous via t-tube tract_ basket_ or snare (eg_ burhenne technique)_ radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74327","description":"Postoperative biliary duct calculus removal_ percutaneous via t-tube tract_ basket_ or snare (eg_ burhenne technique)_ radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC10D","description":"HIPPS-PC10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional neuromuscularstim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0764","description":"Functional neuromuscularstim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Restrata minimatrix_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2026","description":"Restrata minimatrix_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without fusion_ including image guidance when performed_ with open decompression_ lumbar; seco","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22868","description":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without fusion_ including image guidance when performed_ with open decompression_ lumbar; seco","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE22A","description":"HIPPS-HE22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening mammography_ bilateral (2-view study of each breast)_ including computer-aided detection (CAD) when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77067","description":"Screening mammography_ bilateral (2-view study of each breast)_ including computer-aided detection (CAD) when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES304","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES304","description":"HIPPS-ES304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33365","description":"Replace aortic valve open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd sftwre prgrm for pc/pda","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2511","description":"Sgd sftwre prgrm for pc/pda","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dolasetron mesylate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1260","description":"Dolasetron mesylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA131","description":"HIPPS-CA131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelets leukocytes reduced","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9031","description":"Platelets leukocytes reduced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB221","description":"HIPPS-HB221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1409","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1409","description":"HCPCS-M1409","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Referred for an av fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4051F","description":"Referred for an av fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Expose behav assessment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0362T","description":"Expose behav assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1493","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1493","description":"HCPCS-M1493","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meals per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9977","description":"Meals per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cyp2c19 gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81225","description":"Cyp2c19 gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25675","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blm gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81209","description":"Blm gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric speech aid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5952","description":"Pediatric speech aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin test candida","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86485","description":"Skin test candida","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of tricuspid valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33468","description":"Revision of tricuspid valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGMW","description":"HIPPS-2CGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red Cell Antigen (Mns Blood Group) Genotyping (Gypa)_ Gene Analysis_ Gypa (Glycophorin A [Mns Blood Group]) Introns 1_ 5_ Exon 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1089U","description":"Red Cell Antigen (Mns Blood Group) Genotyping (Gypa)_ Gene Analysis_ Gypa (Glycophorin A [Mns Blood Group]) Introns 1_ 5_ Exon 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human ig iv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90283","description":"Human ig iv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc shoulder les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23071","description":"Exc shoulder les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9810","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9810","description":"HCPCS-C9810","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla class i semiquant panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86834","description":"Hla class i semiquant panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43632","description":"Removal of stomach partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indic for head ct not valid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9533","description":"Indic for head ct not valid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Medication Not Otherwise Specified; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group The","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2075","description":"Medication Assisted Treatment_ Medication Not Otherwise Specified; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group The","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD12A","description":"HIPPS-LD12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5273","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal fluid drainage w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59074","description":"Fetal fluid drainage w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ureter calculus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51065","description":"Remove ureter calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy remove fb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58562","description":"Hysteroscopy remove fb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology Clinical Consultation; For A Moderately Complex Clinical Problem_ With Review Of Patient_S History And Medical Records And Moderate Level Of Medical Decision Making","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80504","description":"Pathology Clinical Consultation; For A Moderately Complex Clinical Problem_ With Review Of Patient_S History And Medical Records And Moderate Level Of Medical Decision Making","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of urinary tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51820","description":"Revision of urinary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone imaging (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78320","description":"Bone imaging (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE212","description":"HIPPS-PE212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skn splt a-grft fac/nck/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15120","description":"Skn splt a-grft fac/nck/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML01","description":"HIPPS-RML01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd diagnostic brush wash","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43235","description":"Egd diagnostic brush wash","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Slitting of prepuce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54001","description":"Slitting of prepuce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL4","description":"HIPPS-3CFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0931T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0931T","description":"CPT-0931T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of scrotum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55175","description":"Revision of scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC260","description":"HIPPS-CC260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual field examination(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92082","description":"Visual field examination(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc pract mgmt differs trial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9057","description":"Onc pract mgmt differs trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1111","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB54","description":"HIPPS-RVB54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8G","description":"HIPPS-RVX8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD20C","description":"HIPPS-LD20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative AI-based facial phenotype analysis with report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0731T","description":"Augmentative AI-based facial phenotype analysis with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at 12 months as demons","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1020","description":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at 12 months as demons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD212","description":"HIPPS-HD212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy vag lesions simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57061","description":"Destroy vag lesions simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC114","description":"HIPPS-PC114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Filter_ non disposable w pap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7039","description":"Filter_ non disposable w pap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rabies ig heat treated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90376","description":"Rabies ig heat treated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antiemetic drug oral nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8597","description":"Antiemetic drug oral nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB52","description":"HIPPS-RHB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc of pain comfort 48hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9250","description":"Doc of pain comfort 48hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0738","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0738","description":"HCPCS-J0738","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNW","description":"HIPPS-1CGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC205","description":"HIPPS-LC205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX51","description":"HIPPS-RHX51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow stump activated lock h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6130","description":"Elbow stump activated lock h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nine total Medicare Diabetes Prevention Program (MDPP) core sessions were attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP servi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9875","description":"Nine total Medicare Diabetes Prevention Program (MDPP) core sessions were attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP servi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of leg artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34203","description":"Removal of leg artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB235","description":"HIPPS-PB235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mechanical allergen particle barrier/inhalation filter_ cream_ nasal_ topical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1026","description":"Mechanical allergen particle barrier/inhalation filter_ cream_ nasal_ topical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove forearm foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25248","description":"Remove forearm foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28E","description":"HIPPS-CE28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add clasp to partial denture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5660","description":"Add clasp to partial denture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of scapula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23190","description":"Partial removal of scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9818","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9818","description":"HCPCS-C9818","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Risperidone_ long acting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2794","description":"Risperidone_ long acting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc rehab svcs considered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4079F","description":"Doc rehab svcs considered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction eyelid w/implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67912","description":"Correction eyelid w/implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscope w/vc inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31570","description":"Laryngoscope w/vc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX33","description":"HIPPS-RHX33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ propofol_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2704","description":"Inj_ propofol_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd guide wire insertion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43248","description":"Egd guide wire insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28E","description":"HIPPS-LE28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGK3","description":"HIPPS-2CGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attach bladder/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51840","description":"Attach bladder/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of carnitine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82379","description":"Assay of carnitine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ phylogenetic-based report of strain relatedness_ per submitted isolate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0010U","description":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ phylogenetic-based report of strain relatedness_ per submitted isolate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt serv p mo 20+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90966","description":"Esrd home pt serv p mo 20+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise wrist tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25118","description":"Excise wrist tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back pain was not measured by the visual analog scale (VAS) within three months preoperatively and at one year (9 to 15 months) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9946","description":"Back pain was not measured by the visual analog scale (VAS) within three months preoperatively and at one year (9 to 15 months) postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55705","description":"Biopsy of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming; battery component only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0862T","description":"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming; battery component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ftl cgen abnor five anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81512","description":"Ftl cgen abnor five anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLV","description":"HIPPS-4BFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK5","description":"HIPPS-3CGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38X","description":"HIPPS-ES38X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHN5","description":"HIPPS-1BHN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ amivantamab-vmjw_ 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9061","description":"Injection_ amivantamab-vmjw_ 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt disch home day #2 cea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8834","description":"Pt disch home day #2 cea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N.gonorrhoeae dna dir prob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87590","description":"N.gonorrhoeae dna dir prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory heart surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33315","description":"Exploratory heart surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7299","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7299","description":"HCPCS-J7299","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visualization of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31615","description":"Visualization of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX4B","description":"HIPPS-RUX4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8I","description":"HIPPS-RHA8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External patient-activated_ physician- or other qualified health care professional-prescribed_ electrocardiographic rhythm derived event recorder without 24 hour attended moni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0497T","description":"External patient-activated_ physician- or other qualified health care professional-prescribed_ electrocardiographic rhythm derived event recorder without 24 hour attended moni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56810","description":"Repair of perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other power whlchr base","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0014","description":"Other power whlchr base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB40","description":"HIPPS-RVB40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gi/renal risk assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1008F","description":"Gi/renal risk assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Humidifier supplemental w/ i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0560","description":"Humidifier supplemental w/ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of copper","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82525","description":"Assay of copper","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1821","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1821","description":"HCPCS-L1821","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Genome Sequencing And Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Tissue_ Blood_ Or Bone Marrow_ Comparative Sequenc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0300U","description":"Oncology (Pan Tumor)_ Whole Genome Sequencing And Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Tissue_ Blood_ Or Bone Marrow_ Comparative Sequenc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0233","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0233","description":"HCPCS-M0233","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vc lesion w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31545","description":"Remove vc lesion w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fee covid-19 vac 3 booster","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0023A","description":"Fee covid-19 vac 3 booster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinoscpy w/lmph nod bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39402","description":"Mediastinoscpy w/lmph nod bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specimen site not prostate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8798","description":"Specimen site not prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess susp docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3344F","description":"Mammo assess susp docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bifoc prscp lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0506","description":"Bifoc prscp lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB24A","description":"HIPPS-LB24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK1","description":"HIPPS-5CHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0142A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11600","description":"Exc tr-ext mal+marg 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0622U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0622U","description":"CPT-0622U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGMU","description":"HIPPS-3BGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoperfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90997","description":"Hemoperfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy vag lesions complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57065","description":"Destroy vag lesions complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB14C","description":"HIPPS-PB14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AmnioBind_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4225","description":"AmnioBind_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMU","description":"HIPPS-3CHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28A","description":"HIPPS-CA28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Term dev_ passive hand mitt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6703","description":"Term dev_ passive hand mitt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Not pres antibiotic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8712","description":"Not pres antibiotic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose in lac ringers","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7121","description":"5% dextrose in lac ringers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1902","description":"HCPCS-C1902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forearm/arm cuffs ext/flex a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3730","description":"Forearm/arm cuffs ext/flex a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL5D","description":"HIPPS-RVL5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spu Or Asc Patient Transferred To The Hospital Or Discharged From The Sp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0594","description":"Spu Or Asc Patient Transferred To The Hospital Or Discharged From The Sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Care level rationale doc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6005F","description":"Care level rationale doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bat clps elec/comb vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0497","description":"Bat clps elec/comb vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj ferric carboxymaltos 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1439","description":"Inj ferric carboxymaltos 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of finger(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73140","description":"X-ray exam of finger(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replantation hand complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20808","description":"Replantation hand complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gallium ga-68_ dotatoc_ diagnostic_ 0.01 mci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9067","description":"Gallium ga-68_ dotatoc_ diagnostic_ 0.01 mci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skills training and development_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2038","description":"Skills training and development_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLU","description":"HIPPS-3BHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patch_ lidocaine/tetracaine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9285","description":"Patch_ lidocaine/tetracaine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI angio chest w or w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71555","description":"MRI angio chest w or w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lice treatment_ topical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9180","description":"Lice treatment_ topical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 vhd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0880","description":"Pwc gp4 vhd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Charger elec/combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0495","description":"Charger elec/combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC204","description":"HIPPS-LC204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transoral_ with volume adjustment of intragastric bariatric balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0813T","description":"Esophagogastroduodenoscopy_ flexible_ transoral_ with volume adjustment of intragastric bariatric balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote monitoring of physiologic parameter(s) (eg_ weight_ blood pressure_ pulse oximetry_ respiratory flow rate)_ initial; device(s) supply with daily recording(s) or program","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99454","description":"Remote monitoring of physiologic parameter(s) (eg_ weight_ blood pressure_ pulse oximetry_ respiratory flow rate)_ initial; device(s) supply with daily recording(s) or program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply multlay comprs upr leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29582","description":"Apply multlay comprs upr leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8G","description":"HIPPS-RMA8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pelvic abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45000","description":"Drainage of pelvic abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA31","description":"HIPPS-RUA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42182","description":"Repair palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA13","description":"HIPPS-RVA13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ho abduction static plastic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1660","description":"Ho abduction static plastic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic Analysis With Complex Programming Of Implanted Integrated Neurostimulation System (Eg_ Electrode Array And Receiver)_ Including Contact Group(S)_ Amplitude_ Pulse W","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0590T","description":"Electronic Analysis With Complex Programming Of Implanted Integrated Neurostimulation System (Eg_ Electrode Array And Receiver)_ Including Contact Group(S)_ Amplitude_ Pulse W","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protector heel or elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0191","description":"Protector heel or elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHLX","description":"HIPPS-1CHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of figure eight","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29049","description":"Application of figure eight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conn tiss_ human(inc fascia)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1762","description":"Conn tiss_ human(inc fascia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periradicular surgery","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3427","description":"Periradicular surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opto-acoustic imaging_ breast (including axilla when performed)_ unilateral_ with image documentation_ analysis and report_obtained with ultrasound examination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9788","description":"Opto-acoustic imaging_ breast (including axilla when performed)_ unilateral_ with image documentation_ analysis and report_obtained with ultrasound examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No abd imag w/o reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9457","description":"No abd imag w/o reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe molded plastazote cust","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3252","description":"Shoe molded plastazote cust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB2C","description":"HIPPS-RUB2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body muscle testing manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95834","description":"Body muscle testing manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contour seat for ped size wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2294","description":"Contour seat for ped size wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB156","description":"HIPPS-CB156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0601","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0601","description":"CDT-D0601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"L colectomy/coloproctostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44208","description":"L colectomy/coloproctostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; electrode only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0531T","description":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; electrode only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neutralizing antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)(Coronavirus disease[COVID-19]);titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86409","description":"Neutralizing antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)(Coronavirus disease[COVID-19]);titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add le poly knee custom kafo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2387","description":"Add le poly knee custom kafo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special stains group 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88312","description":"Special stains group 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2002","description":"HCPCS-J2002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"One-way allow prorated miles","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9603","description":"One-way allow prorated miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24576","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Term dev mech hook vol open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6706","description":"Term dev mech hook vol open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycobacteria dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87551","description":"Mycobacteria dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX43","description":"HIPPS-RVX43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0550U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0550U","description":"CPT-0550U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation with","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7558","description":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acyclovir injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0133","description":"Acyclovir injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES23A","description":"HIPPS-ES23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mental status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2014F","description":"Mental status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo below knee alignable sy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5910","description":"Endo below knee alignable sy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20611","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogen micrarray copy nmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81228","description":"Cytogen micrarray copy nmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL2","description":"HIPPS-1AHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5166","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5166","description":"HCPCS-Q5166","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67999","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0218T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v redo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88153","description":"Cytopath c/v redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES340","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES340","description":"HIPPS-ES340","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq stent/chest vert art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0075T","description":"Perq stent/chest vert art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55713","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55713","description":"CPT-55713","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28715","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated Analysis Of An Existing Computed Tomography Study For Vertebral Fracture(S)_ Including Assessment Of Bone Density When Performed_ Data Preparation_ Interpretation_ A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0691T","description":"Automated Analysis Of An Existing Computed Tomography Study For Vertebral Fracture(S)_ Including Assessment Of Bone Density When Performed_ Data Preparation_ Interpretation_ A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Astigmatism-correct function","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2787","description":"Astigmatism-correct function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB117","description":"HIPPS-LB117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assist oocyte fertilization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89280","description":"Assist oocyte fertilization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstr lwr jaw segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21198","description":"Reconstr lwr jaw segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX1C","description":"HIPPS-RMX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA21A","description":"HIPPS-PA21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped term dev_ hand_ vol clos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6714","description":"Ped term dev_ hand_ vol clos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens bifocal speciality","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2299","description":"Lens bifocal speciality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKX","description":"HIPPS-1CGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB215","description":"HIPPS-CB215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seg pneum int legs/trunk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0670","description":"Seg pneum int legs/trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc leg/ankle tum deep <5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27619","description":"Exc leg/ankle tum deep <5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK4","description":"HIPPS-1AHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC22D","description":"HIPPS-HC22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB117","description":"HIPPS-CB117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5098","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5098","description":"HCPCS-Q5098","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upr/l xtremity art 2 levels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93922","description":"Upr/l xtremity art 2 levels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC33","description":"HIPPS-RVC33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28X","description":"HIPPS-BB28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC201","description":"HIPPS-LC201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Within The Past 2 Years_ Calcium And/Or Vitamin D Optimization Has Been Ordered Or Performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2119","description":"Within The Past 2 Years_ Calcium And/Or Vitamin D Optimization Has Been Ordered Or Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Melatonin levels test_ sleep study_ 7 or 9 sample melatonin profile (cortisol optional)_ enzyme-linked immunosorbent assay (ELISA)_ saliva_ screening/preliminary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0462U","description":"Melatonin levels test_ sleep study_ 7 or 9 sample melatonin profile (cortisol optional)_ enzyme-linked immunosorbent assay (ELISA)_ saliva_ screening/preliminary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of toe joint each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28272","description":"Release of toe joint each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFK2","description":"HIPPS-2BFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splint wrist or ankle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8451","description":"Splint wrist or ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cranial electrotherapy stimulation (ces) system_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0732","description":"Cranial electrotherapy stimulation (ces) system_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle_ myocutaneous_ or fasciocutaneous flap; head and neck with named vascular pedicle (ie_ buccinators_ genioglossus_ temporalis_ masseter_ sternocleidomastoid_ levator sca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15733","description":"Muscle_ myocutaneous_ or fasciocutaneous flap; head and neck with named vascular pedicle (ie_ buccinators_ genioglossus_ temporalis_ masseter_ sternocleidomastoid_ levator sca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients not eligible due to pre-existing inflammatory bowel disease (ibd) (e.g._ ulcerative colitis_ crohn_s disease)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1182","description":"Patients not eligible due to pre-existing inflammatory bowel disease (ibd) (e.g._ ulcerative colitis_ crohn_s disease)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart-vein defect(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33730","description":"Repair heart-vein defect(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy abdominal mass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49180","description":"Biopsy abdominal mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove infected skull bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61501","description":"Remove infected skull bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE217","description":"HIPPS-LE217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8E","description":"HIPPS-RUX8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto impl 4 or more","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9740","description":"Cysto impl 4 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pow mobil dev no dmepdac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0899","description":"Pow mobil dev no dmepdac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hmes or trach valve housing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7505","description":"Hmes or trach valve housing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27607","description":"Treat lower leg bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD205","description":"HIPPS-CD205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect arm/elbow tum 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24079","description":"Resect arm/elbow tum 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bronchus add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32501","description":"Repair bronchus add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK6","description":"HIPPS-5AHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC246","description":"HIPPS-CC246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ pre-sacral interbody technique_ disc space preparation_ discectomy_ without instrumentation_ with image guidance_ includes bone graft when performed; L4-L5 inters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0196T","description":"Arthrodesis_ pre-sacral interbody technique_ disc space preparation_ discectomy_ without instrumentation_ with image guidance_ includes bone graft when performed; L4-L5 inters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ non-duplicated gene when duplication/multip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0074U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ non-duplicated gene when duplication/multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on eye; iridectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0121U","description":"Anesthesia for procedures on eye; iridectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ulnar nerve at wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64719","description":"Revise ulnar nerve at wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0626U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0626U","description":"CPT-0626U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61601","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55865","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9613","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9613","description":"HCPCS-A9613","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair mouth/nose fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30600","description":"Repair mouth/nose fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE10D","description":"HIPPS-CE10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ bin_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5250","description":"Hearing aid_ prog_ bin_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cltx thigh fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27267","description":"Cltx thigh fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Robotic surgical system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2900","description":"Robotic surgical system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8I","description":"HIPPS-RVC8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bevacizumab-maly_ biosimilar_ (alymsys)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5126","description":"Injection_ bevacizumab-maly_ biosimilar_ (alymsys)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abduction bar jointed adjust","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2300","description":"Abduction bar jointed adjust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraventricular pacing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93612","description":"Intraventricular pacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL1","description":"HIPPS-1BHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct urethra/penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54352","description":"Reconstruct urethra/penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Minoxidil_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0139","description":"Minoxidil_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of osteocalcin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83937","description":"Assay of osteocalcin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA56","description":"HIPPS-RUA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFKT","description":"HIPPS-2CFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinician Documented That Patient Recevied Vascular Access Other Than Autogenous AV Fistula_ Reason not Specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8532","description":"Clinician Documented That Patient Recevied Vascular Access Other Than Autogenous AV Fistula_ Reason not Specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Panitumumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9303","description":"Panitumumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct thorax w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71250","description":"Ct thorax w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N-et; stretcher van_ mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2049","description":"N-et; stretcher van_ mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I131 iodide sol_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9529","description":"I131 iodide sol_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC13B","description":"HIPPS-PC13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB25C","description":"HIPPS-PB25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL5C","description":"HIPPS-RHL5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33702","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE110","description":"HIPPS-PE110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37258","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37258","description":"CPT-37258","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lsh uterus 250 g or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58541","description":"Lsh uterus 250 g or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97552","description":"Group caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rev_ comm_ track_ doc biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8883","description":"Rev_ comm_ track_ doc biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD25B","description":"HIPPS-HD25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lab labial veneer porcelain","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2962","description":"Lab labial veneer porcelain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of sexual activity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9818","description":"Documentation of sexual activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gr27 sealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2371","description":"Gr27 sealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB104","description":"HIPPS-BB104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES355","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES355","description":"HIPPS-ES355","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"carePATCH_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4236","description":"carePATCH_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00812","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812","description":"CPT-00812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metabolic panel total ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80048","description":"Metabolic panel total ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rep perf anoper fistu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46715","description":"Rep perf anoper fistu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16372","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16372","description":"CPT-16372","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fld ped wc tltnspc w/o seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1234","description":"Fld ped wc tltnspc w/o seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB22A","description":"HIPPS-PB22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood gases o2 sat only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82810","description":"Blood gases o2 sat only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fondaparinux sodium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1652","description":"Fondaparinux sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung ventilat&perfus imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78582","description":"Lung ventilat&perfus imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism persivia clinical decision support_ as defined by the medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1023","description":"Clinical decision support mechanism persivia clinical decision support_ as defined by the medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert eye socket implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67550","description":"Insert eye socket implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1201","description":"HCPCS-B1201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFKX","description":"HIPPS-4BFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hand bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26200","description":"Remove hand bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate biliary duct/ampulla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47542","description":"Dilate biliary duct/ampulla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0618","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0618","description":"HCPCS-J0618","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28G","description":"HIPPS-PA28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone imaging multiple areas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78305","description":"Bone imaging multiple areas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No ster wd ifx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8572","description":"No ster wd ifx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMT","description":"HIPPS-1CHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech Language Pathology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4034","description":"Speech Language Pathology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital observation status if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99217","description":"Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital observation status if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tooth reimplantation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7270","description":"Tooth reimplantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC2B","description":"HIPPS-RVC2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot/toes surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28899","description":"Foot/toes surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor wght kininogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85293","description":"Clot factor wght kininogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE150","description":"HIPPS-CE150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cantharidin for topical administration_ 0.7%_ single unit dose applicator (3.2 mg)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7354","description":"Cantharidin for topical administration_ 0.7%_ single unit dose applicator (3.2 mg)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2028","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2028","description":"HCPCS-A2028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation caregiver is trained and certified in dementia care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2185","description":"Documentation caregiver is trained and certified in dementia care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGMV","description":"HIPPS-3CGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct rpt to reg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9327","description":"Ct rpt to reg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK2","description":"HIPPS-5CHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB54","description":"HIPPS-RLB54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00148","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00148","description":"CPT-00148","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelin Oligodendrocyte Glycoprotein (Mog-Igg1) Antibody; Flow Cytometry (Ie_ Fluorescence-Activated Cell Sorting [Facs])_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86363","description":"Myelin Oligodendrocyte Glycoprotein (Mog-Igg1) Antibody; Flow Cytometry (Ie_ Fluorescence-Activated Cell Sorting [Facs])_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL6","description":"HIPPS-2BHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99211","description":"Office/outpatient visit est","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stress mgmt class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9454","description":"Stress mgmt class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Frozen Entree","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1760","description":"Home Delivered Meals-Frozen Entree","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orbital replacement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5928","description":"Orbital replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL3","description":"HIPPS-4CFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mnpj of tmj w/anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21073","description":"Mnpj of tmj w/anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cervical traction equipment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0855","description":"Cervical traction equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28G","description":"HIPPS-HE28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28G","description":"HIPPS-PC28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNX","description":"HIPPS-3AHNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00322","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00322","description":"CPT-00322","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation syringe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4322","description":"Irrigation syringe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pain doc pos and plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8730","description":"Pain doc pos and plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual evoked potential (VEP) checkerboard or flash testing_ central nervous system except glaucoma_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95930","description":"Visual evoked potential (VEP) checkerboard or flash testing_ central nervous system except glaucoma_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FMRI brain by phys/psych","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70555","description":"FMRI brain by phys/psych","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef less than/equal to 35%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3055F","description":"Lvef less than/equal to 35%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA255","description":"HIPPS-CA255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients admitted to a skilled nursing facility (snf)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1266","description":"Patients admitted to a skilled nursing facility (snf)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD201","description":"HIPPS-LD201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB151","description":"HIPPS-BB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGM3","description":"HIPPS-1BGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal shunt placement w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59076","description":"Fetal shunt placement w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise stomach-bowel fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43865","description":"Revise stomach-bowel fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27358","description":"Remove femur lesion/fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair detachable foot r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1070","description":"Wheelchair detachable foot r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1238","description":"Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec med comp dev_ noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1505","description":"Elec med comp dev_ noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TGFBI (transforming growth factor beta-induced) (eg_ corneal dystrophy) gene analysis_ common variants (eg_ R124H_ R124C_ R124L_ R555W_ R555Q)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81333","description":"TGFBI (transforming growth factor beta-induced) (eg_ corneal dystrophy) gene analysis_ common variants (eg_ R124H_ R124C_ R124L_ R555W_ R555Q)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s) of sclerosant for spider veins (telangiectasia)_ limb or trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36468","description":"Injection(s) of sclerosant for spider veins (telangiectasia)_ limb or trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chct for mal hyperthermia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89049","description":"Chct for mal hyperthermia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (von Willebrand disease [VWD])_ von Willebrand propeptide_ enzyme-linked immunosorbent assays (ELISA)_ plasma_ diagnostic report of von Willebrand factor (VWF) prop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0281U","description":"Hematology (von Willebrand disease [VWD])_ von Willebrand propeptide_ enzyme-linked immunosorbent assays (ELISA)_ plasma_ diagnostic report of von Willebrand factor (VWF) prop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft patency/patch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35685","description":"Bypass graft patency/patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy_ flexible; with ablation of tumor(s)_ polyp(s)_ or other lesions(s) not amenable to removal by hot biopsy forceps_ bipolar cautery or snare technique","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6022","description":"Sigmoidoscopy_ flexible; with ablation of tumor(s)_ polyp(s)_ or other lesions(s) not amenable to removal by hot biopsy forceps_ bipolar cautery or snare technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8D","description":"HIPPS-RUB8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special radiation treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77470","description":"Special radiation treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM3","description":"HIPPS-2BHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reciprocating peritoneal dia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1630","description":"Reciprocating peritoneal dia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC225","description":"HIPPS-CC225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC40","description":"HIPPS-RHC40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt pulse gen w/dual leads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33230","description":"Insrt pulse gen w/dual leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Legg perthes orth scottish r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1730","description":"Legg perthes orth scottish r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only_ multiple density insert_ made by direct carving with CAM technology from a rectified CAD model created from","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0903","description":"For diabetics only_ multiple density insert_ made by direct carving with CAM technology from a rectified CAD model created from","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco use txmnt pharmacol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4001F","description":"Tobacco use txmnt pharmacol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg during surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95955","description":"Eeg during surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1827","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1827","description":"HCPCS-E1827","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse liver duct & intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47802","description":"Fuse liver duct & intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC36","description":"HIPPS-RMC36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shock absorber for man w/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1015","description":"Shock absorber for man w/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone_ lacrimal opthalamic insert_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9048","description":"Dexamethasone_ lacrimal opthalamic insert_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Direct advanced life support","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99288","description":"Direct advanced life support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-47384","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47384","description":"CPT-47384","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext h rate sz 15-30 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0383T","description":"Ext h rate sz 15-30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66130","description":"Remove eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL2B","description":"HIPPS-RVL2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA13A","description":"HIPPS-BA13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder/create pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51596","description":"Remove bladder/create pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures immediat maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5130","description":"Dentures immediat maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures complete mandible","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5120","description":"Dentures complete mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clean out mastoid cavity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69220","description":"Clean out mastoid cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithromb thx presc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8696","description":"Antithromb thx presc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of prostate abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55725","description":"Drainage of prostate abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Water distilled w/nebulizer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7018","description":"Water distilled w/nebulizer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0927T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0927T","description":"CPT-0927T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1604","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1604","description":"HCPCS-A1604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29835","description":"Elbow arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA34","description":"HIPPS-RUA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ingest challenge addl 60 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95079","description":"Ingest challenge addl 60 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantable tissue marker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4648","description":"Implantable tissue marker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath w/drainage 2-way latex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4314","description":"Cath w/drainage 2-way latex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01442","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01442","description":"CPT-01442","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFK6","description":"HIPPS-2BFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX50","description":"HIPPS-RLX50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ziprasidone mesylate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3486","description":"Ziprasidone mesylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venous pressure clamp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4918","description":"Venous pressure clamp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGL5","description":"HIPPS-3BGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls initiation artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33947","description":"Ecmo/ecls initiation artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMU","description":"HIPPS-1CFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA20C","description":"HIPPS-BA20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc depletion of harvest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38212","description":"Rbc depletion of harvest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Negative pressure ventilator;  portable or stationary","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0460","description":"Negative pressure ventilator;  portable or stationary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2035","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2035","description":"HCPCS-A2035","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatoid factor quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86431","description":"Rheumatoid factor quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt recvd no inhal anesthic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4555F","description":"Pt recvd no inhal anesthic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1422","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1422","description":"HCPCS-M1422","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB201","description":"HIPPS-BB201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj follitropin beta 75 iu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0128","description":"Inj follitropin beta 75 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/biopsy eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67450","description":"Explore/biopsy eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fees w/laryngeal sense test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92616","description":"Fees w/laryngeal sense test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lamination collar w/ couplin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6629","description":"Lamination collar w/ couplin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental other tmj films","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0321","description":"Dental other tmj films","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18X","description":"HIPPS-CB18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For Not Using Multimodal Pain Management (E.G._ Allergy To Multiple Classes Of Analgesics_ Intubated Patient_ Hepatic Failure_ Patient Repor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2149","description":"Documentation Of Medical Reason(S) For Not Using Multimodal Pain Management (E.G._ Allergy To Multiple Classes Of Analgesics_ Intubated Patient_ Hepatic Failure_ Patient Repor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB51","description":"HIPPS-RVB51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6077","description":"Implant supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt tlk psych & rx opd addic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4306F","description":"Pt tlk psych & rx opd addic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD22C","description":"HIPPS-PD22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK4","description":"HIPPS-5AFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bl exchange/transfuse non-nb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36455","description":"Bl exchange/transfuse non-nb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26746","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelography l-s spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72265","description":"Myelography l-s spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGMW","description":"HIPPS-4BGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina tissue part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57107","description":"Remove vagina tissue part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Streptococcus_ group A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87880","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Streptococcus_ group A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluorescent antibody screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86255","description":"Fluorescent antibody screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjacent tissue transfer or rearrangement_ any area; each additional 30.0 sq cm_ or part thereof (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14302","description":"Adjacent tissue transfer or rearrangement_ any area; each additional 30.0 sq cm_ or part thereof (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam entire spi 1 vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72081","description":"X-ray exam entire spi 1 vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal or debulking of intracardiac mass (eg_ vegetations_ thrombus) via suction (eg_ vacuum_ aspiration) device_ percutaneous approach_ w/ intraoperative reinf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0644T","description":"Transcatheter removal or debulking of intracardiac mass (eg_ vegetations_ thrombus) via suction (eg_ vacuum_ aspiration) device_ percutaneous approach_ w/ intraoperative reinf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (Suicidal Ideation)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 54 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0293U","description":"Psychiatry (Suicidal Ideation)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 54 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part hand no fingers","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6020","description":"Part hand no fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB2D","description":"HIPPS-RUB2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MLH1 (mutL homolog 1) (eg_ hereditary non-polyposis colorectal cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0158U","description":"MLH1 (mutL homolog 1) (eg_ hereditary non-polyposis colorectal cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0401","description":"HCPCS-B0401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX4D","description":"HIPPS-RLX4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68360","description":"Revise eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLT","description":"HIPPS-1AHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK3","description":"HIPPS-5AGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA0A","description":"HIPPS-RUA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had a baseline pam score and a second score within 6 to 12 month of baseline pam score","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1345","description":"Patients who had a baseline pam score and a second score within 6 to 12 month of baseline pam score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt disch to home by day#7","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8818","description":"Pt disch to home by day#7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/dxa no results doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8400","description":"Pt w/dxa no results doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gs mg intent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9237","description":"Gs mg intent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ ep_ cool-tip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2630","description":"Cath_ ep_ cool-tip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2009","description":"Comprehensive (60 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test 3 limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95863","description":"Muscle test 3 limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92629","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92629","description":"CPT-92629","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral infus pump statio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9006","description":"Parenteral infus pump statio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE235","description":"HIPPS-LE235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth tubal ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85151","description":"Anesth tubal ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add joint upper ext orthosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3956","description":"Add joint upper ext orthosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE13D","description":"HIPPS-CE13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX52","description":"HIPPS-RMX52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES146","description":"HIPPS-ES146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Slp stdy unattended","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95800","description":"Slp stdy unattended","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Days; 11-20 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99422","description":"Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Days; 11-20 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ non-cor_ tem w/del sy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2625","description":"Stent_ non-cor_ tem w/del sy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of split wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12020","description":"Closure of split wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External ambulatory infus pu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0781","description":"External ambulatory infus pu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair windpipe opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31613","description":"Repair windpipe opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast add lesion us imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19084","description":"Bx breast add lesion us imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flurazepam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6051","description":"Flurazepam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB213","description":"HIPPS-CB213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin fluid swing p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5824","description":"Endo knee-shin fluid swing p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise & repair chest wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32906","description":"Revise & repair chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interphalangeal joint repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8659","description":"Interphalangeal joint repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic duct procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38381","description":"Thoracic duct procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep bk ptb open end socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5535","description":"Prep bk ptb open end socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-77439","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77439","description":"CPT-77439","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE11A","description":"HIPPS-PE11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vascular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93978","description":"Vascular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB10B","description":"HIPPS-PB10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza a ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87276","description":"Influenza a ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leukocyte assessment fecal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89055","description":"Leukocyte assessment fecal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES10B","description":"HIPPS-ES10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFKV","description":"HIPPS-3CFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis b dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87517","description":"Hepatitis b dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Idet 1 or more levels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22527","description":"Idet 1 or more levels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neck/chest surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21899","description":"Neck/chest surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Outpt iv insulin tx any mea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9147","description":"Outpt iv insulin tx any mea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD121","description":"HIPPS-PD121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prednisone ir or dr oral 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7512","description":"Prednisone ir or dr oral 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15854","description":"Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdominal wall surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70051","description":"Anesth abdominal wall surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFM6","description":"HIPPS-2AFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA15D","description":"HIPPS-BA15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB1A","description":"HIPPS-RHB1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla i & ii typing lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81370","description":"Hla i & ii typing lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of knee 3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73562","description":"X-ray exam of knee 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair foot rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0175","description":"Commode chair foot rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient was not admitted to hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9856","description":"Patient was not admitted to hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74010","description":"X-ray exam of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Audiometry for hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0618","description":"Audiometry for hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rsa upper extr exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0349T","description":"Rsa upper extr exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chiropract manj 1-2 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98940","description":"Chiropract manj 1-2 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert xdrl body thrlmb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63302","description":"Remove vert xdrl body thrlmb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNU","description":"HIPPS-1BFNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB3B","description":"HIPPS-RLB3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGM3","description":"HIPPS-1AGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA52","description":"HIPPS-RLA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelin Oligodendrocyte Glycoprotein (Mog-Igg1) Antibody; Cell-Based Immunofluorescence Assay (Cba)_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86362","description":"Myelin Oligodendrocyte Glycoprotein (Mog-Igg1) Antibody; Cell-Based Immunofluorescence Assay (Cba)_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plague vaccine_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90727","description":"Plague vaccine_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis w adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8031","description":"Breast prosthesis w adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient transfer to practice after initiation of chemotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9833","description":"Patient transfer to practice after initiation of chemotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear rx intra-arterial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79445","description":"Nuclear rx intra-arterial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44363","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87634","description":"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1321","description":"Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0005","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hgb lvl <11 g/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3281F","description":"Hgb lvl <11 g/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of retinal detachment; by scleral buckling or vitrectomy_ on patient having previous ipsilateral retinal detachment repair(s) using scleral buckling or vit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67112","description":"Repair of retinal detachment; by scleral buckling or vitrectomy_ on patient having previous ipsilateral retinal detachment repair(s) using scleral buckling or vit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB22C","description":"HIPPS-BB22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC101","description":"HIPPS-CC101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ plazomicin_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0291","description":"Injection_ plazomicin_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0164","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0164","description":"HCPCS-J0164","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB22D","description":"HIPPS-HB22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (heparin-induced thrombocytopenia)_ platelet antibody reactivity by flow cytometry_ serum (Versiti™ Heparin-Induced Thrombocytopenia Evaluation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0275U","description":"Hematology (heparin-induced thrombocytopenia)_ platelet antibody reactivity by flow cytometry_ serum (Versiti™ Heparin-Induced Thrombocytopenia Evaluation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62324","description":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic resorbable wound dressing_ sterile_ pad size 16 sq in or less_ without adhesive border_ each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6460","description":"Synthetic resorbable wound dressing_ sterile_ pad size 16 sq in or less_ without adhesive border_ each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"2d tee w or w/o fol w/con_in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8925","description":"2d tee w or w/o fol w/con_in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewho cap design w/jnt(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3971","description":"Sewho cap design w/jnt(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0203","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0203","description":"HCPCS-C0203","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4334","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4334","description":"HCPCS-Q4334","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE206","description":"HIPPS-HE206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid imaging w/blood flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78014","description":"Thyroid imaging w/blood flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB154","description":"HIPPS-PB154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKV","description":"HIPPS-1BHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE240","description":"HIPPS-HE240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB23D","description":"HIPPS-CB23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection into spinal artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62294","description":"Injection into spinal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ferric pyrophosphate citrate solution (TrifericAVNU)_ 0.1 mg of iron","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1445","description":"Injection_ ferric pyrophosphate citrate solution (TrifericAVNU)_ 0.1 mg of iron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of stomach nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64755","description":"Incision of stomach nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lo sag ri an/pos pnl pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0642","description":"Lo sag ri an/pos pnl pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Naltrexone_ depot form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2315","description":"Naltrexone_ depot form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogate subq defib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93261","description":"Interrogate subq defib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enverse_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4258","description":"Enverse_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC217","description":"HIPPS-LC217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8H","description":"HIPPS-RLB8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB14A","description":"HIPPS-CB14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antepartum care only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59426","description":"Antepartum care only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6199","description":"Implant procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFL4","description":"HIPPS-1AFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 22 Or Functional Status M","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2142","description":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 22 Or Functional Status M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assistive technology assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97755","description":"Assistive technology assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA141","description":"HIPPS-CA141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC20A","description":"HIPPS-LC20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flunisolide comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7641","description":"Flunisolide comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfusion procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86999","description":"Transfusion procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagenase_ clost hist inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0775","description":"Collagenase_ clost hist inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of lumbar spine region cancer at the time of the procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1037","description":"Patients with a diagnosis of lumbar spine region cancer at the time of the procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLX","description":"HIPPS-2AFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.00d/>6.00d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2106","description":"Spherocylinder 4.00d/>6.00d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES144","description":"HIPPS-ES144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95145","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of skull tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61563","description":"Excision of skull tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for hip x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27093","description":"Injection for hip x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGKT","description":"HIPPS-3BGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC221","description":"HIPPS-PC221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft repair perimplant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6103","description":"Bone graft repair perimplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0938T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0938T","description":"CPT-0938T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic dysfunction/dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81410","description":"Aortic dysfunction/dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low Frequency Ultrasonic Diathermy Treatment Device For Home Use_ Includes All Components And Accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1004","description":"Low Frequency Ultrasonic Diathermy Treatment Device For Home Use_ Includes All Components And Accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore inner ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69805","description":"Explore inner ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGNV","description":"HIPPS-3AGNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFLV","description":"HIPPS-1CFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28G","description":"HIPPS-LD28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair hallux rigidus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28289","description":"Repair hallux rigidus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occult blood feces","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82270","description":"Occult blood feces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microdissection manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88381","description":"Microdissection manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enclosed ped crib hosp grade","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0300","description":"Enclosed ped crib hosp grade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy trifocal 4.25-7/.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2307","description":"Lens sphcy trifocal 4.25-7/.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB23","description":"HIPPS-RLB23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay urine catecholamines","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82382","description":"Assay urine catecholamines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj potassium chloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3480","description":"Inj potassium chloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE12C","description":"HIPPS-HE12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM4","description":"HIPPS-3CGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99285","description":"Emergency dept visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gamunex-c/gammaked","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1561","description":"Gamunex-c/gammaked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted px extraocular musc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67399","description":"Unlisted px extraocular musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change nephroureteral cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50387","description":"Change nephroureteral cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dent anesthesia w/o surgery","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9210","description":"Dent anesthesia w/o surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Puncture drainage of lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10160","description":"Puncture drainage of lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD130","description":"HIPPS-HD130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Copd mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8757","description":"Copd mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation (In-Person) With Analysis_ Review And Report By A Physician Or Other Qualified Health Care Professional_ Including Connection_ Recording And Di","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0685T","description":"Interrogation Device Evaluation (In-Person) With Analysis_ Review And Report By A Physician Or Other Qualified Health Care Professional_ Including Connection_ Recording And Di","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home hospice case 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0271","description":"Home hospice case 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye image valid to dx rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2026F","description":"Eye image valid to dx rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow prosth tiss shap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6400","description":"Below elbow prosth tiss shap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cid ext speech process repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8627","description":"Cid ext speech process repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC12B","description":"HIPPS-HC12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rig fram pelvic pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0469","description":"Tlso rig fram pelvic pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKV","description":"HIPPS-4AHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reusable nipple prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8032","description":"Reusable nipple prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01180","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01180","description":"CPT-01180","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Externally applied transcranial magnetic stimulation with concomitant measurement of evoked cortical potentials with automated report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0858T","description":"Externally applied transcranial magnetic stimulation with concomitant measurement of evoked cortical potentials with automated report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9176","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9176","description":"HCPCS-C9176","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0103","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0103","description":"HCPCS-A0103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0501","description":"HCPCS-A0501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1738","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1738","description":"HCPCS-C1738","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25360","description":"Revision of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Test Appropriate_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1006","description":"Clinical Decision Support Mechanism Test Appropriate_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap ing hernia repair recur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49651","description":"Lap ing hernia repair recur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lang comp d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9161","description":"Lang comp d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp remove forgn body duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43275","description":"Ercp remove forgn body duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx nasomax fx multple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21347","description":"Opn tx nasomax fx multple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69740","description":"Repair facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O shoe convert to sof counte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3590","description":"O shoe convert to sof counte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient is using hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9714","description":"Patient is using hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN2","description":"HIPPS-1CHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iiv vacc pandemic adjuvt im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90667","description":"Iiv vacc pandemic adjuvt im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay metallic 3 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2543","description":"Dental onlay metallic 3 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport meals recip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0190","description":"Noner transport meals recip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC1A","description":"HIPPS-RUC1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD113","description":"HIPPS-LD113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of catheter vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36500","description":"Insertion of catheter vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental cephalometric film","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0340","description":"Dental cephalometric film","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excursion amplifier lever ty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6642","description":"Excursion amplifier lever ty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amniocentesis diagnostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59000","description":"Amniocentesis diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence supply","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4335","description":"Incontinence supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB54","description":"HIPPS-RHB54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ isavuconazonium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1833","description":"Injection_ isavuconazonium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC44","description":"HIPPS-RMC44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKV","description":"HIPPS-5CGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eosinophil blood count","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3630","description":"Eosinophil blood count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0662U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0662U","description":"CPT-0662U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig geno no antvir tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8458","description":"Pt inelig geno no antvir tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flex/ext/rotation wrist unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6624","description":"Flex/ext/rotation wrist unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart infarct image (ef)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78468","description":"Heart infarct image (ef)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Ambulatory Infusion Pump_ Insulin_ Dosage Rate Adjustment Using Therapeutic Continuous Glucose Sensing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0787","description":"External Ambulatory Infusion Pump_ Insulin_ Dosage Rate Adjustment Using Therapeutic Continuous Glucose Sensing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA3A","description":"HIPPS-RHA3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ cell enumeration of circulating tumor cells_ utilizing whole blood_ algorithm_ for the presence of adenoma or cancer_ reported as a positive o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0091U","description":"Oncology (colorectal) screening_ cell enumeration of circulating tumor cells_ utilizing whole blood_ algorithm_ for the presence of adenoma or cancer_ reported as a positive o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls rmvl prph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33966","description":"Ecmo/ecls rmvl prph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Graft_ vascular","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1768","description":"Graft_ vascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent psychiatric collaborative care management_ first 60 minutes in a subsequent month of behavioral health care manager activities_ in consultation with a psychiatric c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0503","description":"Subsequent psychiatric collaborative care management_ first 60 minutes in a subsequent month of behavioral health care manager activities_ in consultation with a psychiatric c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient is currently on a statin therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9796","description":"Patient is currently on a statin therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX4B","description":"HIPPS-RLX4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other counselor at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9475","description":"Other counselor at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65815","description":"Drainage of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-83884","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83884","description":"CPT-83884","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post 3 srfc resinbased cmpst","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2393","description":"Post 3 srfc resinbased cmpst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heavy duty wheeled walker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0149","description":"Heavy duty wheeled walker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA35","description":"HIPPS-RLA35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC2C","description":"HIPPS-RMC2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus vaccine_ preF_ subunit_ bivalent_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90678","description":"Respiratory syncytial virus vaccine_ preF_ subunit_ bivalent_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnioband_ guardian 1 sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4151","description":"Amnioband_ guardian 1 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES126","description":"HIPPS-ES126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental skin graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7920","description":"Dental skin graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28H","description":"HIPPS-HB28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mild-mod dep symp by deptool","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3353F","description":"Mild-mod dep symp by deptool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electron elbow child switch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7186","description":"Electron elbow child switch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3d-crt/imrt received","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4165F","description":"3d-crt/imrt received","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy bleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45317","description":"Proctosigmoidoscopy bleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald for cochlear implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5273","description":"Ald for cochlear implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB13B","description":"HIPPS-BB13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External urinary catheter; non-disposable_ for use with suction pump_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6591","description":"External urinary catheter; non-disposable_ for use with suction pump_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise head/neck of femur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27179","description":"Revise head/neck of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apis_ Per Square Centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2010","description":"Apis_ Per Square Centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spleen imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78185","description":"Spleen imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole lauroxil_ (aristada initio)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1943","description":"Injection_ aripiprazole lauroxil_ (aristada initio)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA255","description":"HIPPS-PA255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5299","description":"Hearing service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of salivary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42665","description":"Ligation of salivary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Static str toe dev ext/flex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1831","description":"Static str toe dev ext/flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE106","description":"HIPPS-HE106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knuckle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26705","description":"Treat knuckle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC41","description":"HIPPS-RMC41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML4B","description":"HIPPS-RML4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL3","description":"HIPPS-4AHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinus endo w/balloon dil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31296","description":"Sinus endo w/balloon dil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC25B","description":"HIPPS-PC25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC24B","description":"HIPPS-HC24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Online service by hc pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98969","description":"Online service by hc pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O shoe add standard toe tap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3550","description":"O shoe add standard toe tap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA11","description":"HIPPS-AAA11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL42","description":"HIPPS-RHL42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90482","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90482","description":"CPT-90482","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX17","description":"HIPPS-RHX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0562","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0562","description":"HCPCS-G0562","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardioassist external","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92971","description":"Cardioassist external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulm function test by gas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94727","description":"Pulm function test by gas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiotherapy dose plan imrt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77301","description":"Radiotherapy dose plan imrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad resect hand tumor 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26118","description":"Rad resect hand tumor 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srs multisource","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77371","description":"Srs multisource","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15956","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no pt cat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9429","description":"Doc med reas no pt cat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Golimumab for iv use 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1602","description":"Golimumab for iv use 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bupivicaine_ not otherwise specified_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0665","description":"Injection_ bupivicaine_ not otherwise specified_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressant tricyclic 1/2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80335","description":"Antidepressant tricyclic 1/2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB201","description":"HIPPS-HB201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ gene expression profiling by real-time RT-PCR of 7 gene pathways (ER_ AR_ PI3K_ MAPK_ HH_ TGFB_ Notch)_ formalin-fixed paraffin-embedded (FFPE)_ algori","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0262U","description":"Oncology (solid tumor)_ gene expression profiling by real-time RT-PCR of 7 gene pathways (ER_ AR_ PI3K_ MAPK_ HH_ TGFB_ Notch)_ formalin-fixed paraffin-embedded (FFPE)_ algori","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine flow measurement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51736","description":"Urine flow measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Up ext fx orthos humeral nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3980","description":"Up ext fx orthos humeral nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44620","description":"Repair bowel opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero w/stone remove","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52352","description":"Cystouretero w/stone remove","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amantadine hcl 100mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9017","description":"Amantadine hcl 100mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligate leg veins radical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37760","description":"Ligate leg veins radical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dorsi & plantar flex ass/res","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2220","description":"Dorsi & plantar flex ass/res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE241","description":"HIPPS-PE241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy and transluminal s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9767","description":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy and transluminal s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory flow volume loop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94375","description":"Respiratory flow volume loop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext ecg scan w/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0297T","description":"Ext ecg scan w/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Streptococcus_ group B","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87802","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Streptococcus_ group B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply multlay comprs lwr leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29581","description":"Apply multlay comprs lwr leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Px sup fee anti-can sub pres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0512","description":"Px sup fee anti-can sub pres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX50","description":"HIPPS-RHX50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1216","description":"No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL05","description":"HIPPS-RHL05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA17","description":"HIPPS-RVA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lengthen radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25393","description":"Lengthen radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert palate implants","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9727","description":"Insert palate implants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perphenazine injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3310","description":"Perphenazine injeciton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amphetamine or methamphetamine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6042","description":"Amphetamine or methamphetamine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25444","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73600","description":"X-ray exam of ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj ocular telescope prosth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0308T","description":"Insj ocular telescope prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No disc tx choices","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9401","description":"No disc tx choices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA60","description":"HIPPS-RVA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"S bowel endoscope w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44379","description":"S bowel endoscope w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0996T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0996T","description":"CPT-0996T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7529","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7529","description":"HCPCS-J7529","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0028","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch w ex wear barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4391","description":"Urinary pouch w ex wear barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spkt/v less than 1. 2 (single-pool clearance of urea [kt] / volume [v])_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8717","description":"Spkt/v less than 1. 2 (single-pool clearance of urea [kt] / volume [v])_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD126","description":"HIPPS-PD126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Audiometry air only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0208T","description":"Audiometry air only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7611","description":"Albuterol non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFMX","description":"HIPPS-3CFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish access to aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36160","description":"Establish access to aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1033T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1033T","description":"CPT-1033T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9707","description":"Patient received hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray special views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71035","description":"Chest x-ray special views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko rigid w/o joints pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1836","description":"Ko rigid w/o joints pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1403","description":"HCPCS-B1403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous rf 1st vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36475","description":"Endovenous rf 1st vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place cath carotd art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36224","description":"Place cath carotd art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep a/hep b vacc adult im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90636","description":"Hep a/hep b vacc adult im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49613","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep renal graft/venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50327","description":"Prep renal graft/venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sealant_ pulmonary_ liquid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2615","description":"Sealant_ pulmonary_ liquid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc ob care/deliver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59898","description":"Laparo proc ob care/deliver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee cuff suspension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5666","description":"Below knee cuff suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pituitary evaluation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80418","description":"Pituitary evaluation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph lengthening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43338","description":"Esoph lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD24A","description":"HIPPS-HD24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin w/ high noble me","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2720","description":"Crown resin w/ high noble me","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK6","description":"HIPPS-4BGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC136","description":"HIPPS-LC136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obtaining screen pap smear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0091","description":"Obtaining screen pap smear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Felbamate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80167","description":"Felbamate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exchange lens prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66986","description":"Exchange lens prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous vertebroplasties (bone biopsies included when performed)_ first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies_ unilateral or","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7504","description":"Percutaneous vertebroplasties (bone biopsies included when performed)_ first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies_ unilateral or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Integra matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4108","description":"Integra matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sagit rigid panel prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0635","description":"Lso sagit rigid panel prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with previously acquired computed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0807T","description":"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with previously acquired computed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0805","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0805","description":"CDT-D0805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phenotype dna hiv w/clt add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87904","description":"Phenotype dna hiv w/clt add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0949T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0949T","description":"CPT-0949T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antistreptolysin o titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86060","description":"Antistreptolysin o titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct interprete man","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0365","description":"Cone beam ct interprete man","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screen c/v thin layer by md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0124","description":"Screen c/v thin layer by md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation that the patient declined therapy change or alternative therapies were unavailable_ has documented contraindications_ or has not been treated with an oral system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9765","description":"Documentation that the patient declined therapy change or alternative therapies were unavailable_ has documented contraindications_ or has not been treated with an oral system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB20A","description":"HIPPS-CB20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection_ percutaneous_ radiological supervision and interpretati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74480","description":"Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection_ percutaneous_ radiological supervision and interpretati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine_ polyvalent_ for children under 5 years_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90669","description":"Pneumococcal conjugate vaccine_ polyvalent_ for children under 5 years_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX44","description":"HIPPS-RMX44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9184","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9184","description":"HCPCS-J9184","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Odontics eposteal implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6040","description":"Odontics eposteal implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef calorie dense>/=1.5kcal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4152","description":"Ef calorie dense>/=1.5kcal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33917","description":"Repair pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emr pwr cbl combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0493","description":"Emr pwr cbl combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dicyclomine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0500","description":"Dicyclomine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood pku","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84030","description":"Assay of blood pku","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPT","description":"HIPPS-1BHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epicord_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4187","description":"Epicord_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analyze neurostim simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95971","description":"Analyze neurostim simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval implantable dfb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93283","description":"Prgrmg eval implantable dfb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermacell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4122","description":"Dermacell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNT","description":"HIPPS-3CFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Space maintainer_ removable bilateral_ mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1527","description":"Space maintainer_ removable bilateral_ mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX56","description":"HIPPS-RVX56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1739","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1739","description":"HCPCS-C1739","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection_ all nonselec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34706","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection_ all nonselec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1202","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1202","description":"HCPCS-A1202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFL3","description":"HIPPS-1CFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso flex custom fab thoraci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0452","description":"Tlso flex custom fab thoraci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA23","description":"HIPPS-RHA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tirofiban hcl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3246","description":"Tirofiban hcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB10D","description":"HIPPS-LB10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dementia mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8761","description":"Dementia mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX23","description":"HIPPS-RHX23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB0A","description":"HIPPS-RHB0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK5","description":"HIPPS-3BGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko single upright pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0901","description":"Ko single upright pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKW","description":"HIPPS-4AHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelogphy 2/> spine regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72270","description":"Myelogphy 2/> spine regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy radioelements","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q3001","description":"Brachytherapy radioelements","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE23A","description":"HIPPS-PE23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sugars multiple quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84379","description":"Sugars multiple quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray liver w/hemodynam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75885","description":"Vein x-ray liver w/hemodynam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB11","description":"HIPPS-RMB11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of midfoot joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28260","description":"Release of midfoot joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep a vac series prev recvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4155F","description":"Hep a vac series prev recvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped crit care age 2-5 subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99476","description":"Ped crit care age 2-5 subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opioids & opiate analogs 3/4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80363","description":"Opioids & opiate analogs 3/4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mast simple complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19303","description":"Mast simple complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43620","description":"Removal of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow imaging body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78104","description":"Bone marrow imaging body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacologic mgmt w/psytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90863","description":"Pharmacologic mgmt w/psytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGNS","description":"HIPPS-1BGNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0406","description":"HCPCS-C0406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enzyme cell activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82657","description":"Enzyme cell activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic platelet disorders)_ genomic sequence analysis of 43 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Comprehensive Platelet Disorder Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0274U","description":"Hematology (genetic platelet disorders)_ genomic sequence analysis of 43 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Comprehensive Platelet Disorder Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11450","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB5D","description":"HIPPS-RLB5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tamoxifen 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0187","description":"Tamoxifen 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFL3","description":"HIPPS-3BFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00670","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00670","description":"CPT-00670","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj ferric pyrophosphate cit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1443","description":"Inj ferric pyrophosphate cit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner ear nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69950","description":"Incise inner ear nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35281","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monoclonal antibodies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7505","description":"Monoclonal antibodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0025","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx transantral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21385","description":"Opn tx orbit fx transantral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"C-reactive protein hs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86141","description":"C-reactive protein hs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastoid surgery revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69605","description":"Mastoid surgery revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2312","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2312","description":"HCPCS-J2312","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB44","description":"HIPPS-RUB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25120","description":"Removal of forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES316","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES316","description":"HIPPS-ES316","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35001","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNV","description":"HIPPS-1BFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA254","description":"HIPPS-PA254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE20D","description":"HIPPS-LE20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54300","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Image not std nomenclature","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9319","description":"Image not std nomenclature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom sleep apnea appliance fabrication and placement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9947","description":"Custom sleep apnea appliance fabrication and placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nondisposable nebulizer set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7005","description":"Nondisposable nebulizer set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specimen not intraop image","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8873","description":"Specimen not intraop image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE22C","description":"HIPPS-HE22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory_ lateral thigh or knee support_ any type including fixed mounting hardware_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0953","description":"Wheelchair accessory_ lateral thigh or knee support_ any type including fixed mounting hardware_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ chest; 2 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71046","description":"Radiologic examination_ chest; 2 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dev delay prev dp ch_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2037","description":"Dev delay prev dp ch_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unspecified preventive proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1999","description":"Unspecified preventive proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD220","description":"HIPPS-LD220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay metallic 2 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2542","description":"Dental onlay metallic 2 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB10A","description":"HIPPS-PB10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGKW","description":"HIPPS-4CGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Head surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21499","description":"Head surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ quantitative_ column (eg_ gas liquid or hplc); multiple analytes_ single stationary and mobile phase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82492","description":"Chromatography_ quantitative_ column (eg_ gas liquid or hplc); multiple analytes_ single stationary and mobile phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0669","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0669","description":"HCPCS-G0669","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of ankle and/or ft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29540","description":"Strapping of ankle and/or ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial observation care_ per day_ for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or com","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99218","description":"Initial observation care_ per day_ for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or com","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML4A","description":"HIPPS-RML4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay cyclosporine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80158","description":"Drug assay cyclosporine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unusual physician travel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99082","description":"Unusual physician travel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB212","description":"HIPPS-LB212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lens material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66840","description":"Removal of lens material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES256","description":"HIPPS-ES256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elective surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9643","description":"Elective surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA225","description":"HIPPS-BA225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit diuretic infus diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9361","description":"Hit diuretic infus diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL3","description":"HIPPS-3CFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFMS","description":"HIPPS-3CFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef special metabolic inherit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4157","description":"Ef special metabolic inherit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/fam w/e&m 45 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90836","description":"Psytx pt&/fam w/e&m 45 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient is undergoing palliative dialysis with a catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9747","description":"Patient is undergoing palliative dialysis with a catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17273","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8B","description":"HIPPS-RMB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg pain was measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 to 20 weeks) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9947","description":"Leg pain was measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 to 20 weeks) postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ amiodarone hydrochloride (nexterone)_ 30 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0283","description":"Injection_ amiodarone hydrochloride (nexterone)_ 30 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (melanoma)_ gene expression profiling by RTqPCR_ <i>PRAME</i> and <i>LINC00518</i>_ superficial collection using adhesive patch(es)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0089U","description":"Oncology (melanoma)_ gene expression profiling by RTqPCR_ <i>PRAME</i> and <i>LINC00518</i>_ superficial collection using adhesive patch(es)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD11A","description":"HIPPS-HD11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tocilizumab-bavi (tofidence)_ biosimilar_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5133","description":"Injection_ tocilizumab-bavi (tofidence)_ biosimilar_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microsurgery add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69990","description":"Microsurgery add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-38226","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38226","description":"CPT-38226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject for spine disk x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62291","description":"Inject for spine disk x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plastic Surgery Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4027","description":"Plastic Surgery Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0682U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0682U","description":"CPT-0682U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sperm identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89257","description":"Sperm identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0936T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0936T","description":"CPT-0936T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mental health service_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0046","description":"Mental health service_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93592","description":"Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home care supervis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99340","description":"Domicil/r-home care supervis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Longevity And Mortality Risk_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 18 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0294U","description":"Longevity And Mortality Risk_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 18 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped complete soy based","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4159","description":"Ef ped complete soy based","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood/uric acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84550","description":"Assay of blood/uric acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1323","description":"Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c dpth 20-21 in seat frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2342","description":"W/c dpth 20-21 in seat frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98011","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98011","description":"CPT-98011","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Main/clean max prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5993","description":"Main/clean max prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1701","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1701","description":"HCPCS-A1701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (hospira) not therapeutically equivalent to j9305_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9294","description":"Injection_ pemetrexed (hospira) not therapeutically equivalent to j9305_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinus augmentation vertical","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7952","description":"Sinus augmentation vertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein_ extremity_ inclusive of all imaging guidance and monitoring_ percutaneous_ mechanochemical; subsequent vein(s) treated in a si","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36474","description":"Endovenous ablation therapy of incompetent vein_ extremity_ inclusive of all imaging guidance and monitoring_ percutaneous_ mechanochemical; subsequent vein(s) treated in a si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resin infiltration of lesion","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2990","description":"Resin infiltration of lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens lenticular trifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2315","description":"Lens lenticular trifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch w/o barrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5072","description":"Urinary pouch w/o barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients With Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2151","description":"Patients With Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv col sr foam 2pc pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0172","description":"Cerv col sr foam 2pc pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assist living waiver/month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2030","description":"Assist living waiver/month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMU","description":"HIPPS-1AHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple family group psytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90849","description":"Multiple family group psytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGNS","description":"HIPPS-3BGNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cranial remolding orthosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1040","description":"Cranial remolding orthosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE113","description":"HIPPS-CE113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB240","description":"HIPPS-HB240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penile vascular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93980","description":"Penile vascular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFN1","description":"HIPPS-1BFN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ant fusion 4-7 vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22810","description":"Ant fusion 4-7 vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardioversion electric int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92961","description":"Cardioversion electric int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Airways surgical procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31899","description":"Airways surgical procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Waterproof tape","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4452","description":"Waterproof tape","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay other fluid chlorides","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82438","description":"Assay other fluid chlorides","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44146","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFL1","description":"HIPPS-1CFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB40","description":"HIPPS-RLB40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGKV","description":"HIPPS-1AGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exome (ie_ somatic mutations)_ paired formalin-fixed paraffin-embedded tumor tissue and normal specimen_ sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0036U","description":"Exome (ie_ somatic mutations)_ paired formalin-fixed paraffin-embedded tumor tissue and normal specimen_ sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj fem single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64447","description":"N block inj fem single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leucovorin calcium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0640","description":"Leucovorin calcium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Refused To Participate At Admission And/Or Discharge; Patient Unable To Complete The Neck Fs Prom At Admission Or Discharge Due To Cognitive Deficit_ Visual Deficit_ M","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2166","description":"Patient Refused To Participate At Admission And/Or Discharge; Patient Unable To Complete The Neck Fs Prom At Admission Or Discharge Due To Cognitive Deficit_ Visual Deficit_ M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulp cap direct","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3110","description":"Pulp cap direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug Screen_ Other Than Chromatographic; Any Number Of Drug Classes_ By Clia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0434","description":"Drug Screen_ Other Than Chromatographic; Any Number Of Drug Classes_ By Clia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of windpipe injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31805","description":"Repair of windpipe injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert vad artery access","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33990","description":"Insert vad artery access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB230","description":"HIPPS-LB230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of salivary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42660","description":"Dilation of salivary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endosteal implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6012","description":"Endosteal implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML22","description":"HIPPS-RML22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise sperm duct pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55605","description":"Incise sperm duct pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Craniofacial approach skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61583","description":"Craniofacial approach skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0624T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of long leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29365","description":"Application of long leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of gastrostomy tube_ percutaneous_ includes removal_ when performed_ without imaging or endoscopic guidance; requiring revision of gastrostomy tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43763","description":"Replacement of gastrostomy tube_ percutaneous_ includes removal_ when performed_ without imaging or endoscopic guidance; requiring revision of gastrostomy tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0650U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0650U","description":"CPT-0650U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ granisetron_ extended-release_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1627","description":"Injection_ granisetron_ extended-release_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Services of skilled nurse in home health setting_ each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0154","description":"Services of skilled nurse in home health setting_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX45","description":"HIPPS-RVX45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy drug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9999","description":"Chemotherapy drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB5D","description":"HIPPS-RVB5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pasrr level i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2010","description":"Pasrr level i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv saliv glands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64611","description":"Chemodenerv saliv glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64680","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dyphylline injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1180","description":"Dyphylline injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0102","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0102","description":"CDT-D0102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18A","description":"HIPPS-LB18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sc r ant/pos pnl pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0637","description":"Lso sc r ant/pos pnl pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1428","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1428","description":"HCPCS-M1428","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl met band kafo-afo calf/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4090","description":"Repl met band kafo-afo calf/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rigid ped wc adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1235","description":"Rigid ped wc adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening_ diagnostic_ film digital or digital breast tomosynthesis (3d) mammography results documented and reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1302","description":"Screening_ diagnostic_ film digital or digital breast tomosynthesis (3d) mammography results documented and reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removable insert each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6691","description":"Removable insert each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No tdap or td or 1tet/dipth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9417","description":"No tdap or td or 1tet/dipth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phosphorus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84100","description":"Assay of phosphorus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0609U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0609U","description":"CPT-0609U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aor ane >=6.0 cm max diam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9599","description":"Aor ane >=6.0 cm max diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFKW","description":"HIPPS-3BFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Take-Home Supply Of Methadone; Up To 7 Additional Day Supply (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code F","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2078","description":"Take-Home Supply Of Methadone; Up To 7 Additional Day Supply (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnio quad-core_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4294","description":"Amnio quad-core_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepc gn tstng docd b/4txmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3266F","description":"Hepc gn tstng docd b/4txmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion ther other than che","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0081","description":"Infusion ther other than che","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE156","description":"HIPPS-PE156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc endocrine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60659","description":"Laparo proc endocrine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74000","description":"X-ray exam of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alloskin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4123","description":"Alloskin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFMU","description":"HIPPS-4BFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of glucagon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82943","description":"Assay of glucagon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tumor cell deplete of harvst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38211","description":"Tumor cell deplete of harvst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC15","description":"HIPPS-RUC15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelv band/spread bar thigh c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1640","description":"Pelv band/spread bar thigh c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB251","description":"HIPPS-CB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mans shoe oxford brace","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3225","description":"Mans shoe oxford brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab_ 10 mg and hyaluronidase-oysk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9356","description":"Injection_ trastuzumab_ 10 mg and hyaluronidase-oysk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth heart surg <1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56159","description":"Anesth heart surg <1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj_ level 3","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9009","description":"Mccd_ risk adj_ level 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40700","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy finger joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26110","description":"Biopsy finger joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0582","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0582","description":"HCPCS-J0582","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temp fml iu vlv-pmp 1st insj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0596T","description":"Temp fml iu vlv-pmp 1st insj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No hepc rna after med no rsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9211","description":"No hepc rna after med no rsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open red simpl mandible fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7630","description":"Open red simpl mandible fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB150","description":"HIPPS-LB150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"L hrt artery/ventricle angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93458","description":"L hrt artery/ventricle angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntrng sys compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0302T","description":"Icar ischm mntrng sys compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Twelve volt battery utah/equ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7364","description":"Twelve volt battery utah/equ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular electrical stimulator (nmes)_ disposable_ replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4560","description":"Neuromuscular electrical stimulator (nmes)_ disposable_ replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory traction device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0830","description":"Ambulatory traction device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0803T","description":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excavation of a tooth resulting in the determination of non-restorability","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2989","description":"Excavation of a tooth resulting in the determination of non-restorability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abut support retainer titani","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6194","description":"Abut support retainer titani","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD245","description":"HIPPS-LD245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo torsion ball bearing j","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2060","description":"Hkafo torsion ball bearing j","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total hip arthroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27130","description":"Total hip arthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Legg perthes orthosis trilat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1720","description":"Legg perthes orthosis trilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home mgmt preterm labor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9208","description":"Home mgmt preterm labor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct abdomen w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74160","description":"Ct abdomen w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin depres scrn no f/u doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8511","description":"Clin depres scrn no f/u doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp pop-tibl-prl-other","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35671","description":"Art byp pop-tibl-prl-other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of corneal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65450","description":"Treatment of corneal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inlay porcelain/ceramic 2 su","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2620","description":"Inlay porcelain/ceramic 2 su","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tr retinal les preterm inf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67229","description":"Tr retinal les preterm inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01202","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01202","description":"CPT-01202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28I","description":"HIPPS-CC28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0603","description":"HCPCS-A0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estradiol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82670","description":"Assay of estradiol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL3","description":"HIPPS-1AHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19367","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1 or no ct sinus w/in 90d dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9354","description":"1 or no ct sinus w/in 90d dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj olanzapine 2.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0166","description":"Inj olanzapine 2.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFM3","description":"HIPPS-2AFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot press off load supp dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9283","description":"Foot press off load supp dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit periton dialysis diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9339","description":"Hit periton dialysis diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treponema pallidum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86780","description":"Treponema pallidum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ flow cytometry_ sputum_ 5 markers (meso-tetra [4-carboxyphenyl] porphyrin [TCPP]_ CD206_ CD66b_ CD3_ CD19)_ algorithm reported as likelihood of lung cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0406U","description":"Oncology (lung)_ flow cytometry_ sputum_ 5 markers (meso-tetra [4-carboxyphenyl] porphyrin [TCPP]_ CD206_ CD66b_ CD3_ CD19)_ algorithm reported as likelihood of lung cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status measurement with score was obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1042","description":"Functional status measurement with score was obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1002","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1002","description":"CDT-D1002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of androstenedione","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82157","description":"Assay of androstenedione","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0168","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0168","description":"HCPCS-J0168","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj_ level 4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9010","description":"Mccd_ risk adj_ level 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forensic autopsy (necropsy)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88040","description":"Forensic autopsy (necropsy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/thymus resect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32673","description":"Thoracoscopy w/thymus resect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier_ wipe or swab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5120","description":"Skin barrier_ wipe or swab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Isavuconazonium Sulfate_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9456","description":"Injection_ Isavuconazonium Sulfate_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for ureter x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50684","description":"Injection for ureter x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical revision intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44680","description":"Surgical revision intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit enzyme replace diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9357","description":"Hit enzyme replace diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microprcsr cu combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0482","description":"Microprcsr cu combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD224","description":"HIPPS-PD224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ovarian tube(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58752","description":"Revise ovarian tube(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL3B","description":"HIPPS-RVL3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45111","description":"Partial removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/graft eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68328","description":"Revise/graft eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adults who are deliberately phased out of medication assisted treatment (MAT) prior to 180 days of continuous treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1035","description":"Adults who are deliberately phased out of medication assisted treatment (MAT) prior to 180 days of continuous treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lyme dis dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87475","description":"Lyme dis dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec stim other than wound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0283","description":"Elec stim other than wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE11C","description":"HIPPS-LE11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pap oral interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7044","description":"Pap oral interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Path consult intraop addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88332","description":"Path consult intraop addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE21A","description":"HIPPS-LE21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply hand/wrist cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29085","description":"Apply hand/wrist cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate arrhythmia add on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93655","description":"Ablate arrhythmia add on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01234","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01234","description":"CPT-01234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical prostatectomy_ simple subtotal (including control of postoperative bleeding_ vasectomy_ meatotomy_ urethral calibration and/or dilation_ and internal ure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55867","description":"Laparoscopy_ surgical prostatectomy_ simple subtotal (including control of postoperative bleeding_ vasectomy_ meatotomy_ urethral calibration and/or dilation_ and internal ure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal cord puncture prenatal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59012","description":"Fetal cord puncture prenatal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg artery-vein single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33517","description":"Cabg artery-vein single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33300","description":"Repair of heart wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44150","description":"Removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of chest wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19271","description":"Revision of chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Humate-p_ inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7187","description":"Humate-p_ inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33780","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB117","description":"HIPPS-BB117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m sestamibi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9500","description":"Tc99m sestamibi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0972T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0972T","description":"CPT-0972T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45379","description":"Colonoscopy w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1463","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1463","description":"HCPCS-M1463","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20690","description":"Apply bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy lesion ablate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43229","description":"Esophagoscopy lesion ablate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK1","description":"HIPPS-5BGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation of facial bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21208","description":"Augmentation of facial bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat penis lesion graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54112","description":"Treat penis lesion graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Covers for upright each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1120","description":"Covers for upright each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular instrumnt screen bil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99174","description":"Ocular instrumnt screen bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetoscop laser ther ttts","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2411","description":"Fetoscop laser ther ttts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj manipulation under anest","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7830","description":"Tmj manipulation under anest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aerosol inhalation treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94642","description":"Aerosol inhalation treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA204","description":"HIPPS-PA204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"22nf sealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2361","description":"22nf sealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66988","description":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp aortobifemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35646","description":"Art byp aortobifemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93585","description":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr f/c/c/m/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13132","description":"Cmplx rpr f/c/c/m/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29705","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"So hard plas stabili pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3678","description":"So hard plas stabili pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient And/Or Care Partner Decline Referral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0041","description":"Patient And/Or Care Partner Decline Referral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt biliary drainage cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47534","description":"Plmt biliary drainage cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1329","description":"Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4418","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4418","description":"HCPCS-Q4418","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver disease_ analysis of 3 biomarkers (hyaluronic acid [HA]_ procollagen III amino terminal peptide [PIIINP]_ tissue inhibitor of metalloproteinase 1 [TIMP-1])_ using immuno","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81517","description":"Liver disease_ analysis of 3 biomarkers (hyaluronic acid [HA]_ procollagen III amino terminal peptide [PIIINP]_ tissue inhibitor of metalloproteinase 1 [TIMP-1])_ using immuno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA230","description":"HIPPS-PA230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01852","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01852","description":"CPT-01852","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct lip with flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40527","description":"Reconstruct lip with flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29845","description":"Wrist arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1064T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1064T","description":"CPT-1064T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had follow-up assessment 30 to 180 days after the index assessment who demonstrated positive improvement or maintenance of functioning scores during the performan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1339","description":"Patients who had follow-up assessment 30 to 180 days after the index assessment who demonstrated positive improvement or maintenance of functioning scores during the performan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE131","description":"HIPPS-PE131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enrollment**","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0009","description":"Enrollment**","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB54","description":"HIPPS-RUB54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cms medical evidence form 2728 for dialysis patients: initial form completed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1265","description":"Cms medical evidence form 2728 for dialysis patients: initial form completed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0683U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0683U","description":"CPT-0683U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay rbc protoporphyrin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84202","description":"Assay rbc protoporphyrin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray liver w/o hemodyn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75887","description":"Vein x-ray liver w/o hemodyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00842","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00842","description":"CPT-00842","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee joint cam lock each joi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2415","description":"Knee joint cam lock each joi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intro/sheath_strble_non-peel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1766","description":"Intro/sheath_strble_non-peel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB24C","description":"HIPPS-BB24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urea-n clearance test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84545","description":"Urea-n clearance test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain image < 4 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78600","description":"Brain image < 4 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open aortoiliac prosth repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34831","description":"Open aortoiliac prosth repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLW","description":"HIPPS-3BFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGMS","description":"HIPPS-3AGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd serv 1 visit p mo 20+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90962","description":"Esrd serv 1 visit p mo 20+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC204","description":"HIPPS-HC204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco-use counsel>10min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0437","description":"Tobacco-use counsel>10min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Offset knee joint each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2390","description":"Offset knee joint each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tte w or wo fol wcon_doppler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8929","description":"Tte w or wo fol wcon_doppler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of gonadotropin (fsh)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83001","description":"Assay of gonadotropin (fsh)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainable pch w st wear barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4389","description":"Drainable pch w st wear barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove transplanted kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50370","description":"Remove transplanted kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0109","description":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No bone scn b/4 txmnt/aftrdx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3270F","description":"No bone scn b/4 txmnt/aftrdx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcondylar approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61597","description":"Transcondylar approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral antiplatelet therapy rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4011F","description":"Oral antiplatelet therapy rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leuprolide acetate suspnsion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9217","description":"Leuprolide acetate suspnsion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"West nile virus ab igm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86788","description":"West nile virus ab igm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth collar bone biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45451","description":"Anesth collar bone biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28I","description":"HIPPS-LC28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC231","description":"HIPPS-CC231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ prothrombin complex concentrate (human)_ balfaxar_ per i.u. of factor ix activity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9159","description":"Injection_ prothrombin complex concentrate (human)_ balfaxar_ per i.u. of factor ix activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB05","description":"HIPPS-RLB05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; transvenous stimulation or sens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33279","description":"Removal of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; transvenous stimulation or sens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dark adaptation eye exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92284","description":"Dark adaptation eye exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of anorectal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45108","description":"Removal of anorectal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fqhc visit new patient","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0466","description":"Fqhc visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Combination bilateral ho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1690","description":"Combination bilateral ho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00910","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00910","description":"CPT-00910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2004","description":"Comprehensive (60 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal recombinant protein and outer membrane vesicle vaccine_ serogroup B (MenB-4C)_ 2 dose schedule_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90620","description":"Meningococcal recombinant protein and outer membrane vesicle vaccine_ serogroup B (MenB-4C)_ 2 dose schedule_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95865","description":"Muscle test larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ acetaminophen (hikma) not therapeutically equivalent to j0131_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0137","description":"Injection_ acetaminophen (hikma) not therapeutically equivalent to j0131_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE241","description":"HIPPS-CE241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Salicylate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6038","description":"Salicylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"JAK2 (Janus kinase 2) (eg_ myeloproliferative disorder) gene analysis_ targeted sequence analysis exons 12-15","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0027U","description":"JAK2 (Janus kinase 2) (eg_ myeloproliferative disorder) gene analysis_ targeted sequence analysis exons 12-15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ inotuzumab ozogamicin_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9028","description":"Injection_ inotuzumab ozogamicin_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27740","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC12B","description":"HIPPS-CC12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18A","description":"HIPPS-PC18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy remov fb/fibrin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32653","description":"Thoracoscopy remov fb/fibrin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD213","description":"HIPPS-PD213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28A","description":"HIPPS-CE28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0503","description":"HCPCS-B0503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"repair resin partial denture base_ maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5612","description":"repair resin partial denture base_ maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stoma plug or seal_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5081","description":"Stoma plug or seal_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap revise/remv eltrd antrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43648","description":"Lap revise/remv eltrd antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28B","description":"HIPPS-CC28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlh w/t/o uterus over 250 g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58573","description":"Tlh w/t/o uterus over 250 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_ automated sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0147","description":"Scr c/v cyto_ automated sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9169","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9169","description":"HCPCS-C9169","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Pembrolizumab_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9027","description":"Injection_ Pembrolizumab_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21267","description":"Revise eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA0B","description":"HIPPS-AAA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not screening for unhealthy alcohol use using a systematic screening method (e.g._ limited life expectancy_ other medical reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2198","description":"Documentation of medical reason(s) for not screening for unhealthy alcohol use using a systematic screening method (e.g._ limited life expectancy_ other medical reasons)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31292","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infect control supplies nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8301","description":"Infect control supplies nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct entire forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21180","description":"Reconstruct entire forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High dose rate_electronic bracytherapy_ per fraction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0182T","description":"High dose rate_electronic bracytherapy_ per fraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acid conc sol per gallon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4709","description":"Acid conc sol per gallon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB3D","description":"HIPPS-RHB3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ready gradient sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8424","description":"Ready gradient sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove finger bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26185","description":"Remove finger bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infratemporal approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61591","description":"Infratemporal approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tail bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27080","description":"Removal of tail bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1061T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1061T","description":"CPT-1061T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ carmustine (accord)_ not therapeutically equivalent to j9050_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9052","description":"Injection_ carmustine (accord)_ not therapeutically equivalent to j9050_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of kidney/ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50405","description":"Revision of kidney/ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ epoetin alfa_ 1000 units (for esrd on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0886","description":"Injection_ epoetin alfa_ 1000 units (for esrd on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0506U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0506U","description":"CPT-0506U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL5","description":"HIPPS-2BGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy into cns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96450","description":"Chemotherapy into cns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oct brst/node i&r per spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0352T","description":"Oct brst/node i&r per spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace tissue expander","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11970","description":"Replace tissue expander","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of cervix w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57455","description":"Biopsy of cervix w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystometrogram w/up","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51727","description":"Cystometrogram w/up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration_ autologous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0540T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration_ autologous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLW","description":"HIPPS-2BGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9802","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE126","description":"HIPPS-LE126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet imaging initial dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0252","description":"Pet imaging initial dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24620","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental inlay metalic 1 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2510","description":"Dental inlay metalic 1 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Histotripsy (Ie_ Non-Thermal Ablation Via Acoustic Energy Delivery) Of Malignant Hepatocellular Tissue_ Including Image Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0686T","description":"Histotripsy (Ie_ Non-Thermal Ablation Via Acoustic Energy Delivery) Of Malignant Hepatocellular Tissue_ Including Image Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray female genital tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74740","description":"X-ray female genital tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spectinomycn di-hcl inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3320","description":"Spectinomycn di-hcl inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr e/n/e/l 1.1-2.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13151","description":"Cmplx rpr e/n/e/l 1.1-2.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB1B","description":"HIPPS-RHB1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK5","description":"HIPPS-5CFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trans-abdominal or trans-vaginal ultrasound not performed_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8808","description":"Trans-abdominal or trans-vaginal ultrasound not performed_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adapter_ single-use (i.e._ disposable)_ for attaching ultrasound system to upper gastrointestinal endoscope","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1606","description":"Adapter_ single-use (i.e._ disposable)_ for attaching ultrasound system to upper gastrointestinal endoscope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of imipramine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6036","description":"Assay of imipramine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methacholine chloride_ neb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7674","description":"Methacholine chloride_ neb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL2","description":"HIPPS-2AHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC44","description":"HIPPS-RUC44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ing hernia init reduce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49500","description":"Rpr ing hernia init reduce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear rx oral admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79005","description":"Nuclear rx oral admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic interventions that focus on cognitive function (eg_ attention_ memory_ reasoning_ executive function_ problem solving_ and/or pragmatic functioning) and compensato","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97127","description":"Therapeutic interventions that focus on cognitive function (eg_ attention_ memory_ reasoning_ executive function_ problem solving_ and/or pragmatic functioning) and compensato","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK3","description":"HIPPS-4AFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent leadless pacemaker_ right ventricular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33275","description":"Transcatheter removal of permanent leadless pacemaker_ right ventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0701","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0701","description":"HCPCS-C0701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ meloxicam_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9059","description":"Injection_ meloxicam_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording_ and disconnection per patient encounter_ wireless cardiac stimula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0521T","description":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording_ and disconnection per patient encounter_ wireless cardiac stimula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychi sympt 1+present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1182F","description":"Neuropsychi sympt 1+present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB20C","description":"HIPPS-PB20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18I","description":"HIPPS-LE18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd serv 1 vst p mo 12-19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90959","description":"Esrd serv 1 vst p mo 12-19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topical app of fluoride","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1208","description":"Topical app of fluoride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical Physics Dose Evaluation For Radiation Exposure That Exceeds Institutional Review Threshold_ Including Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76145","description":"Medical Physics Dose Evaluation For Radiation Exposure That Exceeds Institutional Review Threshold_ Including Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29200","description":"Strapping of chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enuresis alarm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8270","description":"Enuresis alarm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alpha-fetoprotein l3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82107","description":"Alpha-fetoprotein l3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eyelid fold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67715","description":"Incision of eyelid fold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ etranacogene dezaparvovec-drlb_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1411","description":"Injection_ etranacogene dezaparvovec-drlb_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4389","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4389","description":"HCPCS-Q4389","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug/substance nos 4-6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80376","description":"Drug/substance nos 4-6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair fixed arms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1085","description":"Hemi-wheelchair fixed arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93621","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng epo thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4090F","description":"Pt rcvng epo thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg monitor technol attended","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95956","description":"Eeg monitor technol attended","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_ d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2002","description":"Limited (30 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_ d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tigecycline injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3243","description":"Tigecycline injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access; Complete Unilateral Study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93986","description":"Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access; Complete Unilateral Study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB14B","description":"HIPPS-PB14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop dsg cast chg shlder/t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6384","description":"Postop dsg cast chg shlder/t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g._ history of gastrointestinal bleed_ intra-cranial bleed_ idiopathic thrombocytopenic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9794","description":"Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g._ history of gastrointestinal bleed_ intra-cranial bleed_ idiopathic thrombocytopenic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Azithromycin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0456","description":"Azithromycin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ fresh or frozen tissue or cells_ report of specific gene rearra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0013U","description":"Oncology (solid organ neoplasia)_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ fresh or frozen tissue or cells_ report of specific gene rearra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES244","description":"HIPPS-ES244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain external ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69000","description":"Drain external ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy head&neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15876","description":"Suction lipectomy head&neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX5A","description":"HIPPS-RLX5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1609","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1609","description":"HCPCS-C1609","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunohisto antb 1st stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88342","description":"Immunohisto antb 1st stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle localization by xray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77002","description":"Needle localization by xray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracardiac ecg (ice)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93662","description":"Intracardiac ecg (ice)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic pneumothorax","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32960","description":"Therapeutic pneumothorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sealant repair per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1353","description":"Sealant repair per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0816T","description":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of calf tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27687","description":"Revision of calf tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1749","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1749","description":"HCPCS-J1749","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB115","description":"HIPPS-PB115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery cables","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4612","description":"Battery cables","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of prostate abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55720","description":"Drainage of prostate abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of vulva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56620","description":"Partial removal of vulva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGM4","description":"HIPPS-1CGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including MR guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10011","description":"Fine needle aspiration biopsy_ including MR guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pelvic fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57020","description":"Drainage of pelvic fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX30","description":"HIPPS-RVX30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove digit nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64776","description":"Remove digit nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert 2 electrode pm-defib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33217","description":"Insert 2 electrode pm-defib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB12D","description":"HIPPS-HB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Noble Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6087","description":"Implant Supported Crown - Noble Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01462","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01462","description":"CPT-01462","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of a subcutaneously implanted peritoneal ascites pump system_ any component (ascites pump_ associated peritoneal catheter_ associated bladder catheter)_ including ima","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0873T","description":"Revision of a subcutaneously implanted peritoneal ascites pump system_ any component (ascites pump_ associated peritoneal catheter_ associated bladder catheter)_ including ima","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2046","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2046","description":"HCPCS-A2046","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ sotrovimab_ includes infusion and post administration monitoring in the home or residence; this includes a beneficiary_s home that has been made provider","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0248","description":"Intravenous infusion_ sotrovimab_ includes infusion and post administration monitoring in the home or residence; this includes a beneficiary_s home that has been made provider","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0584T","description":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGMU","description":"HIPPS-4BGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgraft_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4209","description":"Surgraft_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8E","description":"HIPPS-RHC8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bactericidal level serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87197","description":"Bactericidal level serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43410","description":"Repair esophagus wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lateral thoracic extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1210","description":"Lateral thoracic extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC235","description":"HIPPS-HC235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ neck/head_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6566","description":"Gradient compression garment_ neck/head_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq plmt bile duct stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47540","description":"Perq plmt bile duct stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKU","description":"HIPPS-3CHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 2.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12011","description":"Rpr f/e/e/n/l/m 2.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE105","description":"HIPPS-CE105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL5","description":"HIPPS-3BHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB43","description":"HIPPS-RMB43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA21C","description":"HIPPS-BA21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare penis study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54230","description":"Prepare penis study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1039T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1039T","description":"CPT-1039T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54050","description":"Destruction penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"V-band gastroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43842","description":"V-band gastroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm >30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12057","description":"Intmd rpr face/mm >30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB21","description":"HIPPS-RHB21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Instll rx agnt into rnal tub","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50391","description":"Instll rx agnt into rnal tub","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX21","description":"HIPPS-RVX21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amino acids quan 6 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82139","description":"Amino acids quan 6 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA201","description":"HIPPS-CA201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1076T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1076T","description":"CPT-1076T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess vol mgmt not doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8958","description":"Assess vol mgmt not doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28153","description":"Partial removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger deformity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26590","description":"Repair finger deformity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ quantitative_ column (eg_ gas liquid or hplc); single analyte not elsewhere specified_ single stationary and mobile phase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82491","description":"Chromatography_ quantitative_ column (eg_ gas liquid or hplc); single analyte not elsewhere specified_ single stationary and mobile phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of apolipoprotein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82172","description":"Assay of apolipoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB231","description":"HIPPS-LB231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for examination and selection of retrieved archival (ie_ previously diagnosed) tissue(s) for molecular analysis (eg_ KRAS mutational an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0847T","description":"Digitization of glass microscope slides for examination and selection of retrieved archival (ie_ previously diagnosed) tissue(s) for molecular analysis (eg_ KRAS mutational an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4295","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4295","description":"HCPCS-A4295","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy_ with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis_ male_ including","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52284","description":"Cystourethroscopy_ with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis_ male_ including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration sphenoid sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31050","description":"Exploration sphenoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99 tilmanocept diag 0.5mci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9520","description":"Tc99 tilmanocept diag 0.5mci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not screened for unhealthy alcohol use using a systematic screening method or patient did not receive brief counseling if identified as an unhealthy alcohol user_ reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9624","description":"Patient not screened for unhealthy alcohol use using a systematic screening method or patient did not receive brief counseling if identified as an unhealthy alcohol user_ reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy forearm soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25066","description":"Biopsy forearm soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52260","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed fx ht w/o rail w/o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0291","description":"Hosp bed fx ht w/o rail w/o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Instillation_ taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0911","description":"Instillation_ taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKT","description":"HIPPS-2AHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27612","description":"Exploration of ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc mechanical fragility","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85547","description":"Rbc mechanical fragility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exoskel hip ultra-light mate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5795","description":"Exoskel hip ultra-light mate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reimplant ureter in bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50785","description":"Reimplant ureter in bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ micafungin in sodium (Baxter)_ not therapeutically equivalent to J2248_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2246","description":"Injection_ micafungin in sodium (Baxter)_ not therapeutically equivalent to J2248_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95722","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK4","description":"HIPPS-1CFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) for microstructural and morphological imaging of skin_ image acq_ interpretation_ and report; each additional lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0471T","description":"Optical coherence tomography (OCT) for microstructural and morphological imaging of skin_ image acq_ interpretation_ and report; each additional lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28E","description":"HIPPS-BA28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fluocinolone acetonide_ intravitreal implant (Yutiq)_ 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7314","description":"Injection_ fluocinolone acetonide_ intravitreal implant (Yutiq)_ 0.01 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27828","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC15D","description":"HIPPS-LC15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spin/brain pump refil & main","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95991","description":"Spin/brain pump refil & main","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee total contact","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5637","description":"Below knee total contact","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c vent tray gimbaled","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1030","description":"W/c vent tray gimbaled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5878","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5878","description":"CDT-D5878","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth nose/sinus surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16251","description":"Anesth nose/sinus surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0555","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0555","description":"HCPCS-G0555","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Cervical (Cvemp) And Ocular (Ovemp)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92519","description":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Cervical (Cvemp) And Ocular (Ovemp)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB144","description":"HIPPS-CB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chorion biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59015","description":"Chorion biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fosaprepitant injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1453","description":"Fosaprepitant injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx ovarian unknown nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9117","description":"Onc dx ovarian unknown nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ neurostimulator (implantable)_ non-rechargeable with carotid sinus baroreceptor stimulation lead(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1825","description":"Generator_ neurostimulator (implantable)_ non-rechargeable with carotid sinus baroreceptor stimulation lead(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thumb fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26645","description":"Treat thumb fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC4D","description":"HIPPS-RVC4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery_ including any type of measur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9741","description":"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery_ including any type of measur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng anti-rheum thxpy ra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4195F","description":"Pt rcvng anti-rheum thxpy ra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewhfo cap design w/o jnt cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3975","description":"Sewhfo cap design w/o jnt cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak/ft power asst incl motors","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5969","description":"Ak/ft power asst incl motors","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ace inhibitor or arb therapy not prescribed during the measurement period_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1203","description":"Ace inhibitor or arb therapy not prescribed during the measurement period_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ atezolizumab_ 10 mg (Tecentriq)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9483","description":"Injection_ atezolizumab_ 10 mg (Tecentriq)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA55","description":"HIPPS-RUA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE210","description":"HIPPS-HE210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sbq 2 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21012","description":"Exc face les sbq 2 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC210","description":"HIPPS-HC210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLW","description":"HIPPS-2CFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD250","description":"HIPPS-PD250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture_ Typing; Identification Of Blood Pathogen And Resistance Typing_ When Performed_ By Nucleic Acid (Dna Or Rna) Probe_ Multiplexed Amplified Probe Technique Including Mu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87154","description":"Culture_ Typing; Identification Of Blood Pathogen And Resistance Typing_ When Performed_ By Nucleic Acid (Dna Or Rna) Probe_ Multiplexed Amplified Probe Technique Including Mu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA3A","description":"HIPPS-RLA3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel thomas with wedge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3465","description":"Shoe heel thomas with wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN5","description":"HIPPS-3AFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1130","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1396","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1396","description":"HCPCS-M1396","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom grad sleeve med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8422","description":"Custom grad sleeve med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM4","description":"HIPPS-4BHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair dislocated jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21490","description":"Repair dislocated jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Scanning Analysis With Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93243","description":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Scanning Analysis With Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ankle/heel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28100","description":"Removal of ankle/heel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX42","description":"HIPPS-RMX42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bed accessory brd/tbl/supprt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0315","description":"Bed accessory brd/tbl/supprt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severity angina by actvty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1010F","description":"Severity angina by actvty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL3","description":"HIPPS-2CHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHK2","description":"HIPPS-3BHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sc ther infusion reset pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96371","description":"Sc ther infusion reset pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18I","description":"HIPPS-CC18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92635","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92635","description":"CPT-92635","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Tedizolid Phosphate_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9446","description":"Injection_ Tedizolid Phosphate_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9698","description":"Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHK5","description":"HIPPS-4BHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0701","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0701","description":"CDT-D0701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nabilone oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8650","description":"Nabilone oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX0B","description":"HIPPS-RMX0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group II_ all other (eg_ iron_ trichrome)_ except stain for microorganisms_ sta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0757T","description":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group II_ all other (eg_ iron_ trichrome)_ except stain for microorganisms_ sta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ conforming gauze_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6596","description":"Gradient compression bandaging supply_ conforming gauze_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No vis inj at surg/1mos post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9630","description":"No vis inj at surg/1mos post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8B","description":"HIPPS-RML8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB50","description":"HIPPS-RHB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKX","description":"HIPPS-2AHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risperidone_ (perseris)_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2798","description":"Injection_ risperidone_ (perseris)_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00870","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00870","description":"CPT-00870","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1114","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acellular derm matrix implt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15777","description":"Acellular derm matrix implt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intermittent asthma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1039F","description":"Intermittent asthma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dem severity class severe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1493F","description":"Dem severity class severe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX36","description":"HIPPS-RHX36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triptorelin_ extended-release_ 3.75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3316","description":"Injection_ triptorelin_ extended-release_ 3.75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX06","description":"HIPPS-RLX06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMU","description":"HIPPS-4AFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dipropylacetic acid free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80165","description":"Dipropylacetic acid free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57530","description":"Removal of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ acute myelogenous leukemia_ DNA analysis_ 194 genes_ interrogation for sequence variants_ copy number variants or rearrangements","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0050U","description":"Targeted genomic sequence analysis panel_ acute myelogenous leukemia_ DNA analysis_ 194 genes_ interrogation for sequence variants_ copy number variants or rearrangements","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stenger test speech","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92577","description":"Stenger test speech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rev/remvl crtd sns dev total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0269T","description":"Rev/remvl crtd sns dev total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dias bp > or = 90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8755","description":"Dias bp > or = 90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser surgery of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52648","description":"Laser surgery of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth bladder tumor surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91251","description":"Anesth bladder tumor surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical procedures that included the use of silicone oil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9756","description":"Surgical procedures that included the use of silicone oil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK6","description":"HIPPS-5CFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA15C","description":"HIPPS-PA15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0902","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0902","description":"CDT-D0902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Additional switch_ ext power","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6611","description":"Additional switch_ ext power","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary ovarian cancer (eg_ hereditary ovarian cancer_ hereditary endometrial cancer)_ genomic sequence analysis panel utilizing a combination of NGS_ Sanger_ MLPA_ and arr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0103U","description":"Hereditary ovarian cancer (eg_ hereditary ovarian cancer_ hereditary endometrial cancer)_ genomic sequence analysis panel utilizing a combination of NGS_ Sanger_ MLPA_ and arr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sincalide (maia) not therapeutically equivalent to j2805_ 5 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2806","description":"Injection_ sincalide (maia) not therapeutically equivalent to j2805_ 5 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00924","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00924","description":"CPT-00924","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dil retina exam interp rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2022F","description":"Dil retina exam interp rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iodine i-131 iodide cap_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9528","description":"Iodine i-131 iodide cap_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLS","description":"HIPPS-3CFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert subq exten to ip cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49435","description":"Insert subq exten to ip cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00864","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00864","description":"CPT-00864","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP16","description":"HIPPS-ATP16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct ulna/radioulnar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25337","description":"Reconstruct ulna/radioulnar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA46","description":"HIPPS-RUA46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Full mouth debridement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4355","description":"Full mouth debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup body cast plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4001","description":"Cast sup body cast plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urgent care center global","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9083","description":"Urgent care center global","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41850","description":"Treatment of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87811","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial valve init insert","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31647","description":"Bronchial valve init insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carbonic anhydrase VI (CA VI)_ parotid specific/secretory protein (PSP) and salivary protein (SP1) IgG_ IgM_ and IgA antibodies_ enzyme-linked immunosorbent assay (ELISA)_ sem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0472U","description":"Carbonic anhydrase VI (CA VI)_ parotid specific/secretory protein (PSP) and salivary protein (SP1) IgG_ IgM_ and IgA antibodies_ enzyme-linked immunosorbent assay (ELISA)_ sem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1102T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1102T","description":"CPT-1102T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1412","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1412","description":"HCPCS-M1412","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 7-8 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98928","description":"Osteopath manj 7-8 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 100","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88249","description":"Chromosome analysis 100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1504","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1504","description":"CDT-D1504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00940","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00940","description":"CPT-00940","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status measurement with score was not obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient re","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1049","description":"Functional status measurement with score was not obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traction stand free standing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0850","description":"Traction stand free standing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidural lysis mult sessions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62263","description":"Epidural lysis mult sessions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69725","description":"Release facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD21C","description":"HIPPS-HD21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Community Transition Svcs (Health Safety)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7336","description":"Community Transition Svcs (Health Safety)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us guide tissue ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76940","description":"Us guide tissue ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cln cncr stage 4 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3390F","description":"Ajcc cln cncr stage 4 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28406","description":"Treatment of heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom item","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1002","description":"Custom item","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breath tst attain/anal c-14","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78267","description":"Breath tst attain/anal c-14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization admin by intramuscular injection of s (SARS-CoV-2)  vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3 mL dosage_ tris-sucrose form first dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0051A","description":"Immunization admin by intramuscular injection of s (SARS-CoV-2)  vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3 mL dosage_ tris-sucrose form first dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ initial treatment_ with identification and marking of the treatment locat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0767T","description":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ initial treatment_ with identification and marking of the treatment locat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Teriparatide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3110","description":"Teriparatide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; clinical staff under the direction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0822T","description":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; clinical staff under the direction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syphilis test_ non-treponemal antibody_ immunoassay_ qualitative (RPR)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0065U","description":"Syphilis test_ non-treponemal antibody_ immunoassay_ qualitative (RPR)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC10B","description":"HIPPS-PC10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15940","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto/uretero w/up stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52345","description":"Cysto/uretero w/up stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX0B","description":"HIPPS-RHX0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE141","description":"HIPPS-PE141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Card MRI veloc flow mapping","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75565","description":"Card MRI veloc flow mapping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lang express goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9163","description":"Lang express goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatrics (congenital epigenetic disorders)_ whole genome methylation analysis by microarray for 50 or more genes_ blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0318U","description":"Pediatrics (congenital epigenetic disorders)_ whole genome methylation analysis by microarray for 50 or more genes_ blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical path gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88300","description":"Surgical path gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2516","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2516","description":"HCPCS-J2516","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67930","description":"Repair eyelid wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr wc drivewheel motor repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2368","description":"Pwr wc drivewheel motor repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ltwt portbl power whlchr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0012","description":"Ltwt portbl power whlchr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN2","description":"HIPPS-1AHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHM4","description":"HIPPS-1AHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD236","description":"HIPPS-LD236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Droperidol/fentanyl inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1810","description":"Droperidol/fentanyl inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of chin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21120","description":"Reconstruction of chin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA1B","description":"HIPPS-RHA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc new diag 1st/addl mdd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3093F","description":"Doc new diag 1st/addl mdd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg_ spinocerebellar ataxia) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81185","description":"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg_ spinocerebellar ataxia) gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE144","description":"HIPPS-HE144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert ant segment drain int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0191T","description":"Insert ant segment drain int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ntiol category 4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q1004","description":"Ntiol category 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHLU","description":"HIPPS-3AHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18A","description":"HIPPS-HB18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release encircling material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67115","description":"Release encircling material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Probe nasolacrimal duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68810","description":"Probe nasolacrimal duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit sing/m/fam couns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99510","description":"Home visit sing/m/fam couns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKV","description":"HIPPS-1CFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmi not documented and no reason is given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1314","description":"Bmi not documented and no reason is given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41823","description":"Excision of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht muscle image spect mult","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78452","description":"Ht muscle image spect mult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD15C","description":"HIPPS-CD15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25151","description":"Partial removal of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA4B","description":"HIPPS-RUA4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lomustine 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0178","description":"Lomustine 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice care_ in the home_ p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9126","description":"Hospice care_ in the home_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)_ including placement of a new ele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0520T","description":"Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)_ including placement of a new ele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21260","description":"Revise eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of foot contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28270","description":"Release of foot contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB14A","description":"HIPPS-PB14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrafiltration monitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9007","description":"Ultrafiltration monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; known familial variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81289","description":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; known familial variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whlchr ampu fxd arm leg rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1170","description":"Whlchr ampu fxd arm leg rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of nickel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83885","description":"Assay of nickel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL36","description":"HIPPS-RVL36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"T-cell depletion of harvest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38210","description":"T-cell depletion of harvest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intens cardiac rehab no exer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0423","description":"Intens cardiac rehab no exer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-70473","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70473","description":"CPT-70473","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD113","description":"HIPPS-CD113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18G","description":"HIPPS-LB18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE11C","description":"HIPPS-HE11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8H","description":"HIPPS-RUC8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26455","description":"Incision of finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0824T","description":"Transcatheter removal of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2098","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36810","description":"Insertion of cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperatively and/or intraoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9958","description":"Patient did not receive combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperatively and/or intraoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE23B","description":"HIPPS-CE23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKS","description":"HIPPS-5AFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28630","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL2","description":"HIPPS-4BHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap es sph augment dev place","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0392T","description":"Lap es sph augment dev place","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Budesonide non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7626","description":"Budesonide non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES215","description":"HIPPS-ES215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gauze <= 16 sq in water/sal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6228","description":"Gauze <= 16 sq in water/sal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cromolyn sodium noncomp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7631","description":"Cromolyn sodium noncomp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFN5","description":"HIPPS-1BFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis 1 vertebral seg thorac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22212","description":"Incis 1 vertebral seg thorac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complex body section x-rays","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76102","description":"Complex body section x-rays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC24D","description":"HIPPS-HC24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analys amniotic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88269","description":"Chromosome analys amniotic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic hemiarch graft including isolation and control of the arch vessels_ beveled open distal aortic anastomosis extending under one or more of the arch vessels_ and total ci","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33866","description":"Aortic hemiarch graft including isolation and control of the arch vessels_ beveled open distal aortic anastomosis extending under one or more of the arch vessels_ and total ci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral occlusal film","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0240","description":"Intraoral occlusal film","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8I","description":"HIPPS-RUX8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00950","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00950","description":"CPT-00950","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage lymph node lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38300","description":"Drainage lymph node lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext line w easy lock connect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4673","description":"Ext line w easy lock connect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of collar bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23125","description":"Removal of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd endo mucosal resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43254","description":"Egd endo mucosal resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation patient unable to communicate and informant not available","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2183","description":"Documentation patient unable to communicate and informant not available","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove prostate regrowth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52630","description":"Remove prostate regrowth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No dxa no med hx no rv sx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9472","description":"No dxa no med hx no rv sx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN3","description":"HIPPS-1CGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28666","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Reliant medical group_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1015","description":"Clinical decision support mechanism Reliant medical group_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot longitud/metatarsal sup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3020","description":"Foot longitud/metatarsal sup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect forearm/wrist tum<3cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25077","description":"Resect forearm/wrist tum<3cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"So airplane w/wo joint cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3674","description":"So airplane w/wo joint cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23184","description":"Remove humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGKU","description":"HIPPS-3BGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genetic test spec analysis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0423","description":"Genetic test spec analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB236","description":"HIPPS-BB236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99424","description":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emer response sys instal&tst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5160","description":"Emer response sys instal&tst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-Cement Or Re-Bond Bilateral Space Maintainer - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1552","description":"Re-Cement Or Re-Bond Bilateral Space Maintainer - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation_ including dissection and removal of surrounding soft tissues and preparat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0668T","description":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation_ including dissection and removal of surrounding soft tissues and preparat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4215","description":"Sterile needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA101","description":"HIPPS-PA101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87484","description":"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; preparation_ screening and interpretation (List separately in addition to code for primary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0833T","description":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; preparation_ screening and interpretation (List separately in addition to code for primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB23","description":"HIPPS-RMB23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1047T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1047T","description":"CPT-1047T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Drug-Delivery Device(S)_ Intramedullary (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20703","description":"Removal Of Drug-Delivery Device(S)_ Intramedullary (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE255","description":"HIPPS-HE255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ ep_ othr than cool-tip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1733","description":"Cath_ ep_ othr than cool-tip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot exam performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2028F","description":"Foot exam performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0603U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0603U","description":"CPT-0603U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNW","description":"HIPPS-1CFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients listed on the kidney-pancreas transplant waitlist or who received a living donor transplant within the first year following initiation of dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1259","description":"Patients listed on the kidney-pancreas transplant waitlist or who received a living donor transplant within the first year following initiation of dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair amputee heavy dut","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1195","description":"Wheelchair amputee heavy dut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj iris prosth sec io lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0618T","description":"Insj iris prosth sec io lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33945","description":"Transplantation of heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level II_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0751T","description":"Digitization of glass microscope slides for level II_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of scrotum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55120","description":"Removal of scrotum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0105","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0105","description":"HCPCS-C0105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD210","description":"HIPPS-LD210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endomysial Antibody (Ema)_ Each Immunoglobulin (Ig) Class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86231","description":"Endomysial Antibody (Ema)_ Each Immunoglobulin (Ig) Class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calc bmi abv up param f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8417","description":"Calc bmi abv up param f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ elastography (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0346T","description":"Ultrasound_ elastography (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Slp stdy unatnd w/anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95801","description":"Slp stdy unatnd w/anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove elctrd transvenously","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33244","description":"Remove elctrd transvenously","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59850","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levoleucovorin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0641","description":"Levoleucovorin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological or neuropsychological test administration and scoring by technician_ two or more tests_ any method; first 30 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96138","description":"Psychological or neuropsychological test administration and scoring by technician_ two or more tests_ any method; first 30 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infect agent det by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ amplified probe technique","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"U0003","description":"Infect agent det by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinogen test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85366","description":"Fibrinogen test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidurography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72275","description":"Epidurography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral busulfan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8510","description":"Oral busulfan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso flex no ri stays pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0628","description":"Lso flex no ri stays pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tisagenlecleucel_ up to 250 million CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2040","description":"Tisagenlecleucel_ up to 250 million CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone imaging limited area","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78300","description":"Bone imaging limited area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD236","description":"HIPPS-CD236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Misoprostol_ oral_ 200 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0191","description":"Misoprostol_ oral_ 200 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmi is documented within normal parameters and no follow-up plan is required","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1296","description":"Bmi is documented within normal parameters and no follow-up plan is required","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLU","description":"HIPPS-2CFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beta pres or already taking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9189","description":"Beta pres or already taking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Node neg inv brst cncr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8879","description":"Node neg inv brst cncr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fit aphakia spectcl monofocl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92352","description":"Fit aphakia spectcl monofocl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ext hem groups 2+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46250","description":"Remove ext hem groups 2+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ nerve(s) and accompanying structures throughout their entire anatomic course in one extremity_ comprehensive_ including real-time cine imaging with image documenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76883","description":"Ultrasound_ nerve(s) and accompanying structures throughout their entire anatomic course in one extremity_ comprehensive_ including real-time cine imaging with image documenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing complete lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81372","description":"Hla i typing complete lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1171","description":"Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open tx iliac spine uni/bil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0412","description":"Open tx iliac spine uni/bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lower extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93926","description":"Lower extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFK4","description":"HIPPS-4BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFN2","description":"HIPPS-1BFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo frct swg & sta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5718","description":"Knee-shin exo frct swg & sta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0505","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0505","description":"HCPCS-C0505","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE224","description":"HIPPS-CE224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet img wholbod melano nonco","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0219","description":"Pet img wholbod melano nonco","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE120","description":"HIPPS-HE120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB116","description":"HIPPS-LB116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Or More Benzodiazepine Prescriptions Ordered For Patients Who Had A Diagnosis Of Seizure Disorders_ Rapid Eye Movement Sleep Behavior Disorder_ Benzodiazepine Withdrawal_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0033","description":"Two Or More Benzodiazepine Prescriptions Ordered For Patients Who Had A Diagnosis Of Seizure Disorders_ Rapid Eye Movement Sleep Behavior Disorder_ Benzodiazepine Withdrawal_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Miro3D_ per cu cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2025","description":"Miro3D_ per cu cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cancer treatment plan change","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0354","description":"Cancer treatment plan change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlh uterus over 250 g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58572","description":"Tlh uterus over 250 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54060","description":"Excision of penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGP6","description":"HIPPS-3CGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diethylstilbestrol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9165","description":"Diethylstilbestrol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-str_hdr ir-192","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1717","description":"Brachytx_ non-str_hdr ir-192","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoetharine comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7650","description":"Isoetharine comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67938","description":"Remove eyelid foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue culture lymphocyte","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88230","description":"Tissue culture lymphocyte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complement fixation each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86171","description":"Complement fixation each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL05","description":"HIPPS-RVL05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alveoloplasty w/extract 1-3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7311","description":"Alveoloplasty w/extract 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast exam abdominl aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75625","description":"Contrast exam abdominl aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiokymography","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0035","description":"Cardiokymography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC105","description":"HIPPS-CC105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso full corset","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0976","description":"Lso full corset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lung lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32140","description":"Removal of lung lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clofarabine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9027","description":"Clofarabine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lacosamide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80235","description":"Lacosamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLT","description":"HIPPS-4CHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat dislocation/fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23680","description":"Treat dislocation/fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD204","description":"HIPPS-CD204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC07","description":"HIPPS-RHC07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg arterial two","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33534","description":"Cabg arterial two","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert card electrodes dual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33211","description":"Insert card electrodes dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quality care for the treatment of ear_ nose_ and throat disorders mips value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1367","description":"Quality care for the treatment of ear_ nose_ and throat disorders mips value pathway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria lmtd endo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33265","description":"Ablate atria lmtd endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation tray","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4320","description":"Irrigation tray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54200","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37284","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37284","description":"CPT-37284","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenomic Neoplasia (Genome-Wide) Microarray Analysis_ Interrogation Of Genomic Regions For Copy Number And Loss-Of-Heterozygosity Variants For Chromosomal Abnormalities","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81277","description":"Cytogenomic Neoplasia (Genome-Wide) Microarray Analysis_ Interrogation Of Genomic Regions For Copy Number And Loss-Of-Heterozygosity Variants For Chromosomal Abnormalities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic pancreatoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43273","description":"Endoscopic pancreatoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20525","description":"Removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93619","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC12D","description":"HIPPS-LC12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Combined Perfusion With Metabolic Evaluation Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ W","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78432","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Combined Perfusion With Metabolic Evaluation Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ W","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis_ endoskeletal_ kneedisarticulation_ above knee_ hip disarticulation_ positional rotation unit_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1022","description":"Addition to lower extremity prosthesis_ endoskeletal_ kneedisarticulation_ above knee_ hip disarticulation_ positional rotation unit_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test sock elbw disart/above","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6682","description":"Test sock elbw disart/above","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone cutting body mandible","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7945","description":"Bone cutting body mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES145","description":"HIPPS-ES145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX01","description":"HIPPS-RHX01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst stg1-2b hr_nopro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9071","description":"Onc dx brst stg1-2b hr_nopro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc sinus ct 28d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9349","description":"Doc sinus ct 28d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of thigh/knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27498","description":"Decompression of thigh/knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring (Eg_ Respiratory System Status_ Musculoskeletal System Status_ Therapy Adherence_ Therapy Response); Device(S) Supply With Scheduled (Eg_ Daily)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98977","description":"Remote Therapeutic Monitoring (Eg_ Respiratory System Status_ Musculoskeletal System Status_ Therapy Adherence_ Therapy Response); Device(S) Supply With Scheduled (Eg_ Daily)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabazitaxel injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9043","description":"Cabazitaxel injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug/substance nos 7/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80377","description":"Drug/substance nos 7/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26750","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath tbs c/v manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88164","description":"Cytopath tbs c/v manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC116","description":"HIPPS-PC116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-op service lvrs 10-15dos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0303","description":"Pre-op service lvrs 10-15dos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart rhythm pacing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93618","description":"Heart rhythm pacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB43","description":"HIPPS-RVB43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of circulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37180","description":"Revision of circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 21 targets (adenovirus_ coronavirus 229E_ coronaviru","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0100U","description":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 21 targets (adenovirus_ coronavirus 229E_ coronaviru","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SLCO1B1 (solute carrier organic anion transporter family_ member 1B1) (eg_ adverse drug reaction)_ gene analysis_ common variant(s) (eg_ *5)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81328","description":"SLCO1B1 (solute carrier organic anion transporter family_ member 1B1) (eg_ adverse drug reaction)_ gene analysis_ common variant(s) (eg_ *5)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indium in-111 auto wbc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9570","description":"Indium in-111 auto wbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGL5","description":"HIPPS-1CGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28C","description":"HIPPS-HC28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA21","description":"HIPPS-RLA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputate leg at thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27592","description":"Amputate leg at thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home episodic case 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0272","description":"Home episodic case 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Service Coordination**","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1011","description":"Service Coordination**","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD113","description":"HIPPS-PD113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB5C","description":"HIPPS-RUB5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFP1","description":"HIPPS-3BFP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB24C","description":"HIPPS-LB24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ crizanlizumab-tmca_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9053","description":"Injection_ crizanlizumab-tmca_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose/normal saline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7042","description":"5% dextrose/normal saline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1/hiv-2 1 result antbdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86703","description":"Hiv-1/hiv-2 1 result antbdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fistula repair & colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57307","description":"Fistula repair & colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nondisposable pump canister","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7001","description":"Nondisposable pump canister","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth chest wall repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47251","description":"Anesth chest wall repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compre dental tx transition","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8070","description":"Compre dental tx transition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rocking bed w/ or w/o side r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0462","description":"Rocking bed w/ or w/o side r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egfr gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81235","description":"Egfr gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Permanent tear duct plug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4263","description":"Permanent tear duct plug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not prescribing warfarin or another FDA-approved anticoagulant (e.g._ atrial appendage device in place)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8968","description":"Documentation of medical reason(s) for not prescribing warfarin or another FDA-approved anticoagulant (e.g._ atrial appendage device in place)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opps service_sched team conf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0175","description":"Opps service_sched team conf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert picvad cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36570","description":"Insert picvad cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Image std nomenclature","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9318","description":"Image std nomenclature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstructive sleep apnea mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8900","description":"Obstructive sleep apnea mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PermeaDerm glove_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2017","description":"PermeaDerm glove_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99251","description":"Inpatient consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1164","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1164","description":"HCPCS-J1164","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac event recorder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0616","description":"Cardiac event recorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX53","description":"HIPPS-RLX53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1504","description":"HCPCS-B1504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC5D","description":"HIPPS-RUC5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX2B","description":"HIPPS-RHX2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pild/placebo control clin tr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0276","description":"Pild/placebo control clin tr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evidence-based therapy was prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1227","description":"Evidence-based therapy was prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse bile ducts and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47780","description":"Fuse bile ducts and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB212","description":"HIPPS-BB212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tte w or w/o fol w/con_stres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8928","description":"Tte w or w/o fol w/con_stres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB156","description":"HIPPS-HB156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Legion pneumo dna amp prob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87541","description":"Legion pneumo dna amp prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ includes titer(s)_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0224U","description":"Antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ includes titer(s)_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compatibility test incubate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86921","description":"Compatibility test incubate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct thorax w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71270","description":"Ct thorax w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx laryngoscopy newborn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31520","description":"Dx laryngoscopy newborn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ guselkumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1628","description":"Injection_ guselkumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB246","description":"HIPPS-CB246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most recent hemoglobin a1c level > 9.0%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1211","description":"Most recent hemoglobin a1c level > 9.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj arthroscopy synovectomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7875","description":"Tmj arthroscopy synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No med visit in 24mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9246","description":"No med visit in 24mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD112","description":"HIPPS-PD112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; pulse generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33287","description":"Removal and replacement of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; pulse generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGMT","description":"HIPPS-4BGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0661","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0661","description":"HCPCS-G0661","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of major vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37660","description":"Revision of major vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ortho shoe add full sole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3540","description":"Ortho shoe add full sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC12","description":"HIPPS-RUC12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy diagnostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32601","description":"Thoracoscopy diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"intravenous moderate (conscious) sedation/analgesia each subsequent 15 minute increment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9243","description":"intravenous moderate (conscious) sedation/analgesia each subsequent 15 minute increment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth corneal transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14451","description":"Anesth corneal transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Filtered nebulizer admin set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7006","description":"Filtered nebulizer admin set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjust finger ext/flex devc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1825","description":"Adjust finger ext/flex devc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tacrol astagraf ex rel oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7508","description":"Tacrol astagraf ex rel oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist/forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25115","description":"Remove wrist/forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD13B","description":"HIPPS-LD13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM3","description":"HIPPS-3CGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8F","description":"HIPPS-RLA8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Positron emission tomography radiopharmaceutical_ diagnostic_ for tumor identification_ not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9597","description":"Positron emission tomography radiopharmaceutical_ diagnostic_ for tumor identification_ not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cid transmit coil and cable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8629","description":"Cid transmit coil and cable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq vertebral augmentation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22513","description":"Perq vertebral augmentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0281","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0281","description":"HCPCS-J0281","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0505","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0505","description":"HCPCS-A0505","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18X","description":"HIPPS-CA18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFKX","description":"HIPPS-5CFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx nasomax fx w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21348","description":"Opn tx nasomax fx w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0407","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0407","description":"HCPCS-C0407","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP6","description":"HIPPS-3AGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Thyroid)_ Mrna_ Gene Expression Analysis Of 10_196 Genes_ Utilizing Fine Needle Aspirate_ Algorithm Reported As A Categorical Result (Eg_ Benign Or Suspicious)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81546","description":"Oncology (Thyroid)_ Mrna_ Gene Expression Analysis Of 10_196 Genes_ Utilizing Fine Needle Aspirate_ Algorithm Reported As A Categorical Result (Eg_ Benign Or Suspicious)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28A","description":"HIPPS-BA28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No knee joint with artic ali","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5220","description":"No knee joint with artic ali","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of larynx lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31512","description":"Removal of larynx lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25355","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35131","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD236","description":"HIPPS-PD236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP03","description":"HIPPS-ATP03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML07","description":"HIPPS-RML07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped crit care transport addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99467","description":"Ped crit care transport addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wedge biopsy of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47100","description":"Wedge biopsy of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of bradykinin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82286","description":"Assay of bradykinin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA234","description":"HIPPS-PA234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA205","description":"HIPPS-PA205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX33","description":"HIPPS-RVX33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc prac guide differs nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9062","description":"Onc prac guide differs nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ stranded_ i-125","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2638","description":"Brachytx_ stranded_ i-125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMW","description":"HIPPS-3AHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGM5","description":"HIPPS-2AGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE14C","description":"HIPPS-CE14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX2C","description":"HIPPS-RUX2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric - second dose (SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 2)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1714","description":"Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric - second dose (SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unclassified biologics","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3590","description":"Unclassified biologics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam scrotum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76870","description":"Us exam scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"E-Graft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4318","description":"E-Graft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28296","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection_ all nonsele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34703","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection_ all nonsele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK4","description":"HIPPS-1BGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PTEN (phosphatase and tensin homolog) (eg_ Cowden syndrome_ PTEN hamartoma tumor syndrome)_ full gene analysis_ including small sequence changes in exonic and intronic regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0235U","description":"PTEN (phosphatase and tensin homolog) (eg_ Cowden syndrome_ PTEN hamartoma tumor syndrome)_ full gene analysis_ including small sequence changes in exonic and intronic regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7521","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7521","description":"HCPCS-J7521","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC23C","description":"HIPPS-HC23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trg gene rearrangement anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81342","description":"Trg gene rearrangement anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient lift hydraulic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0630","description":"Patient lift hydraulic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Becaplermin gel 1%_ 0.5 gm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0157","description":"Becaplermin gel 1%_ 0.5 gm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC244","description":"HIPPS-CC244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct head/brain w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70470","description":"Ct head/brain w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9761","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNV","description":"HIPPS-3AHNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"12-24hr sealed lead acid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0733","description":"12-24hr sealed lead acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA12A","description":"HIPPS-PA12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O2 contents liquid lb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8121","description":"O2 contents liquid lb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67318","description":"Revise eye muscle(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL12","description":"HIPPS-RHL12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for percutaneous transhepatic cholangiography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47500","description":"Injection procedure for percutaneous transhepatic cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation tx management x5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77427","description":"Radiation tx management x5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29847","description":"Wrist arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoetharine non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7648","description":"Isoetharine non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65260","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL4B","description":"HIPPS-RHL4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1374","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1374","description":"HCPCS-M1374","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation tx delivery imrt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6015","description":"Radiation tx delivery imrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of skin abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10061","description":"Drainage of skin abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; Without Contrast_ Followed By Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0635T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; Without Contrast_ Followed By Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1326","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1326","description":"HCPCS-J1326","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system_ internal approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0660T","description":"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system_ internal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pralidoxime chloride inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2730","description":"Pralidoxime chloride inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1503","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1503","description":"CDT-D1503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1112","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anastrozole 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0170","description":"Anastrozole 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA0C","description":"HIPPS-RVA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair arm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24341","description":"Repair arm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including CT guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10009","description":"Fine needle aspiration biopsy_ including CT guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg perthes orth toronto typ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1700","description":"Leg perthes orth toronto typ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22846","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27236","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA45","description":"HIPPS-RVA45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00300","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00300","description":"CPT-00300","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27052","description":"Biopsy of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 50 MCG/0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91313","description":"SARSCOV2 VACCINE BIVALENT 50 MCG/0.5 ML IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB116","description":"HIPPS-HB116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knuckle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26850","description":"Fusion of knuckle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA105","description":"HIPPS-CA105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"K flow/funct image multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78709","description":"K flow/funct image multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67105","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hair trnspl >15 punch grafts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15776","description":"Hair trnspl >15 punch grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE224","description":"HIPPS-HE224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Porfimer sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9600","description":"Porfimer sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA44","description":"HIPPS-RHA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dna/rna sequencing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87153","description":"Dna/rna sequencing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuragen nerve guide_ per cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9352","description":"Neuragen nerve guide_ per cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB06","description":"HIPPS-RMB06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"A Model Participant (Ambulance Supplier/Provider)_ The Beneficiary Refuses Services Covered Under The Model (Transport To An Alternate Destination/Treatment In Place)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2022","description":"A Model Participant (Ambulance Supplier/Provider)_ The Beneficiary Refuses Services Covered Under The Model (Transport To An Alternate Destination/Treatment In Place)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Milwaukee type superstructur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1230","description":"Milwaukee type superstructur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"C motor evoked upr&lwr limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95939","description":"C motor evoked upr&lwr limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB15","description":"HIPPS-RMB15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01714","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01714","description":"CPT-01714","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iodine i-123 iobenguane","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9582","description":"Iodine i-123 iobenguane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefazolin sodium (hikma)_ not therapeutically equivalent to j0690_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0688","description":"Injection_ cefazolin sodium (hikma)_ not therapeutically equivalent to j0690_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In-hospital on call service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99026","description":"In-hospital on call service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD151","description":"HIPPS-HD151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc acc_ lith-based battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2397","description":"Pwc acc_ lith-based battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31368","description":"Partial removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc mel cnr stg 0 - iic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8944","description":"Ajcc mel cnr stg 0 - iic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aortic graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33864","description":"Ascending aortic graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin b-12","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82607","description":"Vitamin b-12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Each addtnl cast post","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2953","description":"Each addtnl cast post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated macular exam performed_ including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degenerat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9974","description":"Dilated macular exam performed_ including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degenerat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occult blood test strips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4773","description":"Occult blood test strips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab-arrx_ biosimilar_ (riabni)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5123","description":"Injection_ rituximab-arrx_ biosimilar_ (riabni)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC23D","description":"HIPPS-LC23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of salivary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70390","description":"X-ray exam of salivary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of toes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28280","description":"Fusion of toes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder & vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57289","description":"Repair bladder & vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct maxillofacial w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70486","description":"Ct maxillofacial w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc order given stop antibio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4049F","description":"Doc order given stop antibio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNT","description":"HIPPS-3AHNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01430","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01430","description":"CPT-01430","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial observation care_ per day_ for the evaluation and management of a patient_ which requires these 3 key components: A comprehensive history; A comprehensive examination;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99220","description":"Initial observation care_ per day_ for the evaluation and management of a patient_ which requires these 3 key components: A comprehensive history; A comprehensive examination;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLU","description":"HIPPS-4CGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph endoscopy dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43226","description":"Esoph endoscopy dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27788","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull/sutures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61556","description":"Incise skull/sutures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD155","description":"HIPPS-LD155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Removal Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0679T","description":"Laparoscopic Removal Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39000","description":"Exploration of chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coupling gel or paste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4559","description":"Coupling gel or paste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL2","description":"HIPPS-4AHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0626T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ewho w/joint(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3764","description":"Ewho w/joint(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No hist cd4+ cell count <350","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3493F","description":"No hist cd4+ cell count <350","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of thigh muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27430","description":"Revision of thigh muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37232","description":"Tib/per revasc add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74430","description":"Contrast x-ray bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placement of intraocular radiation source applicator (List separately in addition to primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0190T","description":"Placement of intraocular radiation source applicator (List separately in addition to primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of stomach and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43825","description":"Fusion of stomach and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"One way chest drain valve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7040","description":"One way chest drain valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3-Dimensional Volumetric Imaging And Reconstruction Of Breast Or Axillary Lymph Node Tissue_ Each Excised Specimen_ 3-Dimensional Automatic Specimen Reorientation_ Interpretat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0694T","description":"3-Dimensional Volumetric Imaging And Reconstruction Of Breast Or Axillary Lymph Node Tissue_ Each Excised Specimen_ 3-Dimensional Automatic Specimen Reorientation_ Interpretat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant mid ear hearing pros","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5095","description":"Implant mid ear hearing pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt post facet implt addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0222T","description":"Plmt post facet implt addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine specimen collect mult","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9615","description":"Urine specimen collect mult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc funct no deficiencies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8542","description":"Doc funct no deficiencies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cerclage suture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59871","description":"Remove cerclage suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE126","description":"HIPPS-CE126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal motility study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78258","description":"Esophageal motility study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28B","description":"HIPPS-CB28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shdr fair lead cable molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6588","description":"Shdr fair lead cable molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography with right heart catheterization with endo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7521","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography with right heart catheterization with endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFMV","description":"HIPPS-1BFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit enteral per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9340","description":"Hit enteral per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vbac delivery only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59612","description":"Vbac delivery only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exam/biopsy of vulva w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56821","description":"Exam/biopsy of vulva w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC144","description":"HIPPS-CC144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye mvmt alys w/o calbrj i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0615T","description":"Eye mvmt alys w/o calbrj i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB31","description":"HIPPS-RUB31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospitalist visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0310","description":"Hospitalist visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4391","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4391","description":"HCPCS-Q4391","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB34","description":"HIPPS-RLB34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prednisolone oral per 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7510","description":"Prednisolone oral per 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg_ diffuse large B-cell lymphoma) gene analysis_ common variant(s) (eg_ codon 646)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81237","description":"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg_ diffuse large B-cell lymphoma) gene analysis_ common variant(s) (eg_ codon 646)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove aneurysm sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61613","description":"Remove aneurysm sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX4D","description":"HIPPS-RMX4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Req ret or w/in 90d of surg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9514","description":"Req ret or w/in 90d of surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Msh2 gene dup/delete variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81297","description":"Msh2 gene dup/delete variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alginate dressing <=16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6196","description":"Alginate dressing <=16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX12","description":"HIPPS-RVX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1110","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0476U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0476U","description":"CPT-0476U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21086","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0541","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0541","description":"HCPCS-G0541","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self care goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8988","description":"Self care goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA41","description":"HIPPS-RMA41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33735","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged preventive service(s) (beyond the typical service time of the primary procedure)_ in the office or other outpatient setting requiring direct patient contact beyond t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0514","description":"Prolonged preventive service(s) (beyond the typical service time of the primary procedure)_ in the office or other outpatient setting requiring direct patient contact beyond t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD)_ leukocyte enzyme activity_ whole blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0257U","description":"Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD)_ leukocyte enzyme activity_ whole blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytotoxic antibody screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86808","description":"Cytotoxic antibody screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA25","description":"HIPPS-RVA25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB246","description":"HIPPS-PB246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantable access syst perc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4301","description":"Implantable access syst perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA01","description":"HIPPS-RUA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tcd emboli detect w/inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93893","description":"Tcd emboli detect w/inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Overdenture complete mandib","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5865","description":"Overdenture complete mandib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis 1 vertebral seg cerv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22210","description":"Incis 1 vertebral seg cerv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1020T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1020T","description":"CPT-1020T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision graft abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35907","description":"Excision graft abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TPMT (thiopurine S-methyltransferase) (eg_ drug metabolism)_ gene analysis_ common variants (eg_ *2_ *3)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81335","description":"TPMT (thiopurine S-methyltransferase) (eg_ drug metabolism)_ gene analysis_ common variants (eg_ *2_ *3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9610","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9610","description":"HCPCS-C9610","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary Disease (Idiopathic Pulmonary Fibrosis [Ipf])_ Mrna_ Gene Expression Analysis Of 190 Genes_ Utilizing Transbronchial Biopsies_ Diagnostic Algorithm Reported As Categ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81554","description":"Pulmonary Disease (Idiopathic Pulmonary Fibrosis [Ipf])_ Mrna_ Gene Expression Analysis Of 190 Genes_ Utilizing Transbronchial Biopsies_ Diagnostic Algorithm Reported As Categ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct both jaws","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0383","description":"Cone beam ct both jaws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shoulder cast plstr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4003","description":"Cast sup shoulder cast plstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress disc rf lumbar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2348","description":"Decompress disc rf lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj streptokinase /250000 iu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2995","description":"Inj streptokinase /250000 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM1","description":"HIPPS-2AHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retreat root canal molar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3348","description":"Retreat root canal molar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ any number of drug classes_ any number of devices or procedures; capable of being read by direct optical observation only (eg_ utilizing immunoassay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80305","description":"Drug test(s)_ presumptive_ any number of drug classes_ any number of devices or procedures; capable of being read by direct optical observation only (eg_ utilizing immunoassay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC60","description":"HIPPS-RHC60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parainfluenza ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87279","description":"Parainfluenza ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGL1","description":"HIPPS-4BGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25443","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of digoxin total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80162","description":"Assay of digoxin total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE212","description":"HIPPS-LE212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB10A","description":"HIPPS-HB10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE234","description":"HIPPS-LE234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ exosome-based analysis of 442 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR)_ urine_ reported as","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0343U","description":"Oncology (prostate)_ exosome-based analysis of 442 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR)_ urine_ reported as","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open bone biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20251","description":"Open bone biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not administering influenza vaccine (e.g._ prior anaphylaxis due to the influenza vaccine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1169","description":"Documentation of medical reason(s) for not administering influenza vaccine (e.g._ prior anaphylaxis due to the influenza vaccine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI w/o fol w/cont_ breast_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8908","description":"MRI w/o fol w/cont_ breast_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical opening esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43352","description":"Surgical opening esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK3","description":"HIPPS-1BGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC240","description":"HIPPS-CC240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"U2Af1 (U2 Small Nuclear Rna Auxiliary Factor 1) (Eg_ Myelodysplastic Syndrome_ Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ S34F_ S34Y_ Q157R_ Q157P)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81357","description":"U2Af1 (U2 Small Nuclear Rna Auxiliary Factor 1) (Eg_ Myelodysplastic Syndrome_ Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ S34F_ S34Y_ Q157R_ Q157P)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status measurement with score was not obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient re","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1043","description":"Functional status measurement with score was not obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RegeneLink Amniotic Membrane Allograft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4315","description":"RegeneLink Amniotic Membrane Allograft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pouch drain high output","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4412","description":"Ost pouch drain high output","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1490","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1490","description":"HCPCS-M1490","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ efbemalenograstim alfa-vuxw_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9361","description":"Injection_ efbemalenograstim alfa-vuxw_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC124","description":"HIPPS-CC124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/graft eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68320","description":"Revise/graft eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelv & thor control gluteal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2650","description":"Pelv & thor control gluteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7684","description":"Triamcinolone comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ac5 advanced wound system (ac5)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2020","description":"Ac5 advanced wound system (ac5)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL44","description":"HIPPS-RUL44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whole mitochondrial genome","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81460","description":"Whole mitochondrial genome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01250","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01250","description":"CPT-01250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled air analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94690","description":"Exhaled air analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGMU","description":"HIPPS-1CGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX52","description":"HIPPS-RLX52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supported housing_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0043","description":"Supported housing_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of transferrin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84466","description":"Assay of transferrin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient provided a response other than completely true for the question of patient felt this provider and team understood what is important to me in my life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1246","description":"Patient provided a response other than completely true for the question of patient felt this provider and team understood what is important to me in my life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no follow imag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9555","description":"Doc med reas no follow imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC01","description":"HIPPS-RMC01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB212","description":"HIPPS-PB212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr elctr ntrst/ntrcv brchtx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0395T","description":"Hdr elctr ntrst/ntrcv brchtx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic positional obstructive sleep apnea treatment_ with sensor_ includes all components and accessories_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0530","description":"Electronic positional obstructive sleep apnea treatment_ with sensor_ includes all components and accessories_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professiona","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95250","description":"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professiona","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Composite byp grft pros&vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35681","description":"Composite byp grft pros&vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Als1-emergency","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0427","description":"Als1-emergency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK2","description":"HIPPS-2BHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v thin layer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88142","description":"Cytopath c/v thin layer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35226","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB0C","description":"HIPPS-RMB0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0510U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0510U","description":"CPT-0510U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28C","description":"HIPPS-PD28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther/proph/diag inj iv push","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96374","description":"Ther/proph/diag inj iv push","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15953","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection intraop add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48400","description":"Injection intraop add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22842","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ rapid sequence analysis_ each comparator genome (eg_ parents_ siblings)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0425U","description":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ rapid sequence analysis_ each comparator genome (eg_ parents_ siblings)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vertical shock reducing pylo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5988","description":"Vertical shock reducing pylo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Euglobulin lysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85360","description":"Euglobulin lysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bls defibrillation supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0384","description":"Bls defibrillation supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of liver duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47400","description":"Incision of liver duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso trnk sj-t9 pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0454","description":"Tlso trnk sj-t9 pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral supply kit premix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4220","description":"Parenteral supply kit premix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0607","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0607","description":"HCPCS-J0607","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ho flex frejka w/cov pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1600","description":"Ho flex frejka w/cov pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX5D","description":"HIPPS-RLX5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1 (BRCA1_ DNA repair associated)_ BRCA2 (BRCA2_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ de","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81164","description":"BRCA1 (BRCA1_ DNA repair associated)_ BRCA2 (BRCA2_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ de","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMV","description":"HIPPS-1CFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures repair resin base","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5610","description":"Dentures repair resin base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of eye fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67015","description":"Release of eye fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18H","description":"HIPPS-BA18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair spigelian hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49590","description":"Repair spigelian hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of uterus lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58100","description":"Biopsy of uterus lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD260","description":"HIPPS-PD260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1275","description":"Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of leg at hip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27295","description":"Amputation of leg at hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6751","description":"Crown porcelain base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85097","description":"Bone marrow interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/o us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20610","description":"Drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ epcoritamab-bysp_ 0.16 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9321","description":"Injection_ epcoritamab-bysp_ 0.16 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX52","description":"HIPPS-RHX52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colon ca scrn not hi rsk ind","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0121","description":"Colon ca scrn not hi rsk ind","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01520","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01520","description":"CPT-01520","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Audit/dast 15-30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99408","description":"Audit/dast 15-30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":">85y no hx colo ca/rsn scope","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9659","description":">85y no hx colo ca/rsn scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA4D","description":"HIPPS-AAA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue culture tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88239","description":"Tissue culture tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0321","description":"Home health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44364","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin beta esrd use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0887","description":"Epoetin beta esrd use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Front caster assem complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0077","description":"Front caster assem complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt scrnd unhlthy oh use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3016F","description":"Pt scrnd unhlthy oh use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt reas no hospice refer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9525","description":"Doc pt reas no hospice refer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calculus spectroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82365","description":"Calculus spectroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"12-lead ecg performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3120F","description":"12-lead ecg performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB14D","description":"HIPPS-LB14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver/venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47146","description":"Prep donor liver/venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD14C","description":"HIPPS-HD14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx head/neck m1 mets rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9111","description":"Onc dx head/neck m1 mets rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj iron dextran","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1750","description":"Inj iron dextran","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eyelid lining surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68399","description":"Eyelid lining surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK2","description":"HIPPS-4CFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+cell cnt/% docd as done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3500F","description":"Cd4+cell cnt/% docd as done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX20","description":"HIPPS-RHX20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of endocrine hormone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84235","description":"Assay of endocrine hormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic eye other type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2629","description":"Prosthetic eye other type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHM4","description":"HIPPS-2CHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD14A","description":"HIPPS-LD14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLW","description":"HIPPS-4CHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA241","description":"HIPPS-BA241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Medica re Diabetes Prevention Program (MDPP) core maintenance sessi on s (MS) were attended by an MDPP beneficiary in months (mo) 10-12 under the MDPP Expanded Model (EM).","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9879","description":"Two Medica re Diabetes Prevention Program (MDPP) core maintenance sessi on s (MS) were attended by an MDPP beneficiary in months (mo) 10-12 under the MDPP Expanded Model (EM).","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NEURO ALZHEIMER QUAN IMAGING","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0207U","description":"NEURO ALZHEIMER QUAN IMAGING","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44404","description":"Colonoscopy w/injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9777","description":"Patient did not receive at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73110","description":"X-ray exam of wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (ovarian)_ spheroid cell culture_ poly (ADP-ribose) polymerase (PARP) inhibitors (niraparib_ olaparib_ rucaparib_ velparib)_ tumor response prediction for each drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0325U","description":"Oncology (ovarian)_ spheroid cell culture_ poly (ADP-ribose) polymerase (PARP) inhibitors (niraparib_ olaparib_ rucaparib_ velparib)_ tumor response prediction for each drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE205","description":"HIPPS-PE205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sip and puff interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2325","description":"Sip and puff interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak sleeve susp neoprene/equa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5695","description":"Ak sleeve susp neoprene/equa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intens cardiac rehab w/exerc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0422","description":"Intens cardiac rehab w/exerc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18X","description":"HIPPS-PC18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trh stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80439","description":"Trh stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ligate spermatic vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55550","description":"Laparo ligate spermatic vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb subq tissue add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11045","description":"Deb subq tissue add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echocardiography_ transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel(s) structural intervention(s) (eg_TAVR_ transcatheter pulmonary valve repl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93355","description":"Echocardiography_ transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel(s) structural intervention(s) (eg_TAVR_ transcatheter pulmonary valve repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip disart canadian sach ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5331","description":"Hip disart canadian sach ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild eardrum structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69637","description":"Rebuild eardrum structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not have at least two HPV vaccines (with at least 146 days between the two) or three HPV vaccines on or between the patient_s 9th and 13th birthdays","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9763","description":"Patient did not have at least two HPV vaccines (with at least 146 days between the two) or three HPV vaccines on or between the patient_s 9th and 13th birthdays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cltx post ankle fx w/mnpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27768","description":"Cltx post ankle fx w/mnpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lactoferrin fecal (qual)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83630","description":"Lactoferrin fecal (qual)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lisocabtagene maraleucel_ up to 110 million autologous anti  CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2054","description":"Lisocabtagene maraleucel_ up to 110 million autologous anti  CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24006","description":"Release elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srs cran les complex addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61799","description":"Srs cran les complex addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A5104","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5104","description":"HCPCS-A5104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Trichomonas vaginalis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87808","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Trichomonas vaginalis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2034","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2034","description":"HCPCS-A2034","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD254","description":"HIPPS-PD254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4386","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4386","description":"HCPCS-Q4386","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01924","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01924","description":"CPT-01924","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC06","description":"HIPPS-RMC06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most recent tobacco status is tobacco free","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9791","description":"Most recent tobacco status is tobacco free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gi tract capsule endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0355T","description":"Gi tract capsule endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protein analysis w/probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88372","description":"Protein analysis w/probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair vessel graft defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35870","description":"Repair vessel graft defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41825","description":"Excision of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr pck base combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0489","description":"Pwr pck base combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory shoulder surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23044","description":"Exploratory shoulder surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Upper Gi Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1103","description":"Radiation Therapy For Upper Gi Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Micro w exam of surg margins","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0474","description":"Micro w exam of surg margins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bicarbonate conc pow per pac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4707","description":"Bicarbonate conc pow per pac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient treatment and final evaluation complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1013","description":"Patient treatment and final evaluation complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct urethra/bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53431","description":"Reconstruct urethra/bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychosis_ Depression_ Anxiety_ Apathy_ And Impulse Control Disorder Not Assessed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2122","description":"Psychosis_ Depression_ Anxiety_ Apathy_ And Impulse Control Disorder Not Assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electron microscopy diagnost","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0481","description":"Electron microscopy diagnost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of inner eye fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67036","description":"Removal of inner eye fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1603","description":"HCPCS-B1603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc no events on discharg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8907","description":"Pt doc no events on discharg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splice spleen/kidney veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37181","description":"Splice spleen/kidney veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor renal graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50325","description":"Prep donor renal graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray guide gi dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74360","description":"X-ray guide gi dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient spent greater than or equal to three days in hospice care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9861","description":"Patient spent greater than or equal to three days in hospice care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFL5","description":"HIPPS-1CFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec sit not prim tumor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8723","description":"Spec sit not prim tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem oct rta techl sprt min 8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0605T","description":"Rem oct rta techl sprt min 8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM3","description":"HIPPS-3AGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX23","description":"HIPPS-RUX23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behind ear hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5060","description":"Behind ear hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 0.5/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11420","description":"Exc h-f-nk-sp b9+marg 0.5/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of forearm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24495","description":"Decompression of forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chylmd trach dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87492","description":"Chylmd trach dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam drg >16<=48 sq in w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6210","description":"Foam drg >16<=48 sq in w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX5A","description":"HIPPS-RVX5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"KEL GNOTYP KEL EXON 8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0194U","description":"KEL GNOTYP KEL EXON 8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adrenal cortex & medulla img","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78075","description":"Adrenal cortex & medulla img","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hgh risk for thromboembolism","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3552F","description":"Hgh risk for thromboembolism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28C","description":"HIPPS-LB28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intra-atrial recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93602","description":"Intra-atrial recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allergen specific igg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86001","description":"Allergen specific igg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61863","description":"Implant neuroelectrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC2B","description":"HIPPS-RUC2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shortening of thigh bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27465","description":"Shortening of thigh bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurovascular pedicle flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15750","description":"Neurovascular pedicle flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN6","description":"HIPPS-1AGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open tx dprsd front sinus fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21343","description":"Open tx dprsd front sinus fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64840","description":"Repair of leg nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct pelvis w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72194","description":"Ct pelvis w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27892","description":"Decompression of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plicamycin (mithramycin) inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9270","description":"Plicamycin (mithramycin) inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise low back nerve(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64714","description":"Revise low back nerve(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA GIARDIA","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87329","description":"IAAD IA GIARDIA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Lung Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1095","description":"Radiation Therapy For Lung Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interstitial radiation source application; intermediate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77777","description":"Interstitial radiation source application; intermediate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ augmentative algorithmic analysis of digitized whole slide imaging of 8 histologic and immunohistochemical features_ reported as a recurrence score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0418U","description":"Oncology (breast)_ augmentative algorithmic analysis of digitized whole slide imaging of 8 histologic and immunohistochemical features_ reported as a recurrence score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4398","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4398","description":"HCPCS-Q4398","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92972","description":"Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLS","description":"HIPPS-2AFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures adjust cmplt maxil","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5410","description":"Dentures adjust cmplt maxil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dstry eye lesn_fdr vssl tech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0186","description":"Dstry eye lesn_fdr vssl tech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal capsule endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91111","description":"Esophageal capsule endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull/brain surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61735","description":"Incise skull/brain surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2186","description":"Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50060","description":"Removal of kidney stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC15B","description":"HIPPS-HC15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc of pain","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8732","description":"No doc of pain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKU","description":"HIPPS-4CFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC22A","description":"HIPPS-CC22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transport chair pt wt >300lb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1039","description":"Transport chair pt wt >300lb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn total diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9364","description":"Hit tpn total diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extra-oral posterior dental radiographic image - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0705","description":"Extra-oral posterior dental radiographic image - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pedcle fh/ch/ch/m/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15574","description":"Pedcle fh/ch/ch/m/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNU","description":"HIPPS-3BFNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGKX","description":"HIPPS-5AGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient in hospice at any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9758","description":"Patient in hospice at any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Geriatrics Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4008","description":"Geriatrics Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rozanolixizumab-noli_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9333","description":"Injection_ rozanolixizumab-noli_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Tocilizumab for COVID-19 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0249","description":"Injection Tocilizumab for COVID-19 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8H","description":"HIPPS-RVX8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX11","description":"HIPPS-RVX11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9728","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX30","description":"HIPPS-RUX30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Audiometry air & bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0209T","description":"Audiometry air & bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of gonadotropin (lh)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83002","description":"Assay of gonadotropin (lh)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; includes set-up_ patient training_ configuration o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0533T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; includes set-up_ patient training_ configuration o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0630U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0630U","description":"CPT-0630U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Creation of arteriovenous fistula_ percutaneous; direct_ any site_ including all imaging and radiologic supervision and interpr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9754","description":"Creation of arteriovenous fistula_ percutaneous; direct_ any site_ including all imaging and radiologic supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject epidural patch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62273","description":"Inject epidural patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGKX","description":"HIPPS-1BGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl zinc air battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8621","description":"Repl zinc air battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroidectomy_ total or complete with parathyroid autotransplantation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7555","description":"Thyroidectomy_ total or complete with parathyroid autotransplantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ toe caps_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6572","description":"Gradient compression garment_ toe caps_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rib gusset (elastic) each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1280","description":"Rib gusset (elastic) each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epstein-barr capsid vca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86665","description":"Epstein-barr capsid vca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analyze neurostim complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95972","description":"Analyze neurostim complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGNU","description":"HIPPS-3AGNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Services provided as part of","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9991","description":"Services provided as part of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL54","description":"HIPPS-RUL54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"General Surgery Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4007","description":"General Surgery Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01832","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01832","description":"CPT-01832","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk waist belt webbing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5688","description":"Bk waist belt webbing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling indiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99402","description":"Preventive counseling indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pertuzumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9306","description":"Injection_ pertuzumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD116","description":"HIPPS-HD116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN1","description":"HIPPS-1AFN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laminotomy (Hemilaminectomy)_ With Decompression Of Nerve Root(S)_ Including Partial Facetectomy_ Foraminotomy And Excision Of Herniated Intervertebral Disc_ And Repair Of Ann","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9757","description":"Laminotomy (Hemilaminectomy)_ With Decompression Of Nerve Root(S)_ Including Partial Facetectomy_ Foraminotomy And Excision Of Herniated Intervertebral Disc_ And Repair Of Ann","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ levoleucovorin_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9043","description":"Injection_ levoleucovorin_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA31","description":"HIPPS-RVA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5948","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5948","description":"CDT-D5948","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In111 pentetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9548","description":"In111 pentetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Riv3 vaccine no preserv im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90673","description":"Riv3 vaccine no preserv im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine_ 15 valent (PCV15)_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90671","description":"Pneumococcal conjugate vaccine_ 15 valent (PCV15)_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01961","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01961","description":"CPT-01961","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMX","description":"HIPPS-4CHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8H","description":"HIPPS-RMC8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE11A","description":"HIPPS-HE11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc hand les sc 1.5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26111","description":"Exc hand les sc 1.5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8C","description":"HIPPS-RMC8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1408","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1408","description":"HCPCS-M1408","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral talus autogrft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28446","description":"Osteochondral talus autogrft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic prop tire insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2213","description":"Pneumatic prop tire insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL43","description":"HIPPS-RVL43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL11","description":"HIPPS-RHL11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gel pressure mattress pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0185","description":"Gel pressure mattress pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tamoxifen/ai prescribed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4179F","description":"Tamoxifen/ai prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulp vitality test","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0460","description":"Pulp vitality test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manipulate elbow w/anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24300","description":"Manipulate elbow w/anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection_ percutaneous_ radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74475","description":"Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection_ percutaneous_ radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27390","description":"Incision of thigh tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic laryngoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31575","description":"Diagnostic laryngoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0234","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0234","description":"HCPCS-Q0234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC22","description":"HIPPS-RHC22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lining lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68110","description":"Remove eyelid lining lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr fe/e/en/l/m 12.6-20.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12016","description":"Rpr fe/e/en/l/m 12.6-20.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB255","description":"HIPPS-LB255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB246","description":"HIPPS-HB246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hocm 200-249mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9960","description":"Hocm 200-249mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of forearm cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29075","description":"Application of forearm cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit est age 12-17","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99394","description":"Prev visit est age 12-17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; common deletions or variant (eg_ Southeast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81257","description":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; common deletions or variant (eg_ Southeast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC13C","description":"HIPPS-CC13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD14D","description":"HIPPS-CD14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML0B","description":"HIPPS-RML0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In111 satumomab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4642","description":"In111 satumomab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE224","description":"HIPPS-LE224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hernia repair w/mesh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49568","description":"Hernia repair w/mesh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Measure blood oxygen level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94762","description":"Measure blood oxygen level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair rectum & vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57250","description":"Repair rectum & vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periodontal maint procedures","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4910","description":"Periodontal maint procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open red comp malar/zygma fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7750","description":"Open red comp malar/zygma fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic seq analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81455","description":"Targeted genomic seq analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFL2","description":"HIPPS-1CFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth testis suspension","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93051","description":"Anesth testis suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cataract measures group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8906","description":"Cataract measures group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD21B","description":"HIPPS-LD21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64474","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64474","description":"CPT-64474","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"C diff amplified probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87493","description":"C diff amplified probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ptnotrcvngsteroid>/=10mg/day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3750F","description":"Ptnotrcvngsteroid>/=10mg/day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML16","description":"HIPPS-RML16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Image cath fluid colxn visc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49405","description":"Image cath fluid colxn visc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular imp_ aqueous drain de","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1783","description":"Ocular imp_ aqueous drain de","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGNV","description":"HIPPS-1AGNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFL5","description":"HIPPS-2AFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKT","description":"HIPPS-5CGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFK3","description":"HIPPS-2BFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate cancer)_ FISH analysis of 4 genes (ASAP1_ HDAC9_ CHD1 and PTEN)_ needle biopsy specimen_ algorithm reported as probability of higher tumor grade","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0053U","description":"Oncology (prostate cancer)_ FISH analysis of 4 genes (ASAP1_ HDAC9_ CHD1 and PTEN)_ needle biopsy specimen_ algorithm reported as probability of higher tumor grade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth spine cord surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62051","description":"Anesth spine cord surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21077","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bcg vaccine percut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90585","description":"Bcg vaccine percut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Combination oral/nasal mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7027","description":"Combination oral/nasal mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPV","description":"HIPPS-3AGPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB205","description":"HIPPS-PB205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Memory d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9170","description":"Memory d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ovine_ up to 999 usp units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3471","description":"Ovine_ up to 999 usp units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change of bladder tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51705","description":"Change of bladder tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For Not Administering Pneumococcal Vaccine (E.G._ Adverse Reaction To Vaccine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9989","description":"Documentation Of Medical Reason(S) For Not Administering Pneumococcal Vaccine (E.G._ Adverse Reaction To Vaccine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD146","description":"HIPPS-HD146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SurFactor or NuDyn_ per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4233","description":"SurFactor or NuDyn_ per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN5","description":"HIPPS-3CFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lodging costs (e.g. hotel ch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9994","description":"Lodging costs (e.g. hotel ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hgb not doc rns not gvn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8974","description":"Hgb not doc rns not gvn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27470","description":"Repair of thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment Of Amblyopia Using An Online Digital Program; Device Supply_ Educational Set-Up_ And Initial Session","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0687T","description":"Treatment Of Amblyopia Using An Online Digital Program; Device Supply_ Educational Set-Up_ And Initial Session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0669T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Transcatheter Ultrasound Ablation Of Nerves Innervating The Pulmonary Arteries_ Including Right Heart Catheterization_ Pulmonary Artery Angiography_ And All Imagi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0632T","description":"Percutaneous Transcatheter Ultrasound Ablation Of Nerves Innervating The Pulmonary Arteries_ Including Right Heart Catheterization_ Pulmonary Artery Angiography_ And All Imagi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place cath vertebral art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36226","description":"Place cath vertebral art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1411","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1411","description":"HCPCS-M1411","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peak expiratory flow rate (p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8110","description":"Peak expiratory flow rate (p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 81 Years Of Age And Older With A Evidence Of Frailty During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2118","description":"Patients 81 Years Of Age And Older With A Evidence Of Frailty During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cnslng chldbrng women epi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4340F","description":"Cnslng chldbrng women epi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8D","description":"HIPPS-RVB8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27722","description":"Repair/graft of tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA5C","description":"HIPPS-RHA5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ascorbic acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82180","description":"Assay of ascorbic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE121","description":"HIPPS-PE121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29884","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL5A","description":"HIPPS-RHL5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died from cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9846","description":"Patients who died from cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL14","description":"HIPPS-RUL14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0615U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0615U","description":"CPT-0615U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocortisone sodium ph inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1710","description":"Hydrocortisone sodium ph inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie_ caval valve implantation [CAVI]); open femoral vein approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0806T","description":"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie_ caval valve implantation [CAVI]); open femoral vein approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair rectum-vagina fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57305","description":"Repair rectum-vagina fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18D","description":"HIPPS-BB18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC4C","description":"HIPPS-RMC4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rh ig full-dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90384","description":"Rh ig full-dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onsite Ac C Tx Nsg Fac Res Copd/As Bill Sid-Bnef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9681","description":"Onsite Ac C Tx Nsg Fac Res Copd/As Bill Sid-Bnef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immntx 5 sting insects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95134","description":"Immntx 5 sting insects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0678U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0678U","description":"CPT-0678U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/revise male sling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53442","description":"Remove/revise male sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC246","description":"HIPPS-PC246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHN6","description":"HIPPS-3BHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flutemetamol F18_ diagnostic_ per study dose_ up to 8.1 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9983","description":"Flutemetamol F18_ diagnostic_ per study dose_ up to 8.1 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of foot joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28020","description":"Exploration of foot joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydromorphone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1170","description":"Hydromorphone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27250","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rep dev_ urinary_ w/o sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2631","description":"Rep dev_ urinary_ w/o sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38A","description":"HIPPS-ES38A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01630","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01630","description":"CPT-01630","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33406","description":"Replacement of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore chest vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35820","description":"Explore chest vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES205","description":"HIPPS-ES205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraut copper contraceptive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7300","description":"Intraut copper contraceptive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy with ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44401","description":"Colonoscopy with ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71552","description":"MRI chest w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L0720","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0720","description":"HCPCS-L0720","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17260","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB125","description":"HIPPS-BB125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop cyto path consult 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88333","description":"Intraop cyto path consult 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ue pt no elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8669","description":"Fun stat score ue pt no elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glucose other fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82945","description":"Glucose other fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise lesion skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61615","description":"Resect/excise lesion skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ full leg and foot_ padded_ for nighttime use_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6527","description":"Gradient compression garment_ full leg and foot_ padded_ for nighttime use_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC205","description":"HIPPS-CC205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Determine refractive state","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92015","description":"Determine refractive state","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth hernia repair preemie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83651","description":"Anesth hernia repair preemie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tonsils","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42825","description":"Removal of tonsils","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urology surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53899","description":"Urology surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA45","description":"HIPPS-RMA45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-38227","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38227","description":"CPT-38227","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aud osseo dev_ int/ext comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8690","description":"Aud osseo dev_ int/ext comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of free testosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84402","description":"Assay of free testosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frozen blood freeze/thaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86932","description":"Frozen blood freeze/thaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy finger joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26105","description":"Biopsy finger joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of miscarriage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59821","description":"Treatment of miscarriage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21138","description":"Reduction of forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ergonovine maleate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1330","description":"Ergonovine maleate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX36","description":"HIPPS-RUX36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown-titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2794","description":"Crown-titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kne-shin exo sng axi mnl loc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5710","description":"Kne-shin exo sng axi mnl loc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE134","description":"HIPPS-LE134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC125","description":"HIPPS-PC125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 hd sing pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0838","description":"Pwc gp 2 hd sing pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC25","description":"HIPPS-RVC25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assessment of a patient","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0191","description":"Assessment of a patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc md rsn no antipla/p2y12","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9610","description":"Doc md rsn no antipla/p2y12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elevat legrst up hangr brack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0047","description":"Elevat legrst up hangr brack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28H","description":"HIPPS-HD28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHKV","description":"HIPPS-3BHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures maxill part metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5213","description":"Dentures maxill part metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0201","description":"HCPCS-A0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGNU","description":"HIPPS-3CGNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec hand ind art digits","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6880","description":"Elec hand ind art digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31255","description":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1107","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB111","description":"HIPPS-PB111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81520","description":"Oncology (breast)_ mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo-vag hyst incl t/o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58552","description":"Laparo-vag hyst incl t/o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Personal care ser per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1020","description":"Personal care ser per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief communication technology-based service_ e.g. virtual check-in_ by a physician or other qualified health care professional who can report evaluation and management servic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2252","description":"Brief communication technology-based service_ e.g. virtual check-in_ by a physician or other qualified health care professional who can report evaluation and management servic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imaging study ordered (bkp)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3330F","description":"Imaging study ordered (bkp)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg tendon each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27664","description":"Repair of leg tendon each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59150","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening of hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26478","description":"Lengthening of hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL43","description":"HIPPS-RHL43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG_ PCA3_ and SPDEF)_ urine_ algorithm reported as risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0005U","description":"Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG_ PCA3_ and SPDEF)_ urine_ algorithm reported as risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1705","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1705","description":"HCPCS-B1705","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0205","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0205","description":"CDT-D0205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28C","description":"HIPPS-LE28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC250","description":"HIPPS-PC250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hammertoe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28285","description":"Repair of hammertoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Serpina1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81332","description":"Serpina1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31240","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18A","description":"HIPPS-PD18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26545","description":"Reconstruct finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracorporeal shock wave for integumentary wound healing_ high energy_ including topical application and dressing care; initial wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0512T","description":"Extracorporeal shock wave for integumentary wound healing_ high energy_ including topical application and dressing care; initial wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair amputee w/o leg r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1171","description":"Wheelchair amputee w/o leg r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGL3","description":"HIPPS-3CGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair vagina/perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57210","description":"Repair vagina/perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glasses air conduction","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5070","description":"Glasses air conduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNX","description":"HIPPS-3AFNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seizure type& frequ docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1200F","description":"Seizure type& frequ docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt l/s 2 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64494","description":"Inj paravert f jnt l/s 2 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2003","description":"HCPCS-J2003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert_ pneum wheel drive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2383","description":"Insert_ pneum wheel drive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD216","description":"HIPPS-PD216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pantoprazole (Hikma)_ not therapeutically equivalent to J2470_ 40 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2471","description":"Injection_ pantoprazole (Hikma)_ not therapeutically equivalent to J2470_ 40 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Max MRI image capture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0385","description":"Max MRI image capture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt asked/cnsld aed effects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6070F","description":"Pt asked/cnsld aed effects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mechlorethamine hcl inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9230","description":"Mechlorethamine hcl inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Benzodiazepines1-12","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80346","description":"Benzodiazepines1-12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0642T","description":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling intraurethral drainage device with valve_ patient inserted_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1010","description":"Indwelling intraurethral drainage device with valve_ patient inserted_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pin finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26756","description":"Pin finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score shdl pt no el","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8665","description":"Fun stat score shdl pt no el","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD23D","description":"HIPPS-HD23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop dsg ak ea add cast ch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5430","description":"Postop dsg ak ea add cast ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of midface","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21188","description":"Reconstruction of midface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prism lens/es","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2715","description":"Prism lens/es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anti-inflm/anlgsc otc assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1007F","description":"Anti-inflm/anlgsc otc assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbo simultaneous","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7181","description":"Electronic elbo simultaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX55","description":"HIPPS-RLX55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hips bi 2 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73521","description":"X-ray exam hips bi 2 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9382","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9382","description":"HCPCS-J9382","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6030","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6030","description":"HCPCS-L6030","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL3","description":"HIPPS-2AHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counselin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1289","description":"Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counselin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00732","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00732","description":"CPT-00732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clsd ostomy pouch w/flange","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5054","description":"Clsd ostomy pouch w/flange","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ans parasymp & symp w/tilt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95924","description":"Ans parasymp & symp w/tilt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct perfusion w/contrast cbf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0042T","description":"Ct perfusion w/contrast cbf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1002","description":"HCPCS-B1002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery-vein autograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36825","description":"Artery-vein autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPV","description":"HIPPS-1BGPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX34","description":"HIPPS-RVX34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert cath pleura w/ image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32557","description":"Insert cath pleura w/ image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18X","description":"HIPPS-CC18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise external hemorrhoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46083","description":"Incise external hemorrhoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trnsprnl Impl Prm Adj Balln Cnt Dvc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9746","description":"Trnsprnl Impl Prm Adj Balln Cnt Dvc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45388","description":"Colonoscopy w/ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC0C","description":"HIPPS-RMC0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ketorolac tromethamine inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1885","description":"Ketorolac tromethamine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0506","description":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE20A","description":"HIPPS-PE20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction anal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46924","description":"Destruction anal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC134","description":"HIPPS-PC134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPV","description":"HIPPS-1BFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelet pheres leukoreduced","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9035","description":"Platelet pheres leukoreduced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release palm & finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26442","description":"Release palm & finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection into vocal cord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31513","description":"Injection into vocal cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23472","description":"Reconstruct shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ranibizumab-eqrn (cimerli)_ biosimilar_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5128","description":"Injection_ ranibizumab-eqrn (cimerli)_ biosimilar_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep 2 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21014","description":"Exc face tum deep 2 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apheresis platelets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36513","description":"Apheresis platelets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mycophenolate mofetil_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7519","description":"Injection_ mycophenolate mofetil_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove armpit lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38740","description":"Remove armpit lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unskilled respite care /15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5150","description":"Unskilled respite care /15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE24C","description":"HIPPS-HE24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP18","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP18","description":"HIPPS-ATP18","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove external ear partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69110","description":"Remove external ear partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis via av fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4052F","description":"Hemodialysis via av fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test socket symes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5618","description":"Test socket symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES130","description":"HIPPS-ES130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy/removal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38530","description":"Biopsy/removal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status performed once in the last 12 months","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9916","description":"Functional status performed once in the last 12 months","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interferential stim 2 chan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8130","description":"Interferential stim 2 chan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic incision larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31320","description":"Diagnostic incision larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim-pbbk (fylnetra)_ biosimilar_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5130","description":"Injection_ pegfilgrastim-pbbk (fylnetra)_ biosimilar_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grade 2 or above diarrhea and/or grade 2 or above colitis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1181","description":"Grade 2 or above diarrhea and/or grade 2 or above colitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Min hd traum gcs=15 w/ct ed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9530","description":"Min hd traum gcs=15 w/ct ed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt recvd inhal anesthetic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4554F","description":"Pt recvd inhal anesthetic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiofrequency Ablation_ Nerves Innervating The Sacroiliac Joint_ With Image Guidance (Ie_ Fluoroscopy Or Computed Tomography)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64625","description":"Radiofrequency Ablation_ Nerves Innervating The Sacroiliac Joint_ With Image Guidance (Ie_ Fluoroscopy Or Computed Tomography)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of implantable device to test the function of device and to select optimal permanent programmed values_ wit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0804T","description":"Programming device evaluation (in person) with iterative adjustment of implantable device to test the function of device and to select optimal permanent programmed values_ wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGMV","description":"HIPPS-2CGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cemiplimab-rwlc_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9119","description":"Injection_ cemiplimab-rwlc_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNT","description":"HIPPS-1AFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB206","description":"HIPPS-BB206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No life asst 2x same/decr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9636","description":"No life asst 2x same/decr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E2513","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2513","description":"HCPCS-E2513","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA13C","description":"HIPPS-BA13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmv antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86644","description":"Cmv antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP2","description":"HIPPS-3BHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam unilat ribs/chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71101","description":"X-ray exam unilat ribs/chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove radius bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24136","description":"Remove radius bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M.tuberculo dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87555","description":"M.tuberculo dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg over 1 hour","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95813","description":"Eeg over 1 hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Csi per asx pt w/pci 2 yrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8963","description":"Csi per asx pt w/pci 2 yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory elbow surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24000","description":"Exploratory elbow surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4439","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4439","description":"HCPCS-Q4439","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKX","description":"HIPPS-4BHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23600","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5158","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5158","description":"HCPCS-Q5158","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMU","description":"HIPPS-3AHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61537","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemical peel nonfacial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15793","description":"Chemical peel nonfacial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl devital tis addl 20cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97598","description":"Rmvl devital tis addl 20cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8D","description":"HIPPS-RHL8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of scrotum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55150","description":"Removal of scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap close enterostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44227","description":"Lap close enterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9612","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9612","description":"HCPCS-A9612","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Water seal drain container","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7041","description":"Water seal drain container","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA CLOSTRIDIUM DIFFICILE TOXIN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87324","description":"IAAD IA CLOSTRIDIUM DIFFICILE TOXIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric symptoms not assessed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9743","description":"Psychiatric symptoms not assessed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rep partial denture clasp","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5630","description":"Rep partial denture clasp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body-worn hearing aid bone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5040","description":"Body-worn hearing aid bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB44","description":"HIPPS-RMB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Induction of vomiting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99175","description":"Induction of vomiting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Draw blood off venous device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36591","description":"Draw blood off venous device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII (antihemophiliac factor_ recombinant) (Nuwiq)_ 1 I.U.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9138","description":"Injection_ Factor VIII (antihemophiliac factor_ recombinant) (Nuwiq)_ 1 I.U.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trans care mgmt 14 day disch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99495","description":"Trans care mgmt 14 day disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC25D","description":"HIPPS-PC25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physical medicine procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97799","description":"Physical medicine procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Focusing on women_s health mips value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1366","description":"Focusing on women_s health mips value pathway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair special seat heig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1296","description":"Wheelchair special seat heig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scan proc cranial extra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61782","description":"Scan proc cranial extra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Age 66 And Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With A Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2081","description":"Patients Age 66 And Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With A Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFM6","description":"HIPPS-4BFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFKS","description":"HIPPS-3BFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA115","description":"HIPPS-PA115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo iv infusion addl hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96415","description":"Chemo iv infusion addl hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome count additional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88285","description":"Chromosome count additional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9304","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9304","description":"HCPCS-C9304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise hand/finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26390","description":"Revise hand/finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of foot tendon(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28230","description":"Incision of foot tendon(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFN6","description":"HIPPS-1CFN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 65 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0145U","description":"Drug assay_ definitive_ 65 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair detachable arms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1060","description":"Wheelchair detachable arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nadofaragene firadenovec-vncg_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9029","description":"Injection_ nadofaragene firadenovec-vncg_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient has a reactive hcv antibody test and does not have a follow up hcv viral test_ or patient has a reactive hcv antibody test and has a follow up hcv viral test that dete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1230","description":"Patient has a reactive hcv antibody test and does not have a follow up hcv viral test_ or patient has a reactive hcv antibody test and has a follow up hcv viral test that dete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC2A","description":"HIPPS-RMC2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9738","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cranial cervical torticollis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0113","description":"Cranial cervical torticollis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drsg gel filler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6248","description":"Hydrogel drsg gel filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFP2","description":"HIPPS-3AFP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL6","description":"HIPPS-4CHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closd rductn splint alveolus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7670","description":"Closd rductn splint alveolus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp lesion ablate w/dilate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43278","description":"Ercp lesion ablate w/dilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit pain imp pump diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9328","description":"Hit pain imp pump diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis - bitewing radiographic image - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0388","description":"intraoral tomosynthesis - bitewing radiographic image - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx complx malar fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21365","description":"Opn tx complx malar fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain bladder by trocar/cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51101","description":"Drain bladder by trocar/cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon metas evid dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9087","description":"Onc dx colon metas evid dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transport chair pt wt<=300lb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1038","description":"Transport chair pt wt<=300lb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise lower leg tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27690","description":"Revise lower leg tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst t/o & repair compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58292","description":"Vag hyst t/o & repair compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1577","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1577","description":"HCPCS-J1577","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy sterilization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58565","description":"Hysteroscopy sterilization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL6","description":"HIPPS-2CFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2209","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dolasetron 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0174","description":"Dolasetron 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFMW","description":"HIPPS-4CFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reop req bld grft oth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8577","description":"Reop req bld grft oth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not performing functional status (e.g._ patient is severely impaired and caregiver knowledge is limited_ other medical reason)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9917","description":"Documentation of medical reason(s) for not performing functional status (e.g._ patient is severely impaired and caregiver knowledge is limited_ other medical reason)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphere trifocal 4.00d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2300","description":"Lens sphere trifocal 4.00d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28B","description":"HIPPS-PC28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlorhexidine antisept","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4248","description":"Chlorhexidine antisept","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC45","description":"HIPPS-RVC45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gonadotropin chorionic (hCG) immunoassay with direct optical observation blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0167U","description":"Gonadotropin chorionic (hCG) immunoassay with direct optical observation blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Covid-19 vaccine admin inside a patient_s home; reported only once per individual home per date of service when only covid-19 vaccine admin is performed at the patients home","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0201","description":"Covid-19 vaccine admin inside a patient_s home; reported only once per individual home per date of service when only covid-19 vaccine admin is performed at the patients home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calculus assay quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82360","description":"Calculus assay quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL53","description":"HIPPS-RVL53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat midfoot fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28450","description":"Treat midfoot fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD15B","description":"HIPPS-PD15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct orbit/forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21172","description":"Reconstruct orbit/forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ect provided","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4066F","description":"Ect provided","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4413","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4413","description":"HCPCS-Q4413","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad intra-articul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25608","description":"Treat fx rad intra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB24","description":"HIPPS-RHB24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0904","description":"HCPCS-C0904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doripenem injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1267","description":"Doripenem injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Permanent Fallopian Tube Occlusion With Degradable Biopolymer Implant_ Transcervical Approach_ Including Transvaginal Ultrasound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0567T","description":"Permanent Fallopian Tube Occlusion With Degradable Biopolymer Implant_ Transcervical Approach_ Including Transvaginal Ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert nasal septal button","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30220","description":"Insert nasal septal button","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42509","description":"Parotid duct diversion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64902","description":"Nerve graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mannitol for inhaler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7665","description":"Mannitol for inhaler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release/revise ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50725","description":"Release/revise ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGM6","description":"HIPPS-4AGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-81524","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81524","description":"CPT-81524","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vasc embolize/occlude venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37241","description":"Vasc embolize/occlude venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputate lower leg at knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27598","description":"Amputate lower leg at knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0543","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0543","description":"HCPCS-G0543","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63308","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos back post/lat wdth>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2616","description":"Pos back post/lat wdth>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKS","description":"HIPPS-1CGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair arm rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0994","description":"Wheelchair arm rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKX","description":"HIPPS-3CHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Root surgery bicuspid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3421","description":"Root surgery bicuspid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ enfortumab vedotin-ejfv_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9177","description":"Injection_ enfortumab vedotin-ejfv_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0486T","description":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insitu hybridization (fish)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88366","description":"Insitu hybridization (fish)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidrm a-grft face/nck/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15115","description":"Epidrm a-grft face/nck/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg <=16 sq in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6254","description":"Absorpt drg <=16 sq in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA25","description":"HIPPS-RHA25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc brst cncr stage 0 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3370F","description":"Ajcc brst cncr stage 0 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant mandible for augment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7996","description":"Implant mandible for augment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0404","description":"HCPCS-B0404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare constitutional and other heritable disorders_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0267U","description":"Rare constitutional and other heritable disorders_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA34","description":"HIPPS-RLA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hinge ext/flex wrist finger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3901","description":"Hinge ext/flex wrist finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54312","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure ureter/skin fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50920","description":"Closure ureter/skin fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5099","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5099","description":"HCPCS-Q5099","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extraction of lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66930","description":"Extraction of lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55869","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55869","description":"CPT-55869","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8E","description":"HIPPS-RMA8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tract frame attach footboard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0870","description":"Tract frame attach footboard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reusable oral thermometer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4931","description":"Reusable oral thermometer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16078","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16078","description":"CPT-16078","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB23C","description":"HIPPS-CB23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med reas not incl histo type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9419","description":"Med reas not incl histo type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmic endoscope add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66990","description":"Ophthalmic endoscope add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair double ventricle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33611","description":"Repair double ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA10","description":"HIPPS-RMA10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Terbutaline sulf comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7680","description":"Terbutaline sulf comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sex chromatin identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88130","description":"Sex chromatin identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE144","description":"HIPPS-CE144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of big toe joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28755","description":"Fusion of big toe joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Axolotl Graft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4331","description":"Axolotl Graft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD251","description":"HIPPS-LD251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB110","description":"HIPPS-BB110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0564U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0564U","description":"CPT-0564U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8A","description":"HIPPS-RHC8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No knee/ankle joints w/ ft b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5210","description":"No knee/ankle joints w/ ft b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Modification of contact lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92325","description":"Modification of contact lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit anti-spasmotic diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9363","description":"Hit anti-spasmotic diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral aprepitant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8501","description":"Oral aprepitant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infant safety class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9447","description":"Infant safety class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other drugs/medicaments","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9630","description":"Other drugs/medicaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peng benzathine/procaine inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0558","description":"Peng benzathine/procaine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9038","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9038","description":"HCPCS-J9038","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB134","description":"HIPPS-PB134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add to spinal orthosis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0999","description":"Add to spinal orthosis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analysis tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88358","description":"Analysis tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00626","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00626","description":"CPT-00626","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opioid &opiate analog 5/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80364","description":"Opioid &opiate analog 5/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apexification/recalc interim","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3352","description":"Apexification/recalc interim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gluco mngmnt plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0540F","description":"Gluco mngmnt plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44650","description":"Repair bowel fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLV","description":"HIPPS-3CGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bartonella dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87470","description":"Bartonella dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX36","description":"HIPPS-RVX36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht leg splnt ped f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4048","description":"Cast sup sht leg splnt ped f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays adrenals","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75733","description":"Artery x-rays adrenals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Max ultrasound capt & interp","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0370","description":"Max ultrasound capt & interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroscopy_ physician or other qualified health care professional time more than 1 hour_ assisting a nonradiologic physician or other qualified health care professional (eg_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76001","description":"Fluoroscopy_ physician or other qualified health care professional time more than 1 hour_ assisting a nonradiologic physician or other qualified health care professional (eg_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Md document visit by npp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0454","description":"Md document visit by npp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA160","description":"HIPPS-BA160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive hand surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26250","description":"Extensive hand surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost urine pch w b/bltin conv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4430","description":"Ost urine pch w b/bltin conv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA204","description":"HIPPS-BA204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients on immune checkpoint inhibitor therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1180","description":"Patients on immune checkpoint inhibitor therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abltj Perc Cryoabltj Img Gdn Lxtr/Perph Nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0441T","description":"Abltj Perc Cryoabltj Img Gdn Lxtr/Perph Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGLW","description":"HIPPS-3BGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC25A","description":"HIPPS-LC25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC110","description":"HIPPS-PC110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I & d vaginal hematoma pp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57022","description":"I & d vaginal hematoma pp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB2C","description":"HIPPS-RVB2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services utilized by patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9694","description":"Hospice services utilized by patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocyte culture mixed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86821","description":"Lymphocyte culture mixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calcitonin stimul panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80410","description":"Calcitonin stimul panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of intervertebral biomechanical device(s) (eg_ synthetic cage_ mesh_ methylmethacrylate) to intervertebral disc space or vertebral body defect without interbody arth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22859","description":"Insertion of intervertebral biomechanical device(s) (eg_ synthetic cage_ mesh_ methylmethacrylate) to intervertebral disc space or vertebral body defect without interbody arth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drg <=16 in w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6242","description":"Hydrogel drg <=16 in w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ moxifloxacin (fresenius kabi) not therapeutically equivalent to j2280_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2281","description":"Injection_ moxifloxacin (fresenius kabi) not therapeutically equivalent to j2280_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer for use w/ regulat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0580","description":"Nebulizer for use w/ regulat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient admitted to palliative care services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1017","description":"Patient admitted to palliative care services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Modification diabetic shoe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5507","description":"Modification diabetic shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caries susceptibility test","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0425","description":"Caries susceptibility test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5272","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1202","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1202","description":"HCPCS-B1202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Employment Skills Development (1:15)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1741","description":"Employment - Employment Skills Development (1:15)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glucagon tolerance panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80424","description":"Glucagon tolerance panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ho frejka cov only pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1610","description":"Ho frejka cov only pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Balance lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2700","description":"Balance lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sc ther infusion addl hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96370","description":"Sc ther infusion addl hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext h rate epi sz 14 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0381T","description":"Ext h rate epi sz 14 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA256","description":"HIPPS-PA256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33722","description":"Repair of heart defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O2 contents gas cubic ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8120","description":"O2 contents gas cubic ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC35","description":"HIPPS-RVC35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (prior disease)_ cerebrospinal fluid_ detection of prion protein by quaking-induced conf conversion_ qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0035U","description":"Neurology (prior disease)_ cerebrospinal fluid_ detection of prion protein by quaking-induced conf conversion_ qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL50","description":"HIPPS-RHL50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM3","description":"HIPPS-4BHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42800","description":"Biopsy of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28124","description":"Partial removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC245","description":"HIPPS-LC245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64567","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64567","description":"CPT-64567","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration for testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54560","description":"Exploration for testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"vaccine administration-human papillomavirus - Dose 1","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1781","description":"vaccine administration-human papillomavirus - Dose 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFM3","description":"HIPPS-2BFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External upper limb tremor stimulator of the peripheral nerves of the wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0734","description":"External upper limb tremor stimulator of the peripheral nerves of the wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC14C","description":"HIPPS-PC14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28E","description":"HIPPS-PB28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal kidney open complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50225","description":"Removal kidney open complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrivalent (qIRV)_ mRNA; 60 mcg/0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90638","description":"Influenza virus vaccine_ quadrivalent (qIRV)_ mRNA; 60 mcg/0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pedicle e/n/e/l/ntroral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15576","description":"Pedicle e/n/e/l/ntroral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurobehavioral status exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96116","description":"Neurobehavioral status exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of vein clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34421","description":"Removal of vein clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thigh/wght bear high roll cu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2550","description":"Thigh/wght bear high roll cu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67974","description":"Reconstruction of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ethmoid sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31200","description":"Removal of ethmoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for future fall risk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1069","description":"Patient screened for future fall risk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD24D","description":"HIPPS-PD24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excess skin arm/hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15837","description":"Excise excess skin arm/hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE22D","description":"HIPPS-PE22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adhesiolysis tube ovary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58740","description":"Adhesiolysis tube ovary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair fixed arms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1160","description":"Wheelchair fixed arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Atropine comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7635","description":"Atropine comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pulmonary shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33924","description":"Remove pulmonary shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD234","description":"HIPPS-LD234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin (fiasp)_ per 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1812","description":"Insulin (fiasp)_ per 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGL2","description":"HIPPS-4BGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corplex_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4232","description":"Corplex_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient treatment and final evaluation complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1015","description":"Patient treatment and final evaluation complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arm tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24305","description":"Arm tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric bypass for obesity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43846","description":"Gastric bypass for obesity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim-fpgk (stimufend)_ biosimilar_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5127","description":"Injection_ pegfilgrastim-fpgk (stimufend)_ biosimilar_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL31","description":"HIPPS-RUL31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant brain electrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61531","description":"Implant brain electrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8G","description":"HIPPS-RUB8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE117","description":"HIPPS-CE117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74445","description":"X-ray exam of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX15","description":"HIPPS-RVX15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq transcath septal reduxn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93583","description":"Perq transcath septal reduxn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt post facet implt thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0220T","description":"Plmt post facet implt thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of orbit (transcranial approach); with biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61332","description":"Exploration of orbit (transcranial approach); with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap mobil splenic fl add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44213","description":"Lap mobil splenic fl add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50700","description":"Revision of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36581","description":"Replace tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on salivary glands_ including biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0113U","description":"Anesthesia for procedures on salivary glands_ including biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL31","description":"HIPPS-RHL31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repriza_ 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4143","description":"Repriza_ 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC144","description":"HIPPS-HC144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PERIURETHRAL TRANSPERINEAL ADJUSTABLE BALLOON CONTINENCE DEVICE; REMOVAL_ EACH BALLOON","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53453","description":"PERIURETHRAL TRANSPERINEAL ADJUSTABLE BALLOON CONTINENCE DEVICE; REMOVAL_ EACH BALLOON","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pres/absn urine incon assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1090F","description":"Pres/absn urine incon assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD150","description":"HIPPS-LD150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o fol w/cont_ pelvis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8920","description":"Mra w/o fol w/cont_ pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate solution_ non-dex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4728","description":"Dialysate solution_ non-dex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethra defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53520","description":"Repair of urethra defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frnt cstr cmpl sem-pneum tir","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0072","description":"Frnt cstr cmpl sem-pneum tir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fem urinary collect pouch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4328","description":"Fem urinary collect pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peripheral vascular rehab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93668","description":"Peripheral vascular rehab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sialidase enzyme assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87905","description":"Sialidase enzyme assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hib prp-t vaccine 4 dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90648","description":"Hib prp-t vaccine 4 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76080","description":"X-ray exam of fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegunigalsidase alfa-iwxj_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2508","description":"Injection_ pegunigalsidase alfa-iwxj_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ melphalan (hepzato)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9248","description":"Injection_ melphalan (hepzato)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD251","description":"HIPPS-HD251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft femur head/neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27170","description":"Repair/graft femur head/neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eardrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69610","description":"Repair of eardrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rig ped wc tltnspc w/o seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1233","description":"Rig ped wc tltnspc w/o seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art trnsposj subclavian","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35693","description":"Art trnsposj subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 20-25","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88264","description":"Chromosome analysis 20-25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HPYLORI STOOL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87338","description":"IAAD IA HPYLORI STOOL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis_ review_ and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0529T","description":"Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis_ review_ and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX14","description":"HIPPS-RLX14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam ribs/chest4/> vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71111","description":"X-ray exam ribs/chest4/> vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI upper extremity w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73218","description":"MRI upper extremity w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay free hydroxyproline","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83500","description":"Assay free hydroxyproline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65220","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1903","description":"HCPCS-C1903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL16","description":"HIPPS-RHL16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative pupillometry with physician or other qualified health care professional interpretation and report_ unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95919","description":"Quantitative pupillometry with physician or other qualified health care professional interpretation and report_ unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6611","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6611","description":"HCPCS-A6611","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD141","description":"HIPPS-HD141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral infusion pump sta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0791","description":"Parenteral infusion pump sta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB20C","description":"HIPPS-HB20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reposition pacing-defib lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33215","description":"Reposition pacing-defib lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FUT1 GNOTYP FUT1 EXON 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0185U","description":"FUT1 GNOTYP FUT1 EXON 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Internal root repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3333","description":"Internal root repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flexhd/allopatchhd/matrixhd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4128","description":"Flexhd/allopatchhd/matrixhd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sec art thrombectomy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37186","description":"Sec art thrombectomy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of breast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40251","description":"Anesth surgery of breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES24A","description":"HIPPS-ES24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syst bp ge 130 - 139mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3075F","description":"Syst bp ge 130 - 139mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High compres band w>=3in<5inyd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6452","description":"High compres band w>=3in<5inyd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx sclc/nsclc ext unknwn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9070","description":"Onc dx sclc/nsclc ext unknwn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair paravag defect open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57284","description":"Repair paravag defect open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD12C","description":"HIPPS-PD12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety concerns screening positive screen is without provision of mitigation recommendations_ including but not limited to referral to other resources","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9926","description":"Safety concerns screening positive screen is without provision of mitigation recommendations_ including but not limited to referral to other resources","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mcoln1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81290","description":"Mcoln1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray bile duct dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74363","description":"X-ray bile duct dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acth stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80400","description":"Acth stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK4","description":"HIPPS-2BGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD25D","description":"HIPPS-PD25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special casting material","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4590","description":"Special casting material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous pulmonary artery revascularization by stent placement_ each additional vessel or separate lesion_ normal or abnormal connections (List separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33904","description":"Percutaneous pulmonary artery revascularization by stent placement_ each additional vessel or separate lesion_ normal or abnormal connections (List separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd endoscopic stent place","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43266","description":"Egd endoscopic stent place","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurosurgical Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4016","description":"Neurosurgical Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct larynx & pharynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31395","description":"Reconstruct larynx & pharynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00866","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00866","description":"CPT-00866","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB26","description":"HIPPS-RLB26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18C","description":"HIPPS-CB18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0229T","description":"Njx tfrml eprl w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ANNUAL ALCOHOL MISUSE SCREENING_ 15 MINUTES","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0442","description":"ANNUAL ALCOHOL MISUSE SCREENING_ 15 MINUTES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corneal tissue processing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2785","description":"Corneal tissue processing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat kneecap dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27562","description":"Treat kneecap dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligate/strip long leg vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37722","description":"Ligate/strip long leg vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPX","description":"HIPPS-3AHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/reline occlusal guard","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9942","description":"Repair/reline occlusal guard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK2","description":"HIPPS-5BHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB11B","description":"HIPPS-LB11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/pseudobulb affect/als","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3756F","description":"Pt w/pseudobulb affect/als","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC20C","description":"HIPPS-HC20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy islet cell trans","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0342","description":"Laparoscopy islet cell trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD13D","description":"HIPPS-PD13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB20D","description":"HIPPS-PB20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN1","description":"HIPPS-3AGN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of rectal abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45005","description":"Drainage of rectal abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE156","description":"HIPPS-LE156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFP2","description":"HIPPS-3BFP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18I","description":"HIPPS-PE18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery of breast capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19370","description":"Surgery of breast capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit cont chem diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9330","description":"Hit cont chem diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE241","description":"HIPPS-HE241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adj chem not pres rsn spec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8928","description":"Adj chem not pres rsn spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA235","description":"HIPPS-CA235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate (e.g._ salvage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9895","description":"Documentation of medical reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate (e.g._ salvage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1004T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1004T","description":"CPT-1004T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFMV","description":"HIPPS-3AFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymph choriomeningitis ab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86727","description":"Lymph choriomeningitis ab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complex drainage wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10180","description":"Complex drainage wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN3","description":"HIPPS-3AGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01173","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01173","description":"CPT-01173","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9760","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain lining lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61519","description":"Remove brain lining lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA14D","description":"HIPPS-CA14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX01","description":"HIPPS-RLX01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suicide risk based on their clinician_s evaluation or a clinician-rated tool","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1355","description":"Suicide risk based on their clinician_s evaluation or a clinician-rated tool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CROM GNOTYP CD55 EXONS 1-10","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0182U","description":"CROM GNOTYP CD55 EXONS 1-10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA36","description":"HIPPS-RVA36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary retinal disorders","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81434","description":"Hereditary retinal disorders","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replc tth&acrlc on mtl frmwk","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5670","description":"Replc tth&acrlc on mtl frmwk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9814","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9814","description":"HCPCS-C9814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not disch home day#2 evar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8833","description":"Pt not disch home day#2 evar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen prsmptv 1 class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80302","description":"Drug screen prsmptv 1 class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise circulation to head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61708","description":"Revise circulation to head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst including t/o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58262","description":"Vag hyst including t/o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA220","description":"HIPPS-PA220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of kidney wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50500","description":"Repair of kidney wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES10C","description":"HIPPS-ES10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit est age 5-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99393","description":"Prev visit est age 5-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37298","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37298","description":"CPT-37298","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv 1 extrem 5/> mus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64644","description":"Chemodenerv 1 extrem 5/> mus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4365","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4365","description":"HCPCS-Q4365","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of bronchus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31770","description":"Repair/graft of bronchus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable gas oxygen system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0738","description":"Portable gas oxygen system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX3B","description":"HIPPS-RLX3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC21A","description":"HIPPS-LC21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amniotext patch_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4247","description":"Amniotext patch_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0204","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0204","description":"HCPCS-C0204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00542","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00542","description":"CPT-00542","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML06","description":"HIPPS-RML06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse bile ducts and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47760","description":"Fuse bile ducts and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert picvad cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36571","description":"Insert picvad cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0539T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent (sexually transmitted infection)_ Chlamydia trachomatis_ Neisseria gonorrhoeae_ Trichomonas vaginalis_ Mycoplasma genitalium_ multiplex amplified probe techni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0402U","description":"Infectious agent (sexually transmitted infection)_ Chlamydia trachomatis_ Neisseria gonorrhoeae_ Trichomonas vaginalis_ Mycoplasma genitalium_ multiplex amplified probe techni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4368","description":"Ostomy filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder passive restor comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6310","description":"Shoulder passive restor comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Event recorder_ cardiac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1764","description":"Event recorder_ cardiac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL1","description":"HIPPS-3CHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Access thoracic lymph duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38794","description":"Access thoracic lymph duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg artery-vein four","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33521","description":"Cabg artery-vein four","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX60","description":"HIPPS-RHX60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us leiomyomata ablate >200","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0072T","description":"Us leiomyomata ablate >200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93799","description":"Cardiovascular procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Co/membane diffuse capacity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94729","description":"Co/membane diffuse capacity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunofluorescent study_ each antibody; indirect method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88347","description":"Immunofluorescent study_ each antibody; indirect method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33401","description":"Valvuloplasty open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vendaje_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4252","description":"Vendaje_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ftl cgen abnor two proteins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81508","description":"Ftl cgen abnor two proteins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB131","description":"HIPPS-LB131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61570","description":"Remove foreign body brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inversion/eversion correction device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9285","description":"Inversion/eversion correction device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod sedat phys/qhp 5yrs/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99144","description":"Mod sedat phys/qhp 5yrs/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peritoneal dialysis clamp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1634","description":"Peritoneal dialysis clamp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE15B","description":"HIPPS-HE15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx beta-lactam abx therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9558","description":"Tx beta-lactam abx therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical conference by physic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0220","description":"Medical conference by physic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply srs headframe add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61800","description":"Apply srs headframe add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00840","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00840","description":"CPT-00840","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-450U5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"450U5","description":"HIPPS-450U5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA2D","description":"HIPPS-RMA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD212","description":"HIPPS-LD212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPU","description":"HIPPS-1BFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37265","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37265","description":"CPT-37265","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iv inj ra drug dx study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78808","description":"Iv inj ra drug dx study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bcr/abl1 gene minor bp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81207","description":"Bcr/abl1 gene minor bp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sperm antibody test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89325","description":"Sperm antibody test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmprsburngrmnt glove-axilla","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6506","description":"Cmprsburngrmnt glove-axilla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronch ebus samplng 1/2 node","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31652","description":"Bronch ebus samplng 1/2 node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60225","description":"Partial removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC125","description":"HIPPS-LC125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA41","description":"HIPPS-RHA41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not screened for future fall risk_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1070","description":"Patient not screened for future fall risk_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGMU","description":"HIPPS-3CGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hippotherapy per session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8940","description":"Hippotherapy per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychoed svc_ per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2027","description":"Psychoed svc_ per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post vert arthrplst 1 lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0202T","description":"Post vert arthrplst 1 lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"<50% of total number of a patient_s outpatient RA encounters assessed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1008","description":"<50% of total number of a patient_s outpatient RA encounters assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligate/divide/excise vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37785","description":"Ligate/divide/excise vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24582","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental tomographic survey","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0322","description":"Dental tomographic survey","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0562T","description":"Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB131","description":"HIPPS-HB131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGKT","description":"HIPPS-2CGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office emergency care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99058","description":"Office emergency care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remis 12m phq-9 score <5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9509","description":"Remis 12m phq-9 score <5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA134","description":"HIPPS-CA134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thawing cryopresrved oocyte","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89356","description":"Thawing cryopresrved oocyte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastrin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82938","description":"Gastrin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electron beam computed tomog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8092","description":"Electron beam computed tomog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; respiratory syncytial virus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87807","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; respiratory syncytial virus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand/chin ctrl spec joystick","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2373","description":"Hand/chin ctrl spec joystick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg_ cryopreservation_ storage)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0538T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg_ cryopreservation_ storage)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX14","description":"HIPPS-RVX14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy for treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31527","description":"Laryngoscopy for treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31087","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic mammography_ including computer-aided detection (CAD) when performed; unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77065","description":"Diagnostic mammography_ including computer-aided detection (CAD) when performed; unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX0A","description":"HIPPS-RVX0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo hip ultra-light materia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5960","description":"Endo hip ultra-light materia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE140","description":"HIPPS-CE140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9378","description":"Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score neck/ts >=0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8671","description":"Fun stat score neck/ts >=0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23100","description":"Biopsy of shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spinal cord tract(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63170","description":"Incise spinal cord tract(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL4","description":"HIPPS-4AHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trans shoe calip plate exist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3600","description":"Trans shoe calip plate exist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB21C","description":"HIPPS-CB21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cholera vaccine for injectable use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90725","description":"Cholera vaccine for injectable use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin dispos pen 1.5 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5570","description":"Insulin dispos pen 1.5 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius/ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25605","description":"Treat fracture radius/ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ini phq9 >9 not assess","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9396","description":"Ini phq9 >9 not assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary peripheral neuropathies (eg_ Charcot-Marie-Tooth_ spastic paraplegia)_ genomic sequence analysis panel_ must include sequencing of at least 5 peripheral neuropathy-","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81448","description":"Hereditary peripheral neuropathies (eg_ Charcot-Marie-Tooth_ spastic paraplegia)_ genomic sequence analysis panel_ must include sequencing of at least 5 peripheral neuropathy-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFMW","description":"HIPPS-2CFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco-use counsel 3-10 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0436","description":"Tobacco-use counsel 3-10 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31781","description":"Reconstruct windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35539","description":"Art byp grft aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onsite Ac Tx Nsg Fac Res W/Skn Inf Bill Sid-Bnef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9682","description":"Onsite Ac Tx Nsg Fac Res W/Skn Inf Bill Sid-Bnef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of forearm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73090","description":"X-ray exam of forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay nonendocrine receptor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84238","description":"Assay nonendocrine receptor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close kidney-skin fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50520","description":"Close kidney-skin fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Mycoplasma Genitalium_ Amplified Probe Technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87563","description":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Mycoplasma Genitalium_ Amplified Probe Technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA230","description":"HIPPS-CA230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria x10sv add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33258","description":"Ablate atria x10sv add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Ct Guidance_ Lumbar; First Level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0629T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Ct Guidance_ Lumbar; First Level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio abd&pelv w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74174","description":"Ct angio abd&pelv w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX11","description":"HIPPS-RMX11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gingivectomy/plasty rest","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4212","description":"Gingivectomy/plasty rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHMV","description":"HIPPS-4BHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr trunk 2.6-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13101","description":"Cmplx rpr trunk 2.6-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Init pm e/m new pat 1-4 yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99382","description":"Init pm e/m new pat 1-4 yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep ak ischial direct form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5570","description":"Prep ak ischial direct form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC112","description":"HIPPS-PC112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryosurgery anal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46916","description":"Cryosurgery anal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture interm part maxill","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5820","description":"Denture interm part maxill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1403","description":"HCPCS-C1403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5100","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5100","description":"HCPCS-Q5100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB214","description":"HIPPS-PB214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen crosslinking cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0402T","description":"Collagen crosslinking cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE205","description":"HIPPS-LE205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc irradiated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9038","description":"Rbc irradiated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMT","description":"HIPPS-1BHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0013","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auditory function 60 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92620","description":"Auditory function 60 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neg microalbuminuria rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3061F","description":"Neg microalbuminuria rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spermicide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4269","description":"Spermicide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC13A","description":"HIPPS-PC13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB36","description":"HIPPS-RLB36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01966","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01966","description":"CPT-01966","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative screen metals","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83018","description":"Quantitative screen metals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53430","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penile injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54235","description":"Penile injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulpal therapy posterior pri","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3240","description":"Pulpal therapy posterior pri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1703","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1703","description":"CDT-D1703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nepuitant 300 mg and palonosetron 0.5 mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9978","description":"Nepuitant 300 mg and palonosetron 0.5 mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKS","description":"HIPPS-3CHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak pelvic control belt light","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5692","description":"Ak pelvic control belt light","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc abd les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22903","description":"Exc abd les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; assessment of bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0556T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; assessment of bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The MDPP b eneficiary achieved at least 9% weight loss (WL) from his/he r baseline weight in months 1-24 under the MDPP Expanded Model (EM). This is a one-time payment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9881","description":"The MDPP b eneficiary achieved at least 9% weight loss (WL) from his/he r baseline weight in months 1-24 under the MDPP Expanded Model (EM). This is a one-time payment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hydrocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55040","description":"Removal of hydrocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18F","description":"HIPPS-PC18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA25C","description":"HIPPS-PA25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vaccina ig im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90393","description":"Vaccina ig im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD146","description":"HIPPS-PD146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days_ including at least weekly downloads of pulmonary artery pressure recordings_ interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93264","description":"Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days_ including at least weekly downloads of pulmonary artery pressure recordings_ interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fludeoxyglucose f18 up to 15 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9609","description":"Fludeoxyglucose f18 up to 15 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast milk proc/store/dist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2101","description":"Breast milk proc/store/dist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES30D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES30D","description":"HIPPS-ES30D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99212","description":"Office/outpatient visit est","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc mntl tst b/4 bk trxmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2044F","description":"Doc mntl tst b/4 bk trxmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE141","description":"HIPPS-HE141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45400","description":"Laparoscopic proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for morphometric analysis_ tumor immunohistochemistry (eg_ Her-2/neu_ estrogen receptor/progesterone receptor)_ quantitative or semiqua","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0763T","description":"Digitization of glass microscope slides for morphometric analysis_ tumor immunohistochemistry (eg_ Her-2/neu_ estrogen receptor/progesterone receptor)_ quantitative or semiqua","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB11C","description":"HIPPS-BB11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA10C","description":"HIPPS-CA10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clsd red simp malar/zygom fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7660","description":"Clsd red simp malar/zygom fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLU","description":"HIPPS-3CFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot inhibit prot c activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85303","description":"Clot inhibit prot c activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90639","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90639","description":"CPT-90639","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1200","description":"Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKW","description":"HIPPS-2AFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prothrombin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85611","description":"Prothrombin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ bamlanivimab and etesevimab_ includes infusion and post administration monitoring in the home or residence; this includes a beneficiary’s home.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0246","description":"Intravenous infusion_ bamlanivimab and etesevimab_ includes infusion and post administration monitoring in the home or residence; this includes a beneficiary’s home.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pontic titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6214","description":"Pontic titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22558","description":"Lumbar spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transoral; with removal of intragastric bariatric balloon(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43291","description":"Esophagogastroduodenoscopy_ flexible_ transoral; with removal of intragastric bariatric balloon(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant ventricular device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33976","description":"Implant ventricular device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft carotid-brchial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35510","description":"Art byp grft carotid-brchial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2107","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0801","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0801","description":"CDT-D0801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pump for water circulating p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0236","description":"Pump for water circulating p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1801","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1801","description":"HCPCS-B1801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP07","description":"HIPPS-ATP07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytp urine 3-5 probes cmptr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88121","description":"Cytp urine 3-5 probes cmptr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation vad in person","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93750","description":"Interrogation vad in person","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supp for self-adm injections","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4211","description":"Supp for self-adm injections","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home injectable therapy_ palivizumab_ including administrative services_ professional pharmacy services_ care coordination_ and all necessary supplies an","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9562","description":"Home injectable therapy_ palivizumab_ including administrative services_ professional pharmacy services_ care coordination_ and all necessary supplies an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc disc tx choices","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9399","description":"Doc disc tx choices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inc for vagus n elect impl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64568","description":"Inc for vagus n elect impl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4428","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4428","description":"HCPCS-Q4428","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct abd & pelvis w/o contrast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74176","description":"Ct abd & pelvis w/o contrast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin electrophoresis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83020","description":"Hemoglobin electrophoresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary stress testing (eg_ 6-minute walk test)_ including measurement of heart rate_ oximetry_ and oxygen titration_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94618","description":"Pulmonary stress testing (eg_ 6-minute walk test)_ including measurement of heart rate_ oximetry_ and oxygen titration_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0802","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0802","description":"HCPCS-B0802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc repair abdom aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75952","description":"Endovasc repair abdom aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy remove myoma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58561","description":"Hysteroscopy remove myoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body Surface-Activation Mapping Of Pacemaker Or Pacing Cardioverter-Defibrillator Lead(S) To Optimize Electrical Synchrony_ Cardiac Resynchronization Therapy Device_ Including","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0695T","description":"Body Surface-Activation Mapping Of Pacemaker Or Pacing Cardioverter-Defibrillator Lead(S) To Optimize Electrical Synchrony_ Cardiac Resynchronization Therapy Device_ Including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Warfarin therapy rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4012F","description":"Warfarin therapy rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88020","description":"Autopsy (necropsy) complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q9999","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9999","description":"HCPCS-Q9999","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht inj growth horm diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9558","description":"Ht inj growth horm diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8535","description":"Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1502","description":"HCPCS-A1502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ACApatch_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4325","description":"ACApatch_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA4B","description":"HIPPS-RLA4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB0D","description":"HIPPS-RUB0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX25","description":"HIPPS-RUX25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scintimammography","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8080","description":"Scintimammography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00796","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00796","description":"CPT-00796","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vaporizer room type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0605","description":"Vaporizer room type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient treatment and final evaluation complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1009","description":"Patient treatment and final evaluation complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE225","description":"HIPPS-LE225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC151","description":"HIPPS-LC151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hm gest dm per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9214","description":"Hm gest dm per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1742","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1742","description":"HCPCS-C1742","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ankle ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27695","description":"Repair of ankle ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of anal fissure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46940","description":"Treatment of anal fissure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compounded drug_ noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7999","description":"Compounded drug_ noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37293","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37293","description":"CPT-37293","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26356","description":"Repair finger/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Swallow d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8998","description":"Swallow d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA255","description":"HIPPS-BA255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp5 ped mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0891","description":"Pwc gp5 ped mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1307","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1307","description":"HCPCS-J1307","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cochlear device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8614","description":"Cochlear device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art pancreas ext receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1037","description":"Art pancreas ext receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Matrl for vocal cord","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1878","description":"Matrl for vocal cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eardrum revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69450","description":"Eardrum revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3402","description":"HCPCS-J3402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid met imaging body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78018","description":"Thyroid met imaging body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ear impression","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5275","description":"Ear impression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Color cont lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0514","description":"Color cont lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0017","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Azithromycin dihydrate_ oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0144","description":"Azithromycin dihydrate_ oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ naxitamab-gqgk_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9348","description":"Injection_ naxitamab-gqgk_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plt_ aph/pher_ l/r_ cmv-neg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9055","description":"Plt_ aph/pher_ l/r_ cmv-neg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27442","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oasis wound matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4102","description":"Oasis wound matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous femoral-popliteal arterial revascularization_ with transcatheter placement of intravascular stent graft(s) and closure by any method_ including percutaneous or open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0505T","description":"Endovenous femoral-popliteal arterial revascularization_ with transcatheter placement of intravascular stent graft(s) and closure by any method_ including percutaneous or open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"C-reactive protein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86140","description":"C-reactive protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aneurysm pressure sens study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93982","description":"Aneurysm pressure sens study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fecal bilirubin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82252","description":"Fecal bilirubin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE201","description":"HIPPS-PE201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"F emb trns canc case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4018","description":"F emb trns canc case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30410","description":"Reconstruction of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL55","description":"HIPPS-RHL55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33665","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt screened for depression","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1220F","description":"Pt screened for depression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50557","description":"Kidney endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optical endomicroscpy interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88375","description":"Optical endomicroscpy interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Init nb em per day hosp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99460","description":"Init nb em per day hosp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microbe suscept mycobacteri","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87190","description":"Microbe suscept mycobacteri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst stg3-hr_ no pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9073","description":"Onc dx brst stg3-hr_ no pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual Preparation And Insertion Of Drug-Delivery Device(S)_ Intra-Articular (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20704","description":"Manual Preparation And Insertion Of Drug-Delivery Device(S)_ Intra-Articular (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ belantamab mafodontin-blmf_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9069","description":"Injection_ belantamab mafodontin-blmf_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB217","description":"HIPPS-LB217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of skull arteries","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61711","description":"Fusion of skull arteries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27286","description":"Fusion of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relieve cranial pressure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61345","description":"Relieve cranial pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ adalimumab-aacf (idacio)_ biosimilar_ 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5131","description":"Injection_ adalimumab-aacf (idacio)_ biosimilar_ 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4545","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4545","description":"HCPCS-A4545","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj test 11-12 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95912","description":"Nrv cndj test 11-12 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sex transformation f to m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55980","description":"Sex transformation f to m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow up home visit/prental","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1004","description":"Follow up home visit/prental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKX","description":"HIPPS-1CFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Transluminal Angioplasty Of Native Or Recurrent Coarctation Of The Aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33897","description":"Percutaneous Transluminal Angioplasty Of Native Or Recurrent Coarctation Of The Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9725","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHK2","description":"HIPPS-4BHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Furosemide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1940","description":"Furosemide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1901","description":"HCPCS-C1901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye/revise socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65112","description":"Remove eye/revise socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Daptomycin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0878","description":"Daptomycin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 2.1-3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11443","description":"Exc face-mm b9+marg 2.1-3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adenoma detected screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3775F","description":"Adenoma detected screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE120","description":"HIPPS-LE120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neg press ventilation cnp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94662","description":"Neg press ventilation cnp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-molded lacer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2320","description":"Non-molded lacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLT","description":"HIPPS-1BGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD126","description":"HIPPS-CD126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKW","description":"HIPPS-4CFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical boot each infant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3208","description":"Surgical boot each infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (eg_ depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ genomic analysis panel_ variant analysis of 15 genes_ including deletion/duplication ana","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0345U","description":"Psychiatry (eg_ depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ genomic analysis panel_ variant analysis of 15 genes_ including deletion/duplication ana","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct orbit/forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21175","description":"Reconstruct orbit/forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Received Both The 13-Valent Pneumococcal Conjugate Vaccine And The 23-Valent Pneumococcal Polysaccharide Vaccine At Least 12 Months Apart_ With The First Occurrence A","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2157","description":"Patients Received Both The 13-Valent Pneumococcal Conjugate Vaccine And The 23-Valent Pneumococcal Polysaccharide Vaccine At Least 12 Months Apart_ With The First Occurrence A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest stem cell concentrte","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38215","description":"Harvest stem cell concentrte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change ureter stent percut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50382","description":"Change ureter stent percut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18H","description":"HIPPS-CA18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB5A","description":"HIPPS-RMB5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHM4","description":"HIPPS-3CHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6014","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand restoration multiple fi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6905","description":"Hand restoration multiple fi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHMT","description":"HIPPS-4BHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE151","description":"HIPPS-HE151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobramycin comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7685","description":"Tobramycin comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anes mediascpy & dx thorscpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52851","description":"Anes mediascpy & dx thorscpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP6","description":"HIPPS-3AHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp axillary-axillary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35650","description":"Art byp axillary-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ra disease activity low","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3470F","description":"Ra disease activity low","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy bronch stents","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31636","description":"Bronchoscopy bronch stents","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of integrated neurostimulation system for bladder dysfunction_ including analysis_ programming_ and imaging_ when performed_ posterior tibial nerve; subfas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0819T","description":"Revision or removal of integrated neurostimulation system for bladder dysfunction_ including analysis_ programming_ and imaging_ when performed_ posterior tibial nerve; subfas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit new pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99325","description":"Domicil/r-home visit new pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC10A","description":"HIPPS-PC10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ doxercalciferol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1270","description":"Injection_ doxercalciferol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rib(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32900","description":"Removal of rib(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0640U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0640U","description":"CPT-0640U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supports brokerage_ self-directed_ waiver; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2051","description":"Supports brokerage_ self-directed_ waiver; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual adult wc w tiltinspac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1161","description":"Manual adult wc w tiltinspac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sermorelin acetate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0515","description":"Sermorelin acetate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Environmental manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90882","description":"Environmental manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNX","description":"HIPPS-3BHNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2789","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2789","description":"HCPCS-J2789","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41827","description":"Excision of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treated water per gallon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4714","description":"Treated water per gallon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHMV","description":"HIPPS-3BHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External receiver_ cgm sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9278","description":"External receiver_ cgm sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transpetrosal approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61598","description":"Transpetrosal approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Approp digoxin tstng done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4189F","description":"Approp digoxin tstng done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA24A","description":"HIPPS-PA24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair biceps tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23430","description":"Repair biceps tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sex transformation m to f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55970","description":"Sex transformation m to f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gi prophylaxis for nsaid rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4017F","description":"Gi prophylaxis for nsaid rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ emapalumab-lzsg_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9210","description":"Injection_ emapalumab-lzsg_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00170","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00170","description":"CPT-00170","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB114","description":"HIPPS-PB114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breath test heart reject","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0085T","description":"Breath test heart reject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair standard detach a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1140","description":"Wheelchair standard detach a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc surv no stroke after cea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9261","description":"Doc surv no stroke after cea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep renal graft/arterial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50328","description":"Prep renal graft/arterial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44955","description":"Appendectomy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHM2","description":"HIPPS-2CHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Drug-Delivery Device(S)_ Deep (Eg_ Subfascial) (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20701","description":"Removal Of Drug-Delivery Device(S)_ Deep (Eg_ Subfascial) (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vent mgmt inpat subq day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94003","description":"Vent mgmt inpat subq day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50620","description":"Removal of ureter stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy vulva lesions sim","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56501","description":"Destroy vulva lesions sim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair sternum/nuss w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21743","description":"Repair sternum/nuss w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKV","description":"HIPPS-1AFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0594U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0594U","description":"CPT-0594U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73070","description":"X-ray exam of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Valvotomy pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33471","description":"Valvotomy pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29870","description":"Knee arthroscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ sacroiliac joint_ percutaneous_ with image guidance_ includes placement of intra-articular implant(s) (eg_ bone allograft[s]_ synthetic device[s])","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0775T","description":"Arthrodesis_ sacroiliac joint_ percutaneous_ with image guidance_ includes placement of intra-articular implant(s) (eg_ bone allograft[s]_ synthetic device[s])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0102","description":"HCPCS-C0102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29871","description":"Knee arthroscopy/drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9313","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9313","description":"HCPCS-C9313","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogens_ identification of 20 bacterial and fungal organisms and identification of 16 associated antib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0321U","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogens_ identification of 20 bacterial and fungal organisms and identification of 16 associated antib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1302","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1302","description":"HCPCS-A1302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0659U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0659U","description":"CPT-0659U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert ant drainage device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66183","description":"Insert ant drainage device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES20C","description":"HIPPS-ES20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Actigraphy testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95803","description":"Actigraphy testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); known familial variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81362","description":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); known familial variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0426","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0426","description":"CDT-D0426","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo ankle gauntlet pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1902","description":"Afo ankle gauntlet pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0570U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0570U","description":"CPT-0570U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental case management - motivational interviewing","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9993","description":"Dental case management - motivational interviewing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3D printing of a 3D dental surfacet scan","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0396","description":"3D printing of a 3D dental surfacet scan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vascular endoscopy procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37501","description":"Vascular endoscopy procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med rsn no scr etoh use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9623","description":"Doc med rsn no scr etoh use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheterize for urine spec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9612","description":"Catheterize for urine spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laiv4 vaccine intranasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90672","description":"Laiv4 vaccine intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40652","description":"Repair lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL6","description":"HIPPS-2CHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25425","description":"Repair/graft radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC13D","description":"HIPPS-CC13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGN4","description":"HIPPS-1BGN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62200","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylindr 7.25d/4.25-6d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2113","description":"Spherocylindr 7.25d/4.25-6d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"One-way allow prorated trip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9604","description":"One-way allow prorated trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"LAMINECTOMY_ FACETECTOMY_ OR FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD_ CAUDA EQUINA AND/OR NERVE ROOT[S] [EG_ SPINAL OR LATERAL RECESS STENOSIS]","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63052","description":"LAMINECTOMY_ FACETECTOMY_ OR FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD_ CAUDA EQUINA AND/OR NERVE ROOT[S] [EG_ SPINAL OR LATERAL RECESS STENOSIS]","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compre dental tx adolescent","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8080","description":"Compre dental tx adolescent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-prscrp lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0510","description":"Non-prscrp lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tumor immunohistochem/comput","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88361","description":"Tumor immunohistochem/comput","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing 1 locus lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81373","description":"Hla i typing 1 locus lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No pt category on report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9293","description":"No pt category on report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD111","description":"HIPPS-HD111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal pelvic lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38562","description":"Removal pelvic lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip fracture(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27227","description":"Treat hip fracture(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50970","description":"Ureter endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8E","description":"HIPPS-RMX8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHLV","description":"HIPPS-2AHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA236","description":"HIPPS-CA236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNS","description":"HIPPS-1CGNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Brain Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1078","description":"Radiation Therapy For Brain Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp aortobi-iliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35638","description":"Art byp aortobi-iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit fecal/enema mgmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99511","description":"Home visit fecal/enema mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1958","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1958","description":"HCPCS-J1958","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1/2 thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63003","description":"Remove spine lamina 1/2 thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE146","description":"HIPPS-PE146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic_ pectus carinatum orthosis_ sternal compression_ rigid circumferential frame with anterior and posterior rigid pads_ custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1320","description":"Thoracic_ pectus carinatum orthosis_ sternal compression_ rigid circumferential frame with anterior and posterior rigid pads_ custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert major vessel graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33335","description":"Insert major vessel graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP6","description":"HIPPS-1BGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15853","description":"Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Level of activity assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1003F","description":"Level of activity assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Double transfer toe-hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26554","description":"Double transfer toe-hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ BICROS_ behind the ear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5220","description":"Hearing aid_ BICROS_ behind the ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC41","description":"HIPPS-RVC41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pelvis contents","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58240","description":"Removal of pelvis contents","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alginate drsg >16 <=48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6197","description":"Alginate drsg >16 <=48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB06","description":"HIPPS-RVB06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL4","description":"HIPPS-2BHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0685U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0685U","description":"CPT-0685U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA07","description":"HIPPS-RLA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55881","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55881","description":"CPT-55881","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triamcinolone acetonide_ preservative-free_ extended-release_ microsphere formulation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3304","description":"Injection_ triamcinolone acetonide_ preservative-free_ extended-release_ microsphere formulation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth biopsy of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32251","description":"Anesth biopsy of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA251","description":"HIPPS-BA251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual standing system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2230","description":"Manual standing system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct chest spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72129","description":"Ct chest spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc visc aorta 3 graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34843","description":"Endovasc visc aorta 3 graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1042T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1042T","description":"CPT-1042T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of glycated protein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82985","description":"Assay of glycated protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect prox finger tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26260","description":"Resect prox finger tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01952","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01952","description":"CPT-01952","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strattice tm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4130","description":"Strattice tm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18B","description":"HIPPS-PE18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00930","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00930","description":"CPT-00930","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy_ high resolution (hra) (with magnification and chemical agent enhancement); diagnostic_ including collection of specimen(s) by brushing or washing when performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6027","description":"Anoscopy_ high resolution (hra) (with magnification and chemical agent enhancement); diagnostic_ including collection of specimen(s) by brushing or washing when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic colonoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45378","description":"Diagnostic colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy shower protect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7523","description":"Tracheostomy shower protect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst incl t/o complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58291","description":"Vag hyst incl t/o complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quant her2 ihc eval brst cx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3394F","description":"Quant her2 ihc eval brst cx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28G","description":"HIPPS-ES28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18A","description":"HIPPS-LE18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC116","description":"HIPPS-CC116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >22.05 & Motor <28.75._without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0206","description":"Traumatic brain injury with Motor >22.05 & Motor <28.75._without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL01","description":"HIPPS-RUL01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision addl breast lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19126","description":"Excision addl breast lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcyte_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4182","description":"Transcyte_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise inner ear window","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69840","description":"Revise inner ear window","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sbrt delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77373","description":"Sbrt delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC1A","description":"HIPPS-RHC1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Death did not occur during the index acute care hospitalization","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9815","description":"Death did not occur during the index acute care hospitalization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0541U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0541U","description":"CPT-0541U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vim_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4251","description":"Vim_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2001","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2001","description":"CDT-D2001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supported employ_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2024","description":"Supported employ_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score neck/ts < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8672","description":"Fun stat score neck/ts < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant spine infusion pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62361","description":"Implant spine infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMV","description":"HIPPS-2AHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightweight leg r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1270","description":"Wheelchair lightweight leg r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart chambers","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33670","description":"Repair of heart chambers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-1 piece w/o graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21141","description":"Lefort i-1 piece w/o graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0504U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0504U","description":"CPT-0504U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severeacute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA\u0002LNP_ spike","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0113A","description":"Immunization administration by intramuscular injection of severeacute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA\u0002LNP_ spike","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Porcelain Fused To Noble Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6083","description":"Implant Supported Crown - Porcelain Fused To Noble Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA33","description":"HIPPS-RMA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge porcelain base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6241","description":"Bridge porcelain base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFM2","description":"HIPPS-2AFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC231","description":"HIPPS-HC231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of volatiles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84600","description":"Assay of volatiles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC32","description":"HIPPS-RUC32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB205","description":"HIPPS-HB205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22630","description":"Lumbar spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plasma_ frz between 8-24hour","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9059","description":"Plasma_ frz between 8-24hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX3C","description":"HIPPS-RVX3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; known familial variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81258","description":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; known familial variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjust max prost appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5992","description":"Adjust max prost appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic implnt urinary 1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8606","description":"Synthetic implnt urinary 1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit est age 18-39","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99395","description":"Prev visit est age 18-39","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0076","description":"Prolotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thromblytic art/ven therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37213","description":"Thromblytic art/ven therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFPW","description":"HIPPS-1CFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endocrine surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60699","description":"Endocrine surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adlt disp und/pull on abv xl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4544","description":"Adlt disp und/pull on abv xl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap inc hern recur comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49657","description":"Lap inc hern recur comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient spent less than three days in hospice care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9860","description":"Patient spent less than three days in hospice care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetazolamid sodium injectio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1120","description":"Acetazolamid sodium injectio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric Patient With Minor Blunt Head Trauma And Pecarn Prediction Criteria Are Not Assessed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0047","description":"Pediatric Patient With Minor Blunt Head Trauma And Pecarn Prediction Criteria Are Not Assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation(S)_ (Remote) Up To 30 Days; Implantable Cardiovascular Physiologic Monitor System_ Implantable Loop Recorder System_ Or Subcutaneous Cardiac Rh","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2066","description":"Interrogation Device Evaluation(S)_ (Remote) Up To 30 Days; Implantable Cardiovascular Physiologic Monitor System_ Implantable Loop Recorder System_ Or Subcutaneous Cardiac Rh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of tibia fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27756","description":"Treatment of tibia fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exsufflation belt_ includes all supplies and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4468","description":"Exsufflation belt_ includes all supplies and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX11","description":"HIPPS-RHX11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ chest; 4 or more views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71048","description":"Radiologic examination_ chest; 4 or more views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orth foot add charge split s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3257","description":"Orth foot add charge split s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Cervical (Cvemp)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92517","description":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Cervical (Cvemp)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch underarm each wood","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0113","description":"Crutch underarm each wood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardioassist internal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92970","description":"Cardioassist internal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87626","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"CPT-87626","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of amputation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24935","description":"Revision of amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gauze <=16 in no w/sal w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6222","description":"Gauze <=16 in no w/sal w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86413","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cyclophosphamide 100 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9070","description":"Cyclophosphamide 100 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28D","description":"HIPPS-HC28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology colorectal scr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81528","description":"Oncology colorectal scr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Technetium tc-99m teboroxime","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9501","description":"Technetium tc-99m teboroxime","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8C","description":"HIPPS-RMB8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gel-one","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7326","description":"Gel-one","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove anal fist 2 stage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46285","description":"Remove anal fist 2 stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1557","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1557","description":"HCPCS-L1557","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee jnt ratchet lock ea jnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2430","description":"Knee jnt ratchet lock ea jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHMT","description":"HIPPS-2CHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37269","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37269","description":"CPT-37269","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate tear duct opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68801","description":"Dilate tear duct opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collect/review data from pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99091","description":"Collect/review data from pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chronic pain management and treatment_ monthly bundle including_ diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G3002","description":"Chronic pain management and treatment_ monthly bundle including_ diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair amputee w/ leg re","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1190","description":"Wheelchair amputee w/ leg re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow aspiration for bone grafting_ spine surgery only_ through separate skin or fascial incision (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20939","description":"Bone marrow aspiration for bone grafting_ spine surgery only_ through separate skin or fascial incision (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert body dcmprn crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63081","description":"Remove vert body dcmprn crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr pul art unifocal w/o cpb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33925","description":"Rpr pul art unifocal w/o cpb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional outcome assessment documented_ care plan not documented_ documentation the patient is not eligible for a care plan at the time of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9227","description":"Functional outcome assessment documented_ care plan not documented_ documentation the patient is not eligible for a care plan at the time of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Desipramine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6032","description":"Desipramine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/ed teleconsult50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0426","description":"Inpt/ed teleconsult50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB60","description":"HIPPS-RHB60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam l-s spine 2/3 vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72100","description":"X-ray exam l-s spine 2/3 vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL6","description":"HIPPS-3AGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM3","description":"HIPPS-2CFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert and remove bone pin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20650","description":"Insert and remove bone pin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00844","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00844","description":"CPT-00844","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC10B","description":"HIPPS-LC10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem grps w/fist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46262","description":"Remove in/ex hem grps w/fist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response)_ genomic analysis panel_ variant analysis of 25 genes with reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0434U","description":"Drug metabolism (adverse drug reactions and drug response)_ genomic analysis panel_ variant analysis of 25 genes with reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL4","description":"HIPPS-1AGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN3","description":"HIPPS-1AHN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ apadamtase alfa_ 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9167","description":"Injection_ apadamtase alfa_ 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerebrospinal fluid scan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78630","description":"Cerebrospinal fluid scan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX2D","description":"HIPPS-RHX2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27556","description":"Treat knee dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE25A","description":"HIPPS-CE25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB01","description":"HIPPS-RUB01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct thorax w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71260","description":"Ct thorax w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fabrication of a custom removable clear plastic temporary aesthetic appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9938","description":"Fabrication of a custom removable clear plastic temporary aesthetic appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx ovarian stg3/4 noprog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9115","description":"Onc dx ovarian stg3/4 noprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD13B","description":"HIPPS-PD13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban (accord)_ not therapeutically equivalent to j0883_ 1 mg (for non-esrd use)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0891","description":"Injection_ argatroban (accord)_ not therapeutically equivalent to j0883_ 1 mg (for non-esrd use)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digoxin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1160","description":"Digoxin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam caster tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2389","description":"Foam caster tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA110","description":"HIPPS-CA110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGN2","description":"HIPPS-3BGN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amalgam one surface permanen","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2140","description":"Amalgam one surface permanen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cosyntropin cortrosyn inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0834","description":"Cosyntropin cortrosyn inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc stroke after cas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9257","description":"Doc stroke after cas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-93898","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93898","description":"CPT-93898","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-3/> piece w/o graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21143","description":"Lefort i-3/> piece w/o graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA15A","description":"HIPPS-CA15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reclining back add ped w/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1014","description":"Reclining back add ped w/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4358","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4358","description":"HCPCS-Q4358","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fresnell prism press-on lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2718","description":"Fresnell prism press-on lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA5C","description":"HIPPS-RUA5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arm pad each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0019","description":"Arm pad each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with an existing diagnosis of squamous cell carcinoma of the esophagus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1192","description":"Patients with an existing diagnosis of squamous cell carcinoma of the esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB13","description":"HIPPS-RUB13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGMX","description":"HIPPS-3BGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amphotericin b lipid complex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0287","description":"Amphotericin b lipid complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92636","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92636","description":"CPT-92636","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rectum and colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45121","description":"Removal of rectum and colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28C","description":"HIPPS-CC28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nonunion carpal bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25431","description":"Repair nonunion carpal bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES260","description":"HIPPS-ES260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluciclovine f-18_ diagnostic_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9588","description":"Fluciclovine f-18_ diagnostic_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mirikizumab-mrkz_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2267","description":"Injection_ mirikizumab-mrkz_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rebase hybrid prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5725","description":"Rebase hybrid prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm splint plst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4021","description":"Cast sup sht arm splint plst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML23","description":"HIPPS-RML23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31601","description":"Incision of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible diffuse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87181","description":"Microbe susceptible diffuse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL45","description":"HIPPS-RUL45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extraction erupted tooth/exr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7140","description":"Extraction erupted tooth/exr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1806","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1806","description":"HCPCS-A1806","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skilled Nursing Facility Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4033","description":"Skilled Nursing Facility Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHKX","description":"HIPPS-3AHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deep sedation/general anesthesia-each additional 15 minutes","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9221","description":"Deep sedation/general anesthesia-each additional 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydroxychloroquine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80220","description":"Hydroxychloroquine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0164A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA4A","description":"HIPPS-RVA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50080","description":"Removal of kidney stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablation of malignant prostate tissue by magnetic field induction_ including all intraprocedural_ transperineal needle/catheter placement for nanoparticle installation and int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0739T","description":"Ablation of malignant prostate tissue by magnetic field induction_ including all intraprocedural_ transperineal needle/catheter placement for nanoparticle installation and int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPV","description":"HIPPS-3CHPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy swallow tst (fees)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92612","description":"Endoscopy swallow tst (fees)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meals when receive services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1010","description":"Meals when receive services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of stomach and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43820","description":"Fusion of stomach and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive hormone patch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7304","description":"Contraceptive hormone patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA244","description":"HIPPS-CA244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coordinated specialty care_ team-based_ for first episode psychosis_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2040","description":"Coordinated specialty care_ team-based_ for first episode psychosis_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC13A","description":"HIPPS-HC13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home ventilator_ dual-function respiratory device_ also performs additional function of cough stimulation_ includes all accessories_ components and supplies for all functions","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0468","description":"Home ventilator_ dual-function respiratory device_ also performs additional function of cough stimulation_ includes all accessories_ components and supplies for all functions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0101","description":"HCPCS-C0101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ ITE/ITE","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5211","description":"Hearing aid_ contralateral routing system_ binaural_ ITE/ITE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGNW","description":"HIPPS-1BGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair laminectomy defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63295","description":"Repair laminectomy defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin most rapid 5 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5551","description":"Insulin most rapid 5 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat spine fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22325","description":"Treat spine fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal coronary angioplasty_ single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intrav","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7533","description":"Percutaneous transluminal coronary angioplasty_ single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intrav","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ca screen;flexi sigmoidscope","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0104","description":"Ca screen;flexi sigmoidscope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ givosiran_ 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9056","description":"Injection_ givosiran_ 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RHD&RHCE GNTYP NEXT GNRJ SEQ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0222U","description":"RHD&RHCE GNTYP NEXT GNRJ SEQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic anoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46601","description":"Diagnostic anoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL5C","description":"HIPPS-RVL5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hd bed tilted 1st day vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4167F","description":"Hd bed tilted 1st day vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP1","description":"HIPPS-1CFP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace afo soft interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4392","description":"Replace afo soft interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17270","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6068","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyperphenylalaninemia monitoring by patient-collected blood card sample_ quantitative measurement of phenylalanine and tyrosine_ liquid chromatography with tandem mass spectro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0382U","description":"Hyperphenylalaninemia monitoring by patient-collected blood card sample_ quantitative measurement of phenylalanine and tyrosine_ liquid chromatography with tandem mass spectro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O2 saturation >88%/pao>55 hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3037F","description":"O2 saturation >88%/pao>55 hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLU","description":"HIPPS-2AGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC3C","description":"HIPPS-RHC3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ADENOVIRUS ENTERIC TYP 40/41","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87301","description":"IAAD IA ADENOVIRUS ENTERIC TYP 40/41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect mediastinal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39200","description":"Resect mediastinal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq cardiac angio addl art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92921","description":"Prq cardiac angio addl art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove skin nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64774","description":"Remove skin nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thromboxane urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84431","description":"Thromboxane urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ ureteral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1758","description":"Catheter_ ureteral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; system_ including pulse generat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33278","description":"Removal of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; system_ including pulse generat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intercep dental tx primary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8050","description":"Intercep dental tx primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlamydia culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87110","description":"Chlamydia culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vasopressin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84588","description":"Assay of vasopressin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm splnt ped p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4023","description":"Cast sup sht arm splnt ped p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy fimbrioplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58672","description":"Laparoscopy fimbrioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21510","description":"Drainage of bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37297","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37297","description":"CPT-37297","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy 1-2 segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22818","description":"Kyphectomy 1-2 segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gel pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0196","description":"Gel pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA2D","description":"HIPPS-RUA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of lip fold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40806","description":"Incision of lip fold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98001","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98001","description":"CPT-98001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mechanical chest wall oscill","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94669","description":"Mechanical chest wall oscill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photochemotherapy uv-a or b","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96913","description":"Photochemotherapy uv-a or b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9816","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9816","description":"HCPCS-C9816","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age Or Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adva","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2135","description":"Patients 66 Years Of Age Or Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Incomplete Abortion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X2060","description":"Hospital Special Treatment Room Support Component (Hstrsc) Incomplete Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary cath leg strap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4334","description":"Urinary cath leg strap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB204","description":"HIPPS-LB204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ melphalan (Evomela)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9246","description":"Injection_ melphalan (Evomela)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automatic ext defibrillator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0617","description":"Automatic ext defibrillator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0063","description":"Cardiology mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"P32 na phosphate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9563","description":"P32 na phosphate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB106","description":"HIPPS-PB106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct midface w/graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7949","description":"Reconstruct midface w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic anrysm5.5-5.9cm diam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9003F","description":"Aortic anrysm5.5-5.9cm diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHNX","description":"HIPPS-1CHNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment by protocol_ administered by technician_ face-to-face with one patient; first 30 minutes of technician time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0364T","description":"Adaptive behavior treatment by protocol_ administered by technician_ face-to-face with one patient; first 30 minutes of technician time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFK3","description":"HIPPS-2CFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Botulism ig iv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90288","description":"Botulism ig iv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB20","description":"HIPPS-RUB20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGNT","description":"HIPPS-3BGNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL2","description":"HIPPS-4CHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Youth size brief/diaper","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4533","description":"Youth size brief/diaper","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9246","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9246","description":"CDT-D9246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of circulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37160","description":"Revision of circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv rna vrl ldnot<lmts quntf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3503F","description":"Hiv rna vrl ldnot<lmts quntf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4404","description":"HCPCS-Q4404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth chest drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52451","description":"Anesth chest drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low-intensity extracorporeal shock wave therapy involving corpus cavernosum_ low energy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0864T","description":"Low-intensity extracorporeal shock wave therapy involving corpus cavernosum_ low energy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mogamulizumab-kpkc_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9204","description":"Injection_ mogamulizumab-kpkc_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sagittal rigid panel cus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0636","description":"Lso sagittal rigid panel cus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFMS","description":"HIPPS-4BFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fimbrioplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58760","description":"Fimbrioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18F","description":"HIPPS-PD18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD144","description":"HIPPS-HD144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36901","description":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recement inlay onlay or part","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2910","description":"Recement inlay onlay or part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00932","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00932","description":"CPT-00932","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL3","description":"HIPPS-1BGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data and bone mineral density (BMD)_ with concurrent vertebral fracture assessment_ utilizing data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0743T","description":"Bone strength and fracture risk using finite element analysis of functional data and bone mineral density (BMD)_ with concurrent vertebral fracture assessment_ utilizing data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Admin hepatitis b vaccine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0010","description":"Admin hepatitis b vaccine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewhfo cap desgn w/jnt(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3977","description":"Sewhfo cap desgn w/jnt(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin tissue procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17999","description":"Skin tissue procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7513","description":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0124A","description":"IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC30","description":"HIPPS-RMC30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cervic collar w air bladders","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0856","description":"Cervic collar w air bladders","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not recommending at least a 10 year follow-up interval (e.g._ inadequate prep_ familial or personal history of colonic polyps_ patient h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9862","description":"Documentation of medical reason(s) for not recommending at least a 10 year follow-up interval (e.g._ inadequate prep_ familial or personal history of colonic polyps_ patient h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art or venous blood tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4750","description":"Art or venous blood tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA32","description":"HIPPS-RUA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD24D","description":"HIPPS-HD24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB20C","description":"HIPPS-BB20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ anifrolumab-fnia_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0491","description":"Injection_ anifrolumab-fnia_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0512U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0512U","description":"CPT-0512U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC23B","description":"HIPPS-LC23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gatifloxacin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1590","description":"Gatifloxacin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9244","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9244","description":"CDT-D9244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped term dev_ hook_ vol clos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6712","description":"Ped term dev_ hook_ vol clos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA03","description":"HIPPS-RMA03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mecp2 gene dup/delet variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81304","description":"Mecp2 gene dup/delet variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB260","description":"HIPPS-LB260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Admin influenza virus vac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0008","description":"Admin influenza virus vac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cont airway pressure device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0601","description":"Cont airway pressure device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evacuate mole of uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59870","description":"Evacuate mole of uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb musc/fascia add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11046","description":"Deb musc/fascia add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psytx crisis ea addl 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90840","description":"Psytx crisis ea addl 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ buprenorphine extended release (brixadi)_ greater than 7 days and up to 28 days of therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0578","description":"Injection_ buprenorphine extended release (brixadi)_ greater than 7 days and up to 28 days of therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy removal of clots","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52001","description":"Cystoscopy removal of clots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmic biometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92136","description":"Ophthalmic biometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Craniofacial approach skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61581","description":"Craniofacial approach skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risperidone (uzedy)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2799","description":"Injection_ risperidone (uzedy)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rerevise eye muscles add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67332","description":"Rerevise eye muscles add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec size w foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1223","description":"Wheelchair spec size w foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat big toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28505","description":"Treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9362","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9362","description":"HCPCS-J9362","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL1","description":"HIPPS-4AGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Technical Calculation Only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77091","description":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Technical Calculation Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ampicillin sodium per 1.5 gm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0295","description":"Ampicillin sodium per 1.5 gm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE11A","description":"HIPPS-CE11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8H","description":"HIPPS-RLA8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen quant gabapentin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80171","description":"Drug screen quant gabapentin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal contract stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59020","description":"Fetal contract stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syphilis test non-trep qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86592","description":"Syphilis test non-trep qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86053","description":"Anesth surgery of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Power module patient cable for use with electric or electric/pneumatic ventricular assist device_ replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0477","description":"Power module patient cable for use with electric or electric/pneumatic ventricular assist device_ replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB3B","description":"HIPPS-RVB3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myringotomy laser-assist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2225","description":"Myringotomy laser-assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ dual_ rate-resp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1785","description":"Pmkr_ dual_ rate-resp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine HCL (Belrapzo)_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9042","description":"Injection_ bendamustine HCL (Belrapzo)_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray guide gu dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74485","description":"X-ray guide gu dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC20D","description":"HIPPS-LC20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92634","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92634","description":"CPT-92634","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB106","description":"HIPPS-BB106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interprof phone/online 31/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99449","description":"Interprof phone/online 31/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thorabd diaphr hern repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43337","description":"Thorabd diaphr hern repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFLX","description":"HIPPS-4AFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC5A","description":"HIPPS-RHC5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolloid drg filler dry","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6241","description":"Hydrocolloid drg filler dry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL2C","description":"HIPPS-RVL2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt recvng antivir txmnt hepc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4150F","description":"Pt recvng antivir txmnt hepc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove part thorax vertebra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22112","description":"Remove part thorax vertebra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28X","description":"HIPPS-CE28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Campylobacter antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86625","description":"Campylobacter antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device_ mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93590","description":"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device_ mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge base metal cast","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6211","description":"Bridge base metal cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0544U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0544U","description":"CPT-0544U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Lynch syndrome)_ genomic DNA sequence analysis of MLH1_ MSH2_ MSH6_ PMS2_ and EPCAM_ including small sequence changes in exonic and intronic regions_ deletions_ dupl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0238U","description":"Oncology (Lynch syndrome)_ genomic DNA sequence analysis of MLH1_ MSH2_ MSH6_ PMS2_ and EPCAM_ including small sequence changes in exonic and intronic regions_ deletions_ dupl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart revascularize (tmr)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33140","description":"Heart revascularize (tmr)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0592U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0592U","description":"CPT-0592U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX46","description":"HIPPS-RUX46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperatively and/or intraoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9956","description":"Patient received combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperatively and/or intraoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Histoplasma antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86698","description":"Histoplasma antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGKV","description":"HIPPS-3CGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6012","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifo 7.25-12/.25-","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2311","description":"Lens sphc trifo 7.25-12/.25-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sirolimus_ oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7520","description":"Sirolimus_ oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apnea monitor w recorder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0619","description":"Apnea monitor w recorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ voriconazole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3465","description":"Injection_ voriconazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Annual nursing fac assessmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99318","description":"Annual nursing fac assessmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD21B","description":"HIPPS-CD21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth lumbar puncture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63551","description":"Anesth lumbar puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fuse&remov bel c2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22551","description":"Neck spine fuse&remov bel c2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postpartum care visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0503F","description":"Postpartum care visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27816","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status measurement with score was obtained utilizing the Oxford Knee Score (OKS) patient reported outcome tool withi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1045","description":"Functional status measurement with score was obtained utilizing the Oxford Knee Score (OKS) patient reported outcome tool withi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43117","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPW","description":"HIPPS-3AGPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xray control catheter change","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75984","description":"Xray control catheter change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo hormon antineopl sq/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96402","description":"Chemo hormon antineopl sq/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supplemental electrical test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92547","description":"Supplemental electrical test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Referral To Physical_ Occupational_ Speech_ Or Recreational Therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0042","description":"Referral To Physical_ Occupational_ Speech_ Or Recreational Therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0903","description":"HCPCS-C0903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolytic antiplasmin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85410","description":"Fibrinolytic antiplasmin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18E","description":"HIPPS-PE18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sess ions (MS) were attended by an MDPP beneficiary in months (mo) 16-18 under the MDPP Expanded Model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9883","description":"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sess ions (MS) were attended by an MDPP beneficiary in months (mo) 16-18 under the MDPP Expanded Model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37273","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37273","description":"CPT-37273","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest eye tissue alograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68371","description":"Harvest eye tissue alograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB104","description":"HIPPS-PB104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX1A","description":"HIPPS-RHX1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace pump_ alt press pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0182","description":"Replace pump_ alt press pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion each addtl hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99602","description":"Home infusion each addtl hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA21B","description":"HIPPS-CA21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFK5","description":"HIPPS-2AFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ga67 gallium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9556","description":"Ga67 gallium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Personal Emergency Response System (Installation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1894","description":"Personal Emergency Response System (Installation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL3","description":"HIPPS-1BHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ilr device eval progr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93285","description":"Ilr device eval progr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rimantadine hcl_ brand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9036","description":"Rimantadine hcl_ brand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1261","description":"Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPX","description":"HIPPS-1AFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01480","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01480","description":"CPT-01480","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 14 targets (adenovirus_ coronavirus_ human metapneum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0098U","description":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 14 targets (adenovirus_ coronavirus_ human metapneum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM6","description":"HIPPS-4CGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beta amyloid_ AB40 and AB42 by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ ratio_ plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0346U","description":"Beta amyloid_ AB40 and AB42 by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ ratio_ plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD260","description":"HIPPS-CD260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auricular prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8045","description":"Auricular prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sio flex pelvisacral custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0622","description":"Sio flex pelvisacral custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63251","description":"Anesth removal of nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compres burn garment_ noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6512","description":"Compres burn garment_ noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA14B","description":"HIPPS-CA14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA0B","description":"HIPPS-RHA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with pregnancy during adjuvant treatment course","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2205","description":"Patients with pregnancy during adjuvant treatment course","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychosocial rehabilitation services_ per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2017","description":"Psychosocial rehabilitation services_ per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair skull cavity lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62120","description":"Repair skull cavity lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB210","description":"HIPPS-PB210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of non-biodegradable drug delivery implants_ 4 or more (services for subdermal implants)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0517","description":"Removal of non-biodegradable drug delivery implants_ 4 or more (services for subdermal implants)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp aor-celiac-msn-renal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35631","description":"Art byp aor-celiac-msn-renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic/Device/Drug Matrix For Opposing Bone-To-Bone Or Soft Tissue-To Bone (Implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1734","description":"Orthopedic/Device/Drug Matrix For Opposing Bone-To-Bone Or Soft Tissue-To Bone (Implantable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plumb/elec wk hm hemo equip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4870","description":"Plumb/elec wk hm hemo equip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0913T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0913T","description":"CPT-0913T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL4","description":"HIPPS-4BFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Statin not presc doc reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9442","description":"Statin not presc doc reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen meniscus implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0428","description":"Collagen meniscus implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (eg_ pharmacogenomics) genomic sequence analysis panel_ must include testing of at least 6 genes_ including CYP2C19_ CYP2D6_ and CYP2D6 duplication/deletion an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81418","description":"Drug metabolism (eg_ pharmacogenomics) genomic sequence analysis panel_ must include testing of at least 6 genes_ including CYP2C19_ CYP2D6_ and CYP2D6 duplication/deletion an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary heart disease [CHD])_ DNA_ analysis of 10 single-nucleotide polymorphisms (SNPs) (rs710987 [LINC010019]_ rs1333048 [CDKN2B-AS1]_ rs12129789 [KCND3]_ rs942","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0440U","description":"Cardiology (coronary heart disease [CHD])_ DNA_ analysis of 10 single-nucleotide polymorphisms (SNPs) (rs710987 [LINC010019]_ rs1333048 [CDKN2B-AS1]_ rs12129789 [KCND3]_ rs942","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Masters two step","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3904","description":"Masters two step","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrogastrography w/test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91133","description":"Electrogastrography w/test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc xdrl spine lesn scrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63278","description":"Bx/exc xdrl spine lesn scrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMW","description":"HIPPS-4CHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD14C","description":"HIPPS-CD14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride skin musc at fx site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11011","description":"Debride skin musc at fx site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ givosiran_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0223","description":"Injection_ givosiran_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43830","description":"Place gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Galactose transferase test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82776","description":"Galactose transferase test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ cryoablation nasal tissue(s) and/or nerve(s)_ unilateral or bilateral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9771","description":"Nasal/sinus endoscopy_ cryoablation nasal tissue(s) and/or nerve(s)_ unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB20","description":"HIPPS-RMB20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reproductive Medicine (Preimplantation Genetic Assessment)_ Analysis Of 24 Chromosomes Using Embryonic Dna Genomic Sequence Analysis For Aneuploidy_ And A Mitochondrial Dna Sc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0254U","description":"Reproductive Medicine (Preimplantation Genetic Assessment)_ Analysis Of 24 Chromosomes Using Embryonic Dna Genomic Sequence Analysis For Aneuploidy_ And A Mitochondrial Dna Sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occupational multifocal lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2786","description":"Occupational multifocal lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compre dental tx adult","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8090","description":"Compre dental tx adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tetanus toxoid adsorbed_ for intramuscular or jet injection use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90703","description":"Tetanus toxoid adsorbed_ for intramuscular or jet injection use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anus surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46999","description":"Anus surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGLS","description":"HIPPS-3BGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0582U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0582U","description":"CPT-0582U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0965T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0965T","description":"CPT-0965T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25000","description":"Incision of tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Secondary urethral surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54340","description":"Secondary urethral surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28X","description":"HIPPS-CD28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB4B","description":"HIPPS-RHB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for 6 wks/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1134F","description":"Epsd bk pain for 6 wks/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for cholangiography through an existing catheter(eg_ percutaneous transhepatic or t-tube)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47505","description":"Injection procedure for cholangiography through an existing catheter(eg_ percutaneous transhepatic or t-tube)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ infliximab-axxq_ biosimilar_ (AVSOLA)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5121","description":"Injection_ infliximab-axxq_ biosimilar_ (AVSOLA)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icm/ilr remote tech serv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93299","description":"Icm/ilr remote tech serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nutri counsel-control caries","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1310","description":"Nutri counsel-control caries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8G","description":"HIPPS-RUX8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneuma compresor non-segment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0650","description":"Pneuma compresor non-segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iodine i-123 ioflupane","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9584","description":"Iodine i-123 ioflupane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50576","description":"Kidney endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1190","description":"Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert pessary/other device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57160","description":"Insert pessary/other device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 cast hi noble met","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2780","description":"Crown 3/4 cast hi noble met","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plerixafor injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2562","description":"Plerixafor injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth nose/sinus surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16076","description":"Anesth nose/sinus surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3405","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3405","description":"HCPCS-J3405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52240","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise major vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33822","description":"Revise major vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gene expression profiling panel for use in the management of breast cancer treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3854","description":"Gene expression profiling panel for use in the management of breast cancer treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test for blood flow in graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15860","description":"Test for blood flow in graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"H pylori drug admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83014","description":"H pylori drug admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64864","description":"Repair of facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teplizumab-mzwv_ 5 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9381","description":"Injection_ teplizumab-mzwv_ 5 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chronic Care Management Services_ Each Additional 20 Minutes Of Clinical Staff Time Directed By A Physician Or Other Qualified Health Care Professional_ Per Calendar Month (Li","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2058","description":"Chronic Care Management Services_ Each Additional 20 Minutes Of Clinical Staff Time Directed By A Physician Or Other Qualified Health Care Professional_ Per Calendar Month (Li","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lincomycin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2010","description":"Lincomycin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFL3","description":"HIPPS-2BFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0585T","description":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMS","description":"HIPPS-1AHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17261","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perfluoroalkyl substances (PFAS) (eg_ perfluorooctanoic acid_ perfluorooctane sulfonic acid)_ 9 PFAS compounds by LC-MS/MS_ plasma or serum_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0457U","description":"Perfluoroalkyl substances (PFAS) (eg_ perfluorooctanoic acid_ perfluorooctane sulfonic acid)_ 9 PFAS compounds by LC-MS/MS_ plasma or serum_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKT","description":"HIPPS-4BGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5161","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5161","description":"HCPCS-Q5161","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL4","description":"HIPPS-2AGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not disch to home day#7","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8825","description":"Pt not disch to home day#7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Co2 breathing response curve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94400","description":"Co2 breathing response curve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA240","description":"HIPPS-CA240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar spine fusion combined","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22633","description":"Lumbar spine fusion combined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1806","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1806","description":"CDT-D1806","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL34","description":"HIPPS-RUL34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elder maltreatment screen documented as positive_ follow-up plan not documented_ documentation the patient is not eligible for follow-up plan at the time of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8941","description":"Elder maltreatment screen documented as positive_ follow-up plan not documented_ documentation the patient is not eligible for follow-up plan at the time of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK4","description":"HIPPS-4CFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Storage/year sperm/semen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89343","description":"Storage/year sperm/semen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29850","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC101","description":"HIPPS-HC101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Convert nephrostomy catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50434","description":"Convert nephrostomy catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38E","description":"HIPPS-ES38E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise max/zygoma b9 tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21030","description":"Excise max/zygoma b9 tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Basic support routine suppls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0382","description":"Basic support routine suppls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Innovamatrix FS_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2013","description":"Innovamatrix FS_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP5","description":"HIPPS-1BFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthosis (EO)_ with adjustable position locking joint(s)_ prefabricated_ off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3761","description":"Elbow orthosis (EO)_ with adjustable position locking joint(s)_ prefabricated_ off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGNX","description":"HIPPS-3AGNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0638U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0638U","description":"CPT-0638U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ue >=0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8667","description":"Fun stat score ue >=0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of intrastromal corneal ring segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0099T","description":"Implantation of intrastromal corneal ring segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us guidance fetal reduct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8055","description":"Us guidance fetal reduct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay phosphohexose enzymes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84087","description":"Assay phosphohexose enzymes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Basiliximab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0480","description":"Basiliximab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31085","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc medrsn no hist type rpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9288","description":"Doc medrsn no hist type rpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pml/raralpha com breakpoints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81315","description":"Pml/raralpha com breakpoints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mecp2 gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81302","description":"Mecp2 gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35450","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strep b dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87653","description":"Strep b dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Goserelin acetate implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9202","description":"Goserelin acetate implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev breast 1st mr guide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19287","description":"Perq dev breast 1st mr guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk fork strap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5684","description":"Bk fork strap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Face-To-Face Hh Nsg Vst Rhc/Fqhc Area Shtg Hha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0490","description":"Face-To-Face Hh Nsg Vst Rhc/Fqhc Area Shtg Hha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0941T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0941T","description":"CPT-0941T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vincristine sulfate 1 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9370","description":"Vincristine sulfate 1 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (eg_ depression_ anxiety)_ genomic analysis panel_ including variant analysis of 26 genes_ buccal swab_ report including metabolizer status and risk of drug toxicit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0423U","description":"Psychiatry (eg_ depression_ anxiety)_ genomic analysis panel_ including variant analysis of 26 genes_ buccal swab_ report including metabolizer status and risk of drug toxicit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath w/o bag 2-way silicone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4312","description":"Cath w/o bag 2-way silicone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair rect/bladder fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45800","description":"Repair rect/bladder fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC15","description":"HIPPS-RVC15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB25B","description":"HIPPS-HB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism LogicNets_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1019","description":"Clinical decision support mechanism LogicNets_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj arthroscopy discectomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7876","description":"Tmj arthroscopy discectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP2","description":"HIPPS-3BGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLX","description":"HIPPS-1AHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFM4","description":"HIPPS-3CFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Singl prscrp lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0504","description":"Singl prscrp lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpt pt cat and pt1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9428","description":"Rpt pt cat and pt1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc funct and care plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8539","description":"Doc funct and care plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPT","description":"HIPPS-3AFPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01716","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01716","description":"CPT-01716","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone/skin graft iliac crest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20970","description":"Bone/skin graft iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1740","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1740","description":"HCPCS-C1740","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepc measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8545","description":"Hepc measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sympathetic nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64818","description":"Remove sympathetic nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC03","description":"HIPPS-RHC03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vasopressin (american regent) not therapeutically equivalent to j2598_ 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2599","description":"Injection_ vasopressin (american regent) not therapeutically equivalent to j2598_ 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed semi-electr w/ matt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0260","description":"Hosp bed semi-electr w/ matt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neonate crit care subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99469","description":"Neonate crit care subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med reas pt_ pn_ not doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8722","description":"Med reas pt_ pn_ not doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP5","description":"HIPPS-3CHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services for patient occurred any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9720","description":"Hospice services for patient occurred any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infus insulin pump non needl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4230","description":"Infus insulin pump non needl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC114","description":"HIPPS-CC114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture typing glc/hplc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87143","description":"Culture typing glc/hplc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ monaural_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5242","description":"Hearing aid_ monaural_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Md service required for pmd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0372","description":"Md service required for pmd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA15","description":"HIPPS-RLA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD23D","description":"HIPPS-LD23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External cannula declotting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36860","description":"External cannula declotting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fulvestrant (teva) not therapeutically equivalent to j9395_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9393","description":"Injection_ fulvestrant (teva) not therapeutically equivalent to j9395_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct scan for localization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77011","description":"Ct scan for localization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93931","description":"Upper extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted maaa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81599","description":"Unlisted maaa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42507","description":"Parotid duct diversion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27514","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj trimetrexate glucoronate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3305","description":"Inj trimetrexate glucoronate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supp maint employ_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2025","description":"Supp maint employ_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML2B","description":"HIPPS-RML2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Segmentectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32484","description":"Segmentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc type nsm lung ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9290","description":"No doc type nsm lung ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1391","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1391","description":"HCPCS-M1391","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27427","description":"Reconstruction knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo variable frict","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5714","description":"Knee-shin exo variable frict","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGKU","description":"HIPPS-3AGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1499","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1499","description":"HCPCS-M1499","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES201","description":"HIPPS-ES201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracorp shock wv tx ms nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0019T","description":"Extracorp shock wv tx ms nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reremove wrist tendon lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25112","description":"Reremove wrist tendon lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA246","description":"HIPPS-PA246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leukacyte transfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86950","description":"Leukacyte transfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31020","description":"Exploration maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0932T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0932T","description":"CPT-0932T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ including fluoroscopic guidance_ when performed; with therapeutic aspiration of tracheobronchial tree_ subsequent_ same hospital stay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31646","description":"Bronchoscopy_ rigid or flexible_ including fluoroscopic guidance_ when performed; with therapeutic aspiration of tracheobronchial tree_ subsequent_ same hospital stay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2043","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2043","description":"HCPCS-A2043","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92987","description":"Revision of mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB245","description":"HIPPS-HB245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repr elbw med ligmnt w/tissu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24345","description":"Repr elbw med ligmnt w/tissu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC51","description":"HIPPS-RMC51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Throat muscle surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43030","description":"Throat muscle surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr trunk 1.1-2.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13100","description":"Cmplx rpr trunk 1.1-2.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP6","description":"HIPPS-3BHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC53","description":"HIPPS-RHC53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycobacteria dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87550","description":"Mycobacteria dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of skull with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62146","description":"Repair of skull with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compres burngarment facehood","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6503","description":"Compres burngarment facehood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor <22.05._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0207","description":"Traumatic brain injury with Motor <22.05._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replantation digit complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20822","description":"Replantation digit complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28E","description":"HIPPS-LD28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6058","description":"Abutment supported crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-33882","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33882","description":"CPT-33882","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI lumbar spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72149","description":"MRI lumbar spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50949","description":"Laparoscope proc ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of custom sleep apnea appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9949","description":"Repair of custom sleep apnea appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD15B","description":"HIPPS-CD15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive thyroid surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60254","description":"Extensive thyroid surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not ambulatory_ bed ridden_ immobile_ confined to chair_ wheelchair bound_ dependent on helper pushing wheelchair_ independent in wheelchair or minimal help in wheelch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9721","description":"Patient not ambulatory_ bed ridden_ immobile_ confined to chair_ wheelchair bound_ dependent on helper pushing wheelchair_ independent in wheelchair or minimal help in wheelch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier with flange","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4373","description":"Skin barrier with flange","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trach/laryn tube non-cuffed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7520","description":"Trach/laryn tube non-cuffed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone 40 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1030","description":"Methylprednisolone 40 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB5A","description":"HIPPS-RUB5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11606","description":"Exc tr-ext mal+marg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA221","description":"HIPPS-PA221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt prgrm for implt neurostim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8681","description":"Pt prgrm for implt neurostim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mntr io press 24hrs/> uni/bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0329T","description":"Mntr io press 24hrs/> uni/bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE225","description":"HIPPS-HE225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8E","description":"HIPPS-RMB8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert ant segment drain int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0376T","description":"Insert ant segment drain int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4318","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4318","description":"HCPCS-A4318","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHK3","description":"HIPPS-3CHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0803","description":"HCPCS-B0803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of eye water bath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76513","description":"Echo exam of eye water bath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suspension of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54620","description":"Suspension of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g._ cystic duct_ common bile duct and common hepatic duct) with intravenous administra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9776","description":"Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g._ cystic duct_ common bile duct and common hepatic duct) with intravenous administra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscpy inj agent for incont","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0377T","description":"Anoscpy inj agent for incont","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No transfercare chklist used","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0584F","description":"No transfercare chklist used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand muscle testing manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95832","description":"Hand muscle testing manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1087T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1087T","description":"CPT-1087T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHN3","description":"HIPPS-1BHN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tb intradermal test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86580","description":"Tb intradermal test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FXN (frataxin) (eg_ Friedreich ataxia)_ gene analysis_ including small sequence changes in exonic and intronic regions_ deletions_ duplications_ short tandem repeat (STR) expa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0233U","description":"FXN (frataxin) (eg_ Friedreich ataxia)_ gene analysis_ including small sequence changes in exonic and intronic regions_ deletions_ duplications_ short tandem repeat (STR) expa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC154","description":"HIPPS-LC154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alt long-term cntrl med rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4144F","description":"Alt long-term cntrl med rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit nb care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99502","description":"Home visit nb care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient  compression arm sleeve and glove combination_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6575","description":"Gradient  compression arm sleeve and glove combination_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria_ tetanus toxoids_ and whole cell pertussis vaccine and hemophilus influenza b vaccine (dtp-hib)_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90720","description":"Diphtheria_ tetanus toxoids_ and whole cell pertussis vaccine and hemophilus influenza b vaccine (dtp-hib)_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE23C","description":"HIPPS-PE23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No statin/no order statin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9665","description":"No statin/no order statin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery w/tunnel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33505","description":"Repair artery w/tunnel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHPU","description":"HIPPS-1AHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD135","description":"HIPPS-HD135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1026T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1026T","description":"CPT-1026T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Novosorb Synpath Dermal Matrix_ Per Square Centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2006","description":"Novosorb Synpath Dermal Matrix_ Per Square Centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53025","description":"Incision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGPU","description":"HIPPS-3BGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4376","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4376","description":"HCPCS-Q4376","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subtalar arthro w/fb rmvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29904","description":"Subtalar arthro w/fb rmvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor viii multimetric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85247","description":"Clot factor viii multimetric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ full length/chap style_ 18-30 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6559","description":"Gradient compression stocking_ full length/chap style_ 18-30 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare donor heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33944","description":"Prepare donor heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nikaidoh proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33782","description":"Nikaidoh proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Children who are taking antibiotics in the 30 days prior to the diagnosis of pharyngitis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9703","description":"Children who are taking antibiotics in the 30 days prior to the diagnosis of pharyngitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9811","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9811","description":"HCPCS-C9811","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC105","description":"HIPPS-HC105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Audit/dast over 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99409","description":"Audit/dast over 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Htlv-ii antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86688","description":"Htlv-ii antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28X","description":"HIPPS-LE28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGLU","description":"HIPPS-1AGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1086T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1086T","description":"CPT-1086T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Truss addition to std pad wa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8320","description":"Truss addition to std pad wa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing facility care init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99306","description":"Nursing facility care init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compress burn mask face/neck","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6513","description":"Compress burn mask face/neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response)_ targeted sequence analysis (ie_ CYP1A2_ CYP2C19_ CYP2C9_ CYP2D6_ CYP3A4_ CYP3A5_ CYP4F2_ SLCO1B1_ VKORC1 and rs1277","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0029U","description":"Drug metabolism (adverse drug reactions and drug response)_ targeted sequence analysis (ie_ CYP1A2_ CYP2C19_ CYP2C9_ CYP2D6_ CYP3A4_ CYP3A5_ CYP4F2_ SLCO1B1_ VKORC1 and rs1277","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient has documented immunity to hepatitis B and initiating anti-TNF therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8869","description":"Patient has documented immunity to hepatitis B and initiating anti-TNF therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB4C","description":"HIPPS-RUB4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect ovarian malignancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58952","description":"Resect ovarian malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"remove broken implant retaining screw","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6096","description":"remove broken implant retaining screw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0107","description":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breathing circuits","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4618","description":"Breathing circuits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amp no reqd in48h ieler proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9639","description":"Amp no reqd in48h ieler proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reset dislocated jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21485","description":"Reset dislocated jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tee w or w/o fol w/cont_ mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8927","description":"Tee w or w/o fol w/cont_ mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0092A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33478","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal collar bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23120","description":"Partial removal collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Individual filled at least two prescriptions for any antipsychotic medication and had a pdc of 0.8 or greater","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9369","description":"Individual filled at least two prescriptions for any antipsychotic medication and had a pdc of 0.8 or greater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Service for diagnosis_ evaluation_ or treatment of a mental health  or substance use disorder_   initial 15-29 minutes_ provided remotely by hospital staff who are licensed to","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7900","description":"Service for diagnosis_ evaluation_ or treatment of a mental health  or substance use disorder_   initial 15-29 minutes_ provided remotely by hospital staff who are licensed to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHM6","description":"HIPPS-2CHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4352","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4352","description":"HCPCS-Q4352","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lancets per box","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4259","description":"Lancets per box","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vasopressin_ 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2598","description":"Injection_ vasopressin_ 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand tendon/muscle transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26494","description":"Hand tendon/muscle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonfamily hc train/session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5116","description":"Nonfamily hc train/session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incomplete endodontic tx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3332","description":"Incomplete endodontic tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43453","description":"Dilate esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1085T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1085T","description":"CPT-1085T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iiv vaccine pandemic im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90668","description":"Iiv vaccine pandemic im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neck spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22595","description":"Neck spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB225","description":"HIPPS-PB225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advanced I","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2117","description":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advanced I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8F","description":"HIPPS-RMC8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHM3","description":"HIPPS-3AHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove part of neck vertebra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22100","description":"Remove part of neck vertebra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amitriptyline injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1320","description":"Amitriptyline injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Same day nb discharge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99463","description":"Same day nb discharge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m >30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12018","description":"Rpr f/e/e/n/l/m >30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mpl (Mpl Proto-Oncogene_ Thrombopoietin Receptor) (Eg_ Myeloproliferative Disorder) Gene Analysis; Common Variants (Eg_ W515A_ W515K_ W515L_ W515R)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81338","description":"Mpl (Mpl Proto-Oncogene_ Thrombopoietin Receptor) (Eg_ Myeloproliferative Disorder) Gene Analysis; Common Variants (Eg_ W515A_ W515K_ W515L_ W515R)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Swallow goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8997","description":"Swallow goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ra measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8490","description":"Ra measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemotaxis assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86155","description":"Chemotaxis assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Continuous_ Real-Time Monitoring And Mai","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95716","description":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Continuous_ Real-Time Monitoring And Mai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins vag brachytx device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57156","description":"Ins vag brachytx device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D6193","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D6193","description":"CDT-D6193","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol or peroxide per pint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4244","description":"Alcohol or peroxide per pint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rural health clinic or federally qualified health center (RHC/FQHC) only_ psychiatric collaborative care model (psychiatric COCM)_ 60 minutes or more of clinical staff time fo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0512","description":"Rural health clinic or federally qualified health center (RHC/FQHC) only_ psychiatric collaborative care model (psychiatric COCM)_ 60 minutes or more of clinical staff time fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28F","description":"HIPPS-PE28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microsurg epi sperm asp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4028","description":"Microsurg epi sperm asp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cervix repair bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57556","description":"Remove cervix repair bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0673","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0673","description":"HCPCS-G0673","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD14A","description":"HIPPS-CD14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1902","description":"HCPCS-A1902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53410","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67915","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Canakinumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0638","description":"Canakinumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA35","description":"HIPPS-RHA35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office Or Other Outpatient Visit For The Evaluation And Management Of An Established Patient That Requires The Supervision Of A Physician Or Other Qualified Health Care Profes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2083","description":"Office Or Other Outpatient Visit For The Evaluation And Management Of An Established Patient That Requires The Supervision Of A Physician Or Other Qualified Health Care Profes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo multilig ank sup pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1906","description":"Afo multilig ank sup pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures mandibl part metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5214","description":"Dentures mandibl part metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immune admin oral/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90473","description":"Immune admin oral/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 2mod symphis-xipho pre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0458","description":"Tlso 2mod symphis-xipho pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who have a diagnosis of rhabdomyolysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9780","description":"Patients who have a diagnosis of rhabdomyolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Jaw arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29804","description":"Jaw arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit new pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99326","description":"Domicil/r-home visit new pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Av dialysis shunt imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75791","description":"Av dialysis shunt imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFP3","description":"HIPPS-3BFP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty exten graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7350","description":"Vestibuloplasty exten graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vancomycin hcl (xellia) not therapeutically equivalent to j3370_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3372","description":"Injection_ vancomycin hcl (xellia) not therapeutically equivalent to j3370_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB53","description":"HIPPS-RUB53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHL6","description":"HIPPS-3AHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK6","description":"HIPPS-2CHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA25A","description":"HIPPS-PA25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reason for not administering trastuzumab documented (e.g._ patient declined_ patient died_ patient transferred_ contraindication or other clinical exclusion_ neoadjuvant chemo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9836","description":"Reason for not administering trastuzumab documented (e.g._ patient declined_ patient died_ patient transferred_ contraindication or other clinical exclusion_ neoadjuvant chemo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adj skin pro wc cus wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2623","description":"Adj skin pro wc cus wd>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE117","description":"HIPPS-PE117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program_ each 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2168","description":"Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program_ each 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spontaneous nystagmus study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92531","description":"Spontaneous nystagmus study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK3","description":"HIPPS-4CFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hocm 350-399mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9963","description":"Hocm 350-399mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin pneum/swg pha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5830","description":"Endo knee-shin pneum/swg pha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph fundoplasty thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43328","description":"Esoph fundoplasty thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28405","description":"Treatment of heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genotype dna/rna hiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87906","description":"Genotype dna/rna hiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Itch severity assessment score is reduced by 2 or more points from the initial (index) assessment score to the follow-up visit score","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1205","description":"Itch severity assessment score is reduced by 2 or more points from the initial (index) assessment score to the follow-up visit score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFMW","description":"HIPPS-3CFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFL2","description":"HIPPS-1AFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/dxa results document","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8399","description":"Pt w/dxa results document","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPW","description":"HIPPS-3BHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX34","description":"HIPPS-RLX34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99349","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB204","description":"HIPPS-CB204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe wedge sach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3340","description":"Shoe wedge sach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg artery-vein two","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33518","description":"Cabg artery-vein two","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolong serv w/o contact add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99359","description":"Prolong serv w/o contact add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Facial replacement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5929","description":"Facial replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18C","description":"HIPPS-LC18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl cardiac modulj pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0412T","description":"Rmvl cardiac modulj pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4378","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4378","description":"HCPCS-Q4378","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of thyroid activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84442","description":"Assay of thyroid activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin fungi culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87101","description":"Skin fungi culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"G-esoph reflx tst w/electrod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91035","description":"G-esoph reflx tst w/electrod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ esmolol hydrochloride (wg critical care) not therapeutically equivalent to j1805_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1806","description":"Injection_ esmolol hydrochloride (wg critical care) not therapeutically equivalent to j1805_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (accord) not therapeutically equivalent to j9305_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9296","description":"Injection_ pemetrexed (accord) not therapeutically equivalent to j9305_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with bronchial alveolar lavage(s)_ with computer-assisted image-guided navigation_ including fluoroscopic guidance when performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7510","description":"Bronchoscopy_ rigid or flexible_ with bronchial alveolar lavage(s)_ with computer-assisted image-guided navigation_ including fluoroscopic guidance when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB204","description":"HIPPS-BB204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of proinsulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84206","description":"Assay of proinsulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria w/o bypass ext","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33255","description":"Ablate atria w/o bypass ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE23D","description":"HIPPS-HE23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC241","description":"HIPPS-PC241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1446","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1446","description":"HCPCS-M1446","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 22 targets (Campylobacter [C. jejuni/C. coli/C.","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0097U","description":"Gastrointestinal pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 22 targets (Campylobacter [C. jejuni/C. coli/C.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise max/zygoma mal tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21034","description":"Excise max/zygoma mal tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telethx isodose plan cplx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77307","description":"Telethx isodose plan cplx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 vhd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0826","description":"Pwc gp 2 vhd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC23B","description":"HIPPS-CC23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFKV","description":"HIPPS-2CFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1433","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1433","description":"HCPCS-M1433","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical trays","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4550","description":"Surgical trays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Buprenorphine (Implant Removal); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2071","description":"Medication Assisted Treatment_ Buprenorphine (Implant Removal); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shrinker upper limb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8465","description":"Shrinker upper limb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-93145","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93145","description":"CPT-93145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual audiometry (vra)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92579","description":"Visual audiometry (vra)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK5","description":"HIPPS-3BFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96542","description":"Chemotherapy injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair spinal fluid leakage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63709","description":"Repair spinal fluid leakage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt reas no pneumococcal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8866","description":"Doc pt reas no pneumococcal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB10B","description":"HIPPS-CB10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel iu 52mg 5 yr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7298","description":"Levonorgestrel iu 52mg 5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement breastpump cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4283","description":"Replacement breastpump cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Norsn for gc chl syp test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9230","description":"Norsn for gc chl syp test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0644U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0644U","description":"CPT-0644U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00500","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00500","description":"CPT-00500","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 25MCG/0.25ML2ND","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0112A","description":"ADM SARSCOV2 25MCG/0.25ML2ND","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc car modulj atr elt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0410T","description":"Insj/rplc car modulj atr elt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK6","description":"HIPPS-3AFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open aortofemor prosth repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34832","description":"Open aortofemor prosth repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy/lung bx each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31628","description":"Bronchoscopy/lung bx each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPU","description":"HIPPS-1BHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA141","description":"HIPPS-PA141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67917","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise kidney blood vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50100","description":"Revise kidney blood vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ filgrastim-ayow_ biosimilar_ (Releuko)_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9096","description":"Injection_ filgrastim-ayow_ biosimilar_ (Releuko)_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM3","description":"HIPPS-4AFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNV","description":"HIPPS-1CGNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMW","description":"HIPPS-1BGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kyphosis pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1020","description":"Kyphosis pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper arm/elbow surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24999","description":"Upper arm/elbow surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8G","description":"HIPPS-RLB8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainable plastic pch w fcpl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4375","description":"Drainable plastic pch w fcpl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation; wit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7553","description":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation; wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA14","description":"HIPPS-RHA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abd paracentesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49082","description":"Abd paracentesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0993T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0993T","description":"CPT-0993T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1414","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1414","description":"HCPCS-M1414","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ solid organ or hematolymphoid neoplasm or disorder_ 51 or greater genes (eg_ ALK_ BRAF_ CDKN2A_ CEBPA_ DNMT3A_ EGFR_ ERBB2_ EZH2_ FLT","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81456","description":"Targeted genomic sequence analysis panel_ solid organ or hematolymphoid neoplasm or disorder_ 51 or greater genes (eg_ ALK_ BRAF_ CDKN2A_ CEBPA_ DNMT3A_ EGFR_ ERBB2_ EZH2_ FLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth kidney stone destruct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87251","description":"Anesth kidney stone destruct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI brain stem w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70553","description":"MRI brain stem w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA25A","description":"HIPPS-BA25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES235","description":"HIPPS-ES235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation and programming of implanted phrenic nerve stimulator system during polysomnography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93152","description":"Interrogation and programming of implanted phrenic nerve stimulator system during polysomnography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bumetanide_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1939","description":"Injection_ bumetanide_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain pancreatic pseudocyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48510","description":"Drain pancreatic pseudocyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pancreas)_ DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression_ pancreatic cyst fluid_ algorithm reported as a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0313U","description":"Oncology (pancreas)_ DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression_ pancreatic cyst fluid_ algorithm reported as a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj unspecified therapy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7899","description":"Tmj unspecified therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rh ig iv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90386","description":"Rh ig iv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27814","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Footrest complete assembly","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0045","description":"Footrest complete assembly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Facial augmentation implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5925","description":"Facial augmentation implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient provided a response other than completely true for the question of patient felt heard and understood by this provider and team","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1243","description":"Patient provided a response other than completely true for the question of patient felt heard and understood by this provider and team","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart first pass multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78483","description":"Heart first pass multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frozen ivf case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4016","description":"Frozen ivf case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0236","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0236","description":"HCPCS-M0236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosth retina receive&gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0100T","description":"Prosth retina receive&gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Molecular pathology interpr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0452","description":"Molecular pathology interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whchr s-recl fxd arm leg res","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1100","description":"Whchr s-recl fxd arm leg res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC11B","description":"HIPPS-LC11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pentastarch 10% solution","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2513","description":"Pentastarch 10% solution","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC146","description":"HIPPS-HC146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Keramatrix_ per square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4165","description":"Keramatrix_ per square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home Adaptations (>$6_000)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0141","description":"Home Adaptations (>$6_000)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of hydrocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55000","description":"Drainage of hydrocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA1C","description":"HIPPS-RHA1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlorambucil 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0172","description":"Chlorambucil 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mitomycin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9280","description":"Mitomycin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL6","description":"HIPPS-4AFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision Of Chest Wall Tumor Involving Rib(S)_ With Plastic Reconstruction; With Mediastinal Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21603","description":"Excision Of Chest Wall Tumor Involving Rib(S)_ With Plastic Reconstruction; With Mediastinal Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMW","description":"HIPPS-4AHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC36","description":"HIPPS-RHC36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49000","description":"Exploration of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens bifocal seg width over","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2219","description":"Lens bifocal seg width over","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Induced abortion 32 or more","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2267","description":"Induced abortion 32 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0232","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0232","description":"HCPCS-M0232","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Er and ip hosp <2 in 12 mos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9521","description":"Er and ip hosp <2 in 12 mos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_  tibial/peroneal artery(ies); with intravascular lithotripsy_ and transluminal stent placement(s)_ includes angioplasty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9773","description":"Revascularization_ endovascular_ open or percutaneous_  tibial/peroneal artery(ies); with intravascular lithotripsy_ and transluminal stent placement(s)_ includes angioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe sole wedge outside sole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3360","description":"Shoe sole wedge outside sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tube_ pneum wheel drive tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2382","description":"Tube_ pneum wheel drive tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/biopsy eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67400","description":"Explore/biopsy eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt talk eval hlthwkr re mdd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2060F","description":"Pt talk eval hlthwkr re mdd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6063","description":"Abutment supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0978T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0978T","description":"CPT-0978T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69552","description":"Remove ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect enlarged toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28341","description":"Resect enlarged toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML0C","description":"HIPPS-RML0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ Chemotherapeutic Drug Cytotoxicity Assay Of Cancer Stem Cells (Cscs)_ From Cultured Cscs And Primary Tumor Cells_ Categorical Drug Response Reported Based On Percent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0564T","description":"Oncology_ Chemotherapeutic Drug Cytotoxicity Assay Of Cancer Stem Cells (Cscs)_ From Cultured Cscs And Primary Tumor Cells_ Categorical Drug Response Reported Based On Percent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA3B","description":"HIPPS-RVA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8007","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8007","description":"HCPCS-C8007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote physiologic monitoring treatment management services_ 20 minutes or more of clinical staff/physician/other qualified health care professional time in a calendar month r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99457","description":"Remote physiologic monitoring treatment management services_ 20 minutes or more of clinical staff/physician/other qualified health care professional time in a calendar month r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43108","description":"Removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00120","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00120","description":"CPT-00120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30999","description":"Nasal surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug scrn quan levetiracetam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80177","description":"Drug scrn quan levetiracetam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKS","description":"HIPPS-4CHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX0A","description":"HIPPS-RHX0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc shoulder tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23073","description":"Exc shoulder tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures adjust part mandbl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5422","description":"Dentures adjust part mandbl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Not a valid procedure code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ZZZZZ","description":"Not a valid procedure code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer w/ compressor & he","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0585","description":"Nebulizer w/ compressor & he","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0502","description":"HCPCS-A0502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Neisseria gonorrhoeae","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87850","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Neisseria gonorrhoeae","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt nephroureteral catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50433","description":"Plmt nephroureteral catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of forearm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25900","description":"Amputation of forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ptrsn no gc chl syp test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9229","description":"Ptrsn no gc chl syp test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct midface no graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7948","description":"Reconstruct midface no graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-Cement Or Re-Bond Fixed Retainer - Maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8698","description":"Re-Cement Or Re-Bond Fixed Retainer - Maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext ecg recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0296T","description":"Ext ecg recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg > 48 sq in w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6253","description":"Absorpt drg > 48 sq in w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD12C","description":"HIPPS-LD12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine ost pch bar w lock fln","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4433","description":"Urine ost pch bar w lock fln","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0920T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0920T","description":"CPT-0920T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical repair of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43501","description":"Surgical repair of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay c-d transfer measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82373","description":"Assay c-d transfer measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ortho shoe add leather insol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3500","description":"Ortho shoe add leather insol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK1","description":"HIPPS-4CHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Internal eye photography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92287","description":"Internal eye photography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Core build-up incl any pins","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2950","description":"Core build-up incl any pins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27158","description":"Revision of pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemotx Adm Iv Inf Tech; Ini Inf Office/Clin Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0498","description":"Chemotx Adm Iv Inf Tech; Ini Inf Office/Clin Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB30","description":"HIPPS-RLB30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGNX","description":"HIPPS-1AGNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5362","description":"Speech screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct maxillofacial w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70488","description":"Ct maxillofacial w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound prep trk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15002","description":"Wound prep trk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic casts","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0470","description":"Diagnostic casts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect hip/pelv tum < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27049","description":"Resect hip/pelv tum < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD145","description":"HIPPS-HD145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastoid surgery revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69602","description":"Mastoid surgery revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Left hrt cath w/ventrclgrphy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93452","description":"Left hrt cath w/ventrclgrphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj diagnostic arthroscopy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7872","description":"Tmj diagnostic arthroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gen w/c cushion wdth < 22 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2601","description":"Gen w/c cushion wdth < 22 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tdap vaccine 7 yrs/> im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90715","description":"Tdap vaccine 7 yrs/> im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44238","description":"Laparoscope proc intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of teeth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70310","description":"X-ray exam of teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB117","description":"HIPPS-HB117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59856","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24605","description":"Treat elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA05","description":"HIPPS-RLA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC110","description":"HIPPS-CC110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy supply misc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4421","description":"Ostomy supply misc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHK5","description":"HIPPS-3CHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGN5","description":"HIPPS-1BGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sphenoid sinus surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31051","description":"Sphenoid sinus surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC234","description":"HIPPS-HC234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no doc hear loss","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8567","description":"Pt no doc hear loss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg all night recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95827","description":"Eeg all night recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1301","description":"HCPCS-A1301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behavioral counseling for diabetes prevention_ in-person_ group_ 60 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9886","description":"Behavioral counseling for diabetes prevention_ in-person_ group_ 60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD105","description":"HIPPS-CD105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep c quant rna tstng docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3220F","description":"Hep c quant rna tstng docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL2","description":"HIPPS-3AGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tourniquet for dialysis_ ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4929","description":"Tourniquet for dialysis_ ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc taa repr w/o subcl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33881","description":"Endovasc taa repr w/o subcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Testicular imaging w/flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78761","description":"Testicular imaging w/flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML32","description":"HIPPS-RML32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway pressure cpap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94660","description":"Pos airway pressure cpap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx ovarian stg1a-b no pr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9113","description":"Onc dx ovarian stg1a-b no pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymph vessel x-ray arms/legs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75803","description":"Lymph vessel x-ray arms/legs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGM1","description":"HIPPS-2BGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of lumbar spine region fracture at the time of the procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1038","description":"Patients with a diagnosis of lumbar spine region fracture at the time of the procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep c rna 4to12 wk after med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9209","description":"Hep c rna 4to12 wk after med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iodine i-123 sod iodide mil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9509","description":"Iodine i-123 sod iodide mil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee lift loop drop lock rin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2492","description":"Knee lift loop drop lock rin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/cont_ chest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8909","description":"Mra w/cont_ chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX44","description":"HIPPS-RHX44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Menacwy vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90734","description":"Menacwy vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous pulmonary artery revascularization by stent placement_ initial; normal native connections_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33900","description":"Percutaneous pulmonary artery revascularization by stent placement_ initial; normal native connections_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFKT","description":"HIPPS-3BFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB10C","description":"HIPPS-HB10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA11B","description":"HIPPS-PA11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction Of Mixture Of Saline And Air For Sonosalpingography To Confirm Occlusion Of Fallopian Tubes_ Transcervical Approach_ Including Transvaginal Ultrasound And Pelvic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0568T","description":"Introduction Of Mixture Of Saline And Air For Sonosalpingography To Confirm Occlusion Of Fallopian Tubes_ Transcervical Approach_ Including Transvaginal Ultrasound And Pelvic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply short leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29435","description":"Apply short leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abrasion lesion single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15786","description":"Abrasion lesion single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin antibodies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86337","description":"Insulin antibodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bupropion hcl sr 60 tablets","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0106","description":"Bupropion hcl sr 60 tablets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amifostine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0207","description":"Amifostine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal with reinsertion_ non-biodegradable drug delivery implants_ 4 or more (services for subdermal implants)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0518","description":"Removal with reinsertion_ non-biodegradable drug delivery implants_ 4 or more (services for subdermal implants)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87185","description":"Microbe susceptible enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resin-based composite - four or more surfaces (anterior)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2335","description":"Resin-based composite - four or more surfaces (anterior)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis_ dialysis circuit_ any method_ including all imaging and radiological supervision and interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36905","description":"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis_ dialysis circuit_ any method_ including all imaging and radiological supervision and interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ buprenorphine extended-release (Sublocade)_ less than or equal to 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9991","description":"Injection_ buprenorphine extended-release (Sublocade)_ less than or equal to 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angiography neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70498","description":"Ct angiography neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small animal inoculation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87003","description":"Small animal inoculation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay three catecholamines","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82384","description":"Assay three catecholamines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj dobutamine hcl/250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1250","description":"Inj dobutamine hcl/250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetics 25-99","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88274","description":"Cytogenetics 25-99","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supprelin la implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9226","description":"Supprelin la implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0715","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0715","description":"HCPCS-E0715","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth upper gi visualize","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74051","description":"Anesth upper gi visualize","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35081","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL17","description":"HIPPS-RVL17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval implantable dfb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93282","description":"Prgrmg eval implantable dfb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Max ultrasound image capture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0386","description":"Max ultrasound image capture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemorrhoidectomy_ Internal_ By Transanal Hemorrhoidal Dearterialization_ 2 Or More Hemorrhoid Columns/Groups_ Including Ultrasound Guidance_ With Mucopexy_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46948","description":"Hemorrhoidectomy_ Internal_ By Transanal Hemorrhoidal Dearterialization_ 2 Or More Hemorrhoid Columns/Groups_ Including Ultrasound Guidance_ With Mucopexy_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of cpk in blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82552","description":"Assay of cpk in blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hip prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27090","description":"Removal of hip prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57135","description":"Remove vagina lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB46","description":"HIPPS-RUB46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ genotyping of 12 blood group system genes to predict 44 red blood cell antigen phenotypes (Versiti™ Red Cell Genotyping Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0282U","description":"Red blood cell antigen typing_ DNA_ genotyping of 12 blood group system genes to predict 44 red blood cell antigen phenotypes (Versiti™ Red Cell Genotyping Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1315","description":"Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neg press wound tx >50 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97608","description":"Neg press wound tx >50 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8C","description":"HIPPS-RVC8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hightop w/ supp/pronator jun","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3207","description":"Hightop w/ supp/pronator jun","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Herpes simplex 1 ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87274","description":"Herpes simplex 1 ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diast bp 80-89 mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3079F","description":"Diast bp 80-89 mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Varicella zoster ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87290","description":"Varicella zoster ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ femoral_ popliteal artery(ies)_ unilateral_ with atherectomy_ includes angioplasty within the same vessel_ when performe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7534","description":"Revascularization_ endovascular_ open or percutaneous_ femoral_ popliteal artery(ies)_ unilateral_ with atherectomy_ includes angioplasty within the same vessel_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj trigger point 1/2 muscl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20552","description":"Inj trigger point 1/2 muscl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6061","description":"Abutment supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37257","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37257","description":"CPT-37257","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Induced abortion 17-24 weeks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2260","description":"Induced abortion 17-24 weeks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert prost urethral stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53855","description":"Insert prost urethral stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise lesion skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61616","description":"Resect/excise lesion skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grp a strep test performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3210F","description":"Grp a strep test performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Q fever antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86638","description":"Q fever antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Torsion mechanism wrist/elbo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3891","description":"Torsion mechanism wrist/elbo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reprogram cochlear implt 7/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92604","description":"Reprogram cochlear implt 7/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ver doc hear loss","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8565","description":"Ver doc hear loss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ eteplirsen_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1428","description":"Injection_ eteplirsen_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37272","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37272","description":"CPT-37272","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydration status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2018F","description":"Hydration status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB23D","description":"HIPPS-LB23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lumasiran_ 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9074","description":"Injection_ lumasiran_ 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathologists/dermatopathologists providing a second opinion on a biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9784","description":"Pathologists/dermatopathologists providing a second opinion on a biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser inc for pkp/lkp donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0289T","description":"Laser inc for pkp/lkp donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt srv p day 2-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90968","description":"Esrd home pt srv p day 2-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Jak2 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81270","description":"Jak2 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transabdom amnioinfus w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59070","description":"Transabdom amnioinfus w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43631","description":"Removal of stomach partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of iris prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0616T","description":"Insertion of iris prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX41","description":"HIPPS-RMX41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj protamine sulfate/10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2720","description":"Inj protamine sulfate/10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB24A","description":"HIPPS-PB24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artificial cornea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8609","description":"Artificial cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc antibody elution","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86860","description":"Rbc antibody elution","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dysphagia screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5364","description":"Dysphagia screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ golodirsen_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1429","description":"Injection_ golodirsen_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1 lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63047","description":"Remove spine lamina 1 lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mild osa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8848","description":"Mild osa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixation of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27570","description":"Fixation of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69641","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Legg perthes patten bottom t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1755","description":"Legg perthes patten bottom t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exfoliative cytolog collect","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7287","description":"Exfoliative cytolog collect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA212","description":"HIPPS-PA212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7530","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7530","description":"HCPCS-J7530","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00145","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00145","description":"CPT-00145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA11C","description":"HIPPS-CA11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body Surface-Activation Mapping Of Pacemaker Or Pacing Cardioverter-Defibrillator Lead(S) To Optimize Electrical Synchrony_ Cardiac Resynchronization Therapy Device_ Including","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0696T","description":"Body Surface-Activation Mapping Of Pacemaker Or Pacing Cardioverter-Defibrillator Lead(S) To Optimize Electrical Synchrony_ Cardiac Resynchronization Therapy Device_ Including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl bifo 7.25-12/2.2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2212","description":"Lens sphcyl bifo 7.25-12/2.2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE24B","description":"HIPPS-LE24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (oropharyngeal)_ evaluation of 17 DNA biomarkers using droplet digital PCR (ddPCR)_ cell-free DNA_ algorithm reported as a prognostic risk score for cancer recurrence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0356U","description":"Oncology (oropharyngeal)_ evaluation of 17 DNA biomarkers using droplet digital PCR (ddPCR)_ cell-free DNA_ algorithm reported as a prognostic risk score for cancer recurrence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electric heat pad moist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0215","description":"Electric heat pad moist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thromboplastin inhibition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85705","description":"Thromboplastin inhibition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens gas permbl bifocl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2512","description":"Cntct lens gas permbl bifocl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX2D","description":"HIPPS-RUX2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92288","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92288","description":"CPT-92288","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin w/ base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2721","description":"Crown resin w/ base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coroners autopsy (necropsy)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88045","description":"Coroners autopsy (necropsy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls insj prph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33952","description":"Ecmo/ecls insj prph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx dprsd zygomatic arch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21356","description":"Opn tx dprsd zygomatic arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC21","description":"HIPPS-RVC21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMV","description":"HIPPS-1AFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Musc tst done w/n tst nonext","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95887","description":"Musc tst done w/n tst nonext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL3","description":"HIPPS-3AFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of rectal narrowing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45910","description":"Dilation of rectal narrowing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer ultrasonic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0575","description":"Nebulizer ultrasonic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA50","description":"HIPPS-RMA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of tumor cavity_ with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with partial mastectomy (List separately i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19294","description":"Preparation of tumor cavity_ with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with partial mastectomy (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB03","description":"HIPPS-RHB03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esano a_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4272","description":"Esano a_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Services provided in urgent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9088","description":"Services provided in urgent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1504","description":"HCPCS-C1504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31380","description":"Partial removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0447T","description":"Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo new ureter/bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50947","description":"Laparo new ureter/bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct capture tmj","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0384","description":"Cone beam ct capture tmj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD25B","description":"HIPPS-LD25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA12C","description":"HIPPS-CA12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28F","description":"HIPPS-HD28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat midfoot fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28455","description":"Treat midfoot fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB33","description":"HIPPS-RVB33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronch ebus samplng 3/> node","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31653","description":"Bronch ebus samplng 3/> node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPS","description":"HIPPS-3BFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placental lactogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83632","description":"Placental lactogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ genital region_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6571","description":"Gradient compression garment_ genital region_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Centerbased day care perdiem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5105","description":"Centerbased day care perdiem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFK5","description":"HIPPS-2BFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8X","description":"HIPPS-RLA8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj multihance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9577","description":"Inj multihance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esano ac_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4274","description":"Esano ac_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of heart lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33120","description":"Removal of heart lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung perf&ventilat diferentl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78598","description":"Lung perf&ventilat diferentl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv rna plan care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0575F","description":"Hiv rna plan care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin fluid swg & stance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5728","description":"Knee-shin fluid swg & stance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cranial electrotherapy stimulation (CES) system supplies and accessories_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4596","description":"Cranial electrotherapy stimulation (CES) system supplies and accessories_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision Or Replacement (Including Removal Of Existing Device)_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69719","description":"Revision Or Replacement (Including Removal Of Existing Device)_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2004","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2004","description":"HCPCS-J2004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee surgical stocking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4500","description":"Below knee surgical stocking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/90d mrs 0-2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9646","description":"Pt w/90d mrs 0-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Omeza Collagen Matrix_ per 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2014","description":"Omeza Collagen Matrix_ per 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair fibula nonunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27726","description":"Repair fibula nonunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45100","description":"Biopsy of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFKT","description":"HIPPS-5CFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc viral load >=200","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9242","description":"Doc viral load >=200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0802T","description":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLX","description":"HIPPS-4CGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 std sing pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0878","description":"Pwc gp4 std sing pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01340","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01340","description":"CPT-01340","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc of neg or man pos tb scn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9359","description":"Doc of neg or man pos tb scn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supportive care for neurodegenerative conditions mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0004","description":"Supportive care for neurodegenerative conditions mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI w/cont_ breast_  uni","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8903","description":"MRI w/cont_ breast_  uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt queried prkns complic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4324F","description":"Pt queried prkns complic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg cylinder fb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4034","description":"Cast sup lng leg cylinder fb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom shape cover bk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5704","description":"Custom shape cover bk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Soft tissue allograft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4275","description":"Soft tissue allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPW","description":"HIPPS-3AFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC3A","description":"HIPPS-RMC3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red cell survival study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78130","description":"Red cell survival study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator_ replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1030","description":"External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator_ replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ptnot rcvng anti-rhm thxpyra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4196F","description":"Ptnot rcvng anti-rhm thxpyra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"A/d tx program_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2036","description":"A/d tx program_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18H","description":"HIPPS-LD18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB3C","description":"HIPPS-RUB3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart/lung resuscitation cpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92950","description":"Heart/lung resuscitation cpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct injured chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32820","description":"Reconstruct injured chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18B","description":"HIPPS-CA18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc osmotic fragility","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85557","description":"Rbc osmotic fragility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair standard w/ leg r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1150","description":"Wheelchair standard w/ leg r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK2","description":"HIPPS-5AFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for OUD without a gap of more than","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1034","description":"Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for OUD without a gap of more than","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Totazoline hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2670","description":"Totazoline hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pp eval/edu not perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9358","description":"Pp eval/edu not perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFM5","description":"HIPPS-4CFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guided tiss regen resorble","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4266","description":"Guided tiss regen resorble","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK5","description":"HIPPS-5BGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC31","description":"HIPPS-RUC31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aed garment w elec analysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0606","description":"Aed garment w elec analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8A","description":"HIPPS-RVX8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGLV","description":"HIPPS-1AGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA00","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA00","description":"HIPPS-AAA00","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advncd care plan addl 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99498","description":"Advncd care plan addl 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown full high noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6790","description":"Crown full high noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Breast)_ Mrna_ Gene Expression Profiling By Rt-Pcr Of 12 Genes (8 Content And 4 Housekeeping)_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_ Algorithm Reported","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81522","description":"Oncology (Breast)_ Mrna_ Gene Expression Profiling By Rt-Pcr Of 12 Genes (8 Content And 4 Housekeeping)_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_ Algorithm Reported","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ pmkr_ transvenous vdd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1779","description":"Lead_ pmkr_ transvenous vdd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHM5","description":"HIPPS-1AHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE10C","description":"HIPPS-CE10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair rotator cuff chronic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23412","description":"Repair rotator cuff chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt instr no bd rest 4 days/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4248F","description":"Pt instr no bd rest 4 days/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71551","description":"MRI chest w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy soft tissue of back","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21925","description":"Biopsy soft tissue of back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cidofovir injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0740","description":"Cidofovir injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE244","description":"HIPPS-LE244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not achieve a PDC of at least 75% for their asthma controller medication","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9811","description":"Patient did not achieve a PDC of at least 75% for their asthma controller medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28238","description":"Revision of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty ridge extens","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7340","description":"Vestibuloplasty ridge extens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18F","description":"HIPPS-BB18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with no clinical indications for imaging of the head","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1031","description":"Patients with no clinical indications for imaging of the head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPT","description":"HIPPS-3CGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0698U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0698U","description":"CPT-0698U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1957","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1957","description":"HCPCS-J1957","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB130","description":"HIPPS-PB130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML25","description":"HIPPS-RML25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spinal lamina add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63048","description":"Remove spinal lamina add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surrogate viral neutralization test (sVNT)_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ ELISA_ plasma_ serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0226U","description":"Surrogate viral neutralization test (sVNT)_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ ELISA_ plasma_ serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"D5w infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7070","description":"D5w infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens polycarb or equal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2784","description":"Lens polycarb or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients receiving high doses of immunosuppressive therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1063","description":"Patients receiving high doses of immunosuppressive therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vis item/svc in other code","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2797","description":"Vis item/svc in other code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pilonidal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10081","description":"Drainage of pilonidal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1044T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1044T","description":"CPT-1044T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multipo locking shoulder jnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6646","description":"Multipo locking shoulder jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ torso and shoulder_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6568","description":"Gradient compression garment_ torso and shoulder_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daptomycin (xellia) not therapeutically equivalent to j0878_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0873","description":"Injection_ daptomycin (xellia) not therapeutically equivalent to j0878_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Real-time pressure-sensing epidural guidance system (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0777T","description":"Real-time pressure-sensing epidural guidance system (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA1A","description":"HIPPS-RUA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28D","description":"HIPPS-LC28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8H","description":"HIPPS-RUA8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (neoplasia)_ exome and transcriptome sequence analysis for sequence variants_ gene copy number amplifications and deletions_ gene rearrangements_ microsatellite insta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0329U","description":"Oncology (neoplasia)_ exome and transcriptome sequence analysis for sequence variants_ gene copy number amplifications and deletions_ gene rearrangements_ microsatellite insta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1403","description":"HCPCS-A1403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6033","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6033","description":"HCPCS-L6033","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla typing dr/dq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86817","description":"Hla typing dr/dq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp w/optical endomicroscpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0397T","description":"Ercp w/optical endomicroscpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bowel bulge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57268","description":"Repair of bowel bulge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ irinotecan liposome_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9205","description":"Injection_ irinotecan liposome_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44188","description":"Lap colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spacer with mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8101","description":"Spacer with mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of thigh/knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27496","description":"Decompression of thigh/knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fresh frozen plasma_ high titer COVID-19 convalescent_ frozen within 8 hours of collection_ each unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9507","description":"Fresh frozen plasma_ high titer COVID-19 convalescent_ frozen within 8 hours of collection_ each unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmptr ophth dx img ant segmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92132","description":"Cmptr ophth dx img ant segmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC12D","description":"HIPPS-HC12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect shoulder tumor < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23077","description":"Resect shoulder tumor < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrivalent (qIRV)_ mRNA; 30 mcg/0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90637","description":"Influenza virus vaccine_ quadrivalent (qIRV)_ mRNA; 30 mcg/0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apc gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81201","description":"Apc gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62256","description":"Remove brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD154","description":"HIPPS-HD154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK4","description":"HIPPS-2CHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abd paracentesis w/imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49083","description":"Abd paracentesis w/imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35141","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex for nonspeech dev rx add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92618","description":"Ex for nonspeech dev rx add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bortezomib (hospira)_ not therapeutically equivalent to j9041_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9049","description":"Injection_ bortezomib (hospira)_ not therapeutically equivalent to j9041_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epifix_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4186","description":"Epifix_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open wedge/bx lung nodule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32097","description":"Open wedge/bx lung nodule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB3C","description":"HIPPS-RLB3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surg redct fibrous tuberosit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7972","description":"Surg redct fibrous tuberosit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjustment of custom sleep apnea appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9948","description":"Adjustment of custom sleep apnea appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allowrap ds or dry 1 sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4150","description":"Allowrap ds or dry 1 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ oritavancin (Kimyrsa)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2406","description":"Injection_ oritavancin (Kimyrsa)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cbc without platelet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0307","description":"Cbc without platelet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52315","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mucormycosis antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86732","description":"Mucormycosis antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48153","description":"Pancreatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25927","description":"Amputation of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73130","description":"X-ray exam of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL0C","description":"HIPPS-RUL0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98010","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98010","description":"CPT-98010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mapcp demo community","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9152","description":"Mapcp demo community","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of aldosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82088","description":"Assay of aldosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33774","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt srv p day 12-19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90969","description":"Esrd home pt srv p day 12-19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit cath care noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5497","description":"Hit cath care noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMX","description":"HIPPS-1BHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TBP (TATA box binding protein) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81344","description":"TBP (TATA box binding protein) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0666","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0666","description":"HCPCS-J0666","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit interim cath care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5502","description":"Hit interim cath care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 iobenguane_ therapeutic_ 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9408","description":"Iodine I-131 iobenguane_ therapeutic_ 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous vertebral augmentations_ first lumbar and any additional thoracic or lumbar vertebral bodies_ including cavity creations (fracture reductions and bone biopsies in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7508","description":"Percutaneous vertebral augmentations_ first lumbar and any additional thoracic or lumbar vertebral bodies_ including cavity creations (fracture reductions and bone biopsies in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lang express current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9162","description":"Lang express current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No implantable/insertable device used with device-intensive procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1890","description":"No implantable/insertable device used with device-intensive procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj enoxaparin sodium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1650","description":"Inj enoxaparin sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Y set tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4719","description":"Y set tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB12","description":"HIPPS-RVB12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of lower leg tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27680","description":"Release of lower leg tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mmrv vaccine sc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90710","description":"Mmrv vaccine sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA0D","description":"HIPPS-RLA0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngeal function studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92520","description":"Laryngeal function studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht inj antiemetic diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9370","description":"Ht inj antiemetic diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NEURO ALZHEIMER CELL AGGREGJ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0206U","description":"NEURO ALZHEIMER CELL AGGREGJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eardrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69420","description":"Incision of eardrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Renal biopsy open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50205","description":"Renal biopsy open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aducanumab-avwa_ 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0172","description":"Injection_ aducanumab-avwa_ 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Residential Habilitation 1-3 Supp 1:1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0101","description":"Residential Habilitation 1-3 Supp 1:1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genet virus isolate hsv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87255","description":"Genet virus isolate hsv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGM5","description":"HIPPS-1BGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional brain mapping","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96020","description":"Functional brain mapping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient treatment and final evaluation complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1010","description":"Patient treatment and final evaluation complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart image (pet) multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78492","description":"Heart image (pet) multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE12C","description":"HIPPS-LE12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Water pressure pad for mattr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0198","description":"Water pressure pad for mattr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fulvestrant (fresenius kabi) not therapeutically equivalent to j9395_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9394","description":"Injection_ fulvestrant (fresenius kabi) not therapeutically equivalent to j9395_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB24","description":"HIPPS-RMB24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of thyroglobulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84432","description":"Assay of thyroglobulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES156","description":"HIPPS-ES156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph imped function test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91037","description":"Esoph imped function test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHMS","description":"HIPPS-2CHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28I","description":"HIPPS-LB28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA25","description":"HIPPS-AAA25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood mucoprotein","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P2038","description":"Blood mucoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reusable enema bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4458","description":"Reusable enema bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin fetal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85461","description":"Hemoglobin fetal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26350","description":"Repair finger/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Of Ventricular Assist Device_ Percutaneous_ Including Radiological Supervision And Interpretation; Right Heart_ Venous Access Only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33995","description":"Insertion Of Ventricular Assist Device_ Percutaneous_ Including Radiological Supervision And Interpretation; Right Heart_ Venous Access Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ready gradient sleev/glov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8421","description":"Ready gradient sleev/glov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"S&i stent/chest vert art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0076T","description":"S&i stent/chest vert art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKX","description":"HIPPS-2BGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ eflapegrastim-xnst_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1449","description":"Injection_ eflapegrastim-xnst_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"H&p for surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0260","description":"H&p for surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker seat attachment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0156","description":"Walker seat attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9465","description":"Diabetic management program_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect thigh/knee tum < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27329","description":"Resect thigh/knee tum < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos air press not prescribe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8853","description":"Pos air press not prescribe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test socket knee disarticula","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5622","description":"Test socket knee disarticula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd spelling phys contact","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2508","description":"Sgd spelling phys contact","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hammertoe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28286","description":"Repair of hammertoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulm fx w/in 12 mon b/4 surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3038F","description":"Pulm fx w/in 12 mon b/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Device Supply With Initial Set-Up And Patient Education On Use Of Equipment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0704T","description":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Device Supply With Initial Set-Up And Patient Education On Use Of Equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pegloticase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2507","description":"Pegloticase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replcmnt breast pump shield","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4284","description":"Replcmnt breast pump shield","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Somatosensory testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95938","description":"Somatosensory testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHNU","description":"HIPPS-3CHNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Male external catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4326","description":"Male external catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 30 MCG/0.3 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91312","description":"SARSCOV2 VACCINE BIVALENT 30 MCG/0.3 ML IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped size pull-on lg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4532","description":"Ped size pull-on lg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero w/congen repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52400","description":"Cystouretero w/congen repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK2","description":"HIPPS-4AHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IN GNOTYP CD44 EXONS 2 3 6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0191U","description":"IN GNOTYP CD44 EXONS 2 3 6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA13","description":"HIPPS-RLA13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of neurostimulator electrode array_ spinal_ with integrated neurostimulator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0785T","description":"Revision or removal of neurostimulator electrode array_ spinal_ with integrated neurostimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37270","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37270","description":"CPT-37270","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies_ other t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0017","description":"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies_ other t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla typing dr/dq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86816","description":"Hla typing dr/dq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous pulmonary artery revascularization by stent placement_ initial; normal native connections_ bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33901","description":"Percutaneous pulmonary artery revascularization by stent placement_ initial; normal native connections_ bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHKS","description":"HIPPS-3BHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelets_ each unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9019","description":"Platelets_ each unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFM5","description":"HIPPS-3CFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of 17-hydroxypregneno","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84143","description":"Assay of 17-hydroxypregneno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor pancreatectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48550","description":"Donor pancreatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/family 30 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90832","description":"Psytx pt&/family 30 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ankle arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29892","description":"Ankle arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB3A","description":"HIPPS-RHB3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-70472","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70472","description":"CPT-70472","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE23C","description":"HIPPS-LE23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not currently being a statin therapy user or receive an order(prescription)for statin therapy (e.g.patient with adverse effect_ allergy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9668","description":"Documentation of medical reason(s) for not currently being a statin therapy user or receive an order(prescription)for statin therapy (e.g.patient with adverse effect_ allergy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA23B","description":"HIPPS-PA23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ peramivir","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2547","description":"Injection_ peramivir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 4 vhd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0871","description":"Pwc gp 4 vhd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64681","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body fluid specific gravity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84315","description":"Body fluid specific gravity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Index assessment during the denominator period when the suicidal ideation and/or behavior symptoms or increased suicide risk by clinician determination occurs and a non-zero c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1359","description":"Index assessment during the denominator period when the suicidal ideation and/or behavior symptoms or increased suicide risk by clinician determination occurs and a non-zero c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transthor diaphrag hern rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43334","description":"Transthor diaphrag hern rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol amino acid &","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4189","description":"Parenteral sol amino acid &","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54065","description":"Destruction penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imported lipodox inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2049","description":"Imported lipodox inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee leather socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5638","description":"Below knee leather socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leads any type vad_ rep only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0487","description":"Leads any type vad_ rep only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1213","description":"No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65125","description":"Revise ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psych diagnostic evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90791","description":"Psych diagnostic evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multisys ther/juvenile 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2033","description":"Multisys ther/juvenile 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0301","description":"HCPCS-B0301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral periapical ea add","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0230","description":"Intraoral periapical ea add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy for lvrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32672","description":"Thoracoscopy for lvrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sps elbow device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1801","description":"Sps elbow device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cnslng epi spec sfty issues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4330F","description":"Cnslng epi spec sfty issues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 hd mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0862","description":"Pwc gp3 hd mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen based wound filler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6010","description":"Collagen based wound filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA0B","description":"HIPPS-RUA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm receiver_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5287","description":"Ald fm/dm receiver_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE10A","description":"HIPPS-HE10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pharyngeal walls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42892","description":"Revision of pharyngeal walls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder/revise tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51590","description":"Remove bladder/revise tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise diaphragm nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64746","description":"Incise diaphragm nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr fe/e/en/l/m 20.1-30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12017","description":"Rpr fe/e/en/l/m 20.1-30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (hematolymphoid neoplasia)_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ whole blood or bone marrow_ report of specific gene rearra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0014U","description":"Hematology (hematolymphoid neoplasia)_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ whole blood or bone marrow_ report of specific gene rearra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fludarabine phosphate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9185","description":"Fludarabine phosphate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFMT","description":"HIPPS-4BFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compressor air power source","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0565","description":"Compressor air power source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid check one ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92592","description":"Hearing aid check one ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43420","description":"Repair esophagus opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPV","description":"HIPPS-1BHPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28D","description":"HIPPS-PD28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28660","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL3A","description":"HIPPS-RUL3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tte w or w/o contr_ cont ecg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8930","description":"Tte w or w/o contr_ cont ecg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place needles h&n for rt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41019","description":"Place needles h&n for rt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromend nerve wrap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9361","description":"Neuromend nerve wrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA42","description":"HIPPS-RVA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery/speech prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31611","description":"Surgery/speech prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glucose test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82950","description":"Glucose test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL2","description":"HIPPS-1CHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ buprenorphine extended-release (brixadi)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0576","description":"Injection_ buprenorphine extended-release (brixadi)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of big toe joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28760","description":"Fusion of big toe joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC124","description":"HIPPS-HC124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arformoterol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7605","description":"Arformoterol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls insj ctr cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33955","description":"Ecmo/ecls insj ctr cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thrombin time titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85675","description":"Thrombin time titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD10C","description":"HIPPS-LD10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology_ Red Blood Cell (Rbc) Adhesion To Endothelial/Subendothelial Adhesion Molecules_ Functional Assessment_ Whole Blood_ With Algorithmic Analysis And Result Reported A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0304U","description":"Hematology_ Red Blood Cell (Rbc) Adhesion To Endothelial/Subendothelial Adhesion Molecules_ Functional Assessment_ Whole Blood_ With Algorithmic Analysis And Result Reported A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24925","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Position back cush wd <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2613","description":"Position back cush wd <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB4D","description":"HIPPS-RLB4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary colon cancer disorders (eg_ Lynch syndrome_ <i>PTEN</i> hamartoma syndrome_ Cowden syndrome_ familial adenomatosis polyposis)_ genomic sequence analysis panel utili","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0101U","description":"Hereditary colon cancer disorders (eg_ Lynch syndrome_ <i>PTEN</i> hamartoma syndrome_ Cowden syndrome_ familial adenomatosis polyposis)_ genomic sequence analysis panel utili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC21A","description":"HIPPS-CC21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of hip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29520","description":"Strapping of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00534","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00534","description":"CPT-00534","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Filters elec/combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0500","description":"Filters elec/combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD234","description":"HIPPS-HD234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teclistamab-cqyv_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9380","description":"Injection_ teclistamab-cqyv_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD10D","description":"HIPPS-CD10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24155","description":"Removal of elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC3B","description":"HIPPS-RUC3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB216","description":"HIPPS-BB216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ talquetamab-tgvs_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3055","description":"Injection_ talquetamab-tgvs_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj foramen epidural add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64480","description":"Inj foramen epidural add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"School-based iep ser bundled","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1018","description":"School-based iep ser bundled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lat retinacular release open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27425","description":"Lat retinacular release open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4382","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4382","description":"HCPCS-Q4382","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM5","description":"HIPPS-2AHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anes medscpy&thorscpy 1 lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52951","description":"Anes medscpy&thorscpy 1 lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chylmd pneum dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87487","description":"Chylmd pneum dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Storage/year oocyte(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89346","description":"Storage/year oocyte(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8C","description":"HIPPS-RHL8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of small bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74250","description":"X-ray exam of small bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75051","description":"Anesth repair of hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25545","description":"Treat fracture of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKX","description":"HIPPS-5BFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open ablate liver tumor rf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47380","description":"Open ablate liver tumor rf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK2","description":"HIPPS-5CGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFLT","description":"HIPPS-2BFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cygnus dual_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4282","description":"Cygnus dual_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ eteplirsen_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9484","description":"Injection_ eteplirsen_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive removal of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47122","description":"Extensive removal of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delay flap eye/nos/ear/lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15630","description":"Delay flap eye/nos/ear/lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC111","description":"HIPPS-CC111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep c screen high risk/other","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0472","description":"Hep c screen high risk/other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam abdom complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76700","description":"Us exam abdom complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (asceniv)_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9072","description":"Injection_ immune globulin (asceniv)_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin polyc mch sta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5816","description":"Endo knee-shin polyc mch sta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5140","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5140","description":"HCPCS-Q5140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Colorectal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1087","description":"Radiation Therapy For Colorectal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1417","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1417","description":"HCPCS-M1417","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ elastography; first target lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76982","description":"Ultrasound_ elastography; first target lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA22A","description":"HIPPS-BA22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES15C","description":"HIPPS-ES15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Habil prevoc waiver per hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2015","description":"Habil prevoc waiver per hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1415","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1415","description":"HCPCS-M1415","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrocochleography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92584","description":"Electrocochleography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69661","description":"Revise middle ear bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA52","description":"HIPPS-RMA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematopoietic nuclear tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79403","description":"Hematopoietic nuclear tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas biopsy not review","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8884","description":"Doc reas biopsy not review","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis addl spine segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22216","description":"Incis addl spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opioids & opiate analogs 1/2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80362","description":"Opioids & opiate analogs 1/2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1021T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1021T","description":"CPT-1021T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abx reg prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9498","description":"Abx reg prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injecte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1322","description":"Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injecte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place cath subclavian art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36225","description":"Place cath subclavian art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of fetal heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76826","description":"Echo exam of fetal heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81005","description":"Urinalysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35305","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplants of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27397","description":"Transplants of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg 3.1-4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11404","description":"Exc tr-ext b9+marg 3.1-4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aqueous shunt eye w/o graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66179","description":"Aqueous shunt eye w/o graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient transfer system <300","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1035","description":"Patient transfer system <300","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX22","description":"HIPPS-RHX22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligate/staple esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43405","description":"Ligate/staple esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKV","description":"HIPPS-2BFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not administering td or tdap vaccine (e.g._ prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven da","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1172","description":"Documentation of medical reason(s) for not administering td or tdap vaccine (e.g._ prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8X","description":"HIPPS-RML8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9913","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9913","description":"CDT-D9913","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Housing & integrated adhesiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7508","description":"Housing & integrated adhesiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc neg elder mal no plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8734","description":"Doc neg elder mal no plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41007","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFLU","description":"HIPPS-1CFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscop w/esoph musc exc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32665","description":"Thoracoscop w/esoph musc exc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1038T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1038T","description":"CPT-1038T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ibutilide fumarate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1742","description":"Ibutilide fumarate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G9871","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9871","description":"HCPCS-G9871","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC BRST CA DNA PIK3CA 11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0177U","description":"ONC BRST CA DNA PIK3CA 11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protein western blot tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88371","description":"Protein western blot tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB111","description":"HIPPS-CB111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Weekly Bundle Not Including The Drug_ Including Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Testing If Performed (Pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2074","description":"Medication Assisted Treatment_ Weekly Bundle Not Including The Drug_ Including Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Testing If Performed (Pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guidance radiotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6001","description":"Echo guidance radiotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKS","description":"HIPPS-2BGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9066","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9066","description":"HCPCS-J9066","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disconnect insert locking wr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6616","description":"Disconnect insert locking wr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX24","description":"HIPPS-RMX24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adhesion barrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1765","description":"Adhesion barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine&cord 2 trx thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63197","description":"Incise spine&cord 2 trx thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB13B","description":"HIPPS-CB13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX3A","description":"HIPPS-RHX3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninterest escort in non er","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0080","description":"Noninterest escort in non er","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ 3 mcg/0.3 mL dosage_ tris-sucrose formulation_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91318","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ 3 mcg/0.3 mL dosage_ tris-sucrose formulation_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-76015","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76015","description":"CPT-76015","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytomeg dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87496","description":"Cytomeg dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prednisone_ oral_ per 5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7506","description":"Prednisone_ oral_ per 5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ full leg and foot_ padded_ for nighttime use_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6526","description":"Gradient compression garment_ full leg and foot_ padded_ for nighttime use_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE24A","description":"HIPPS-CE24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL6","description":"HIPPS-1BFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL1A","description":"HIPPS-RVL1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attempted vbac delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59618","description":"Attempted vbac delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rhythm ecg with report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93040","description":"Rhythm ecg with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acth stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80402","description":"Acth stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo plastic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1930","description":"Afo plastic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28H","description":"HIPPS-BA28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD150","description":"HIPPS-CD150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73030","description":"X-ray exam of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise cornea with implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65770","description":"Revise cornea with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Online e/m by phys/qhp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99444","description":"Online e/m by phys/qhp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Job Coaching 1:1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1733","description":"Employment - Job Coaching 1:1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Care management services for behavioral health conditions_ at least 20 minutes of clinical psychologist or clinical social worker time_ per calendar month. (these services inc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0323","description":"Care management services for behavioral health conditions_ at least 20 minutes of clinical psychologist or clinical social worker time_ per calendar month. (these services inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup hip spica fiberglas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4026","description":"Cast sup hip spica fiberglas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial_ fungal_ or viral infection)_ semiquantitative biomechanical assessment (via deformability cytometry)_ whole blood_ with algorithmic analysis and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0441U","description":"Infectious disease (bacterial_ fungal_ or viral infection)_ semiquantitative biomechanical assessment (via deformability cytometry)_ whole blood_ with algorithmic analysis and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB140","description":"HIPPS-HB140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No reop req bld grft oth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8578","description":"No reop req bld grft oth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21243","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; each multiplex probe stain procedure (List separately in addition to code for prima","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0850T","description":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; each multiplex probe stain procedure (List separately in addition to code for prima","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seat upholstery_ replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0981","description":"Seat upholstery_ replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No antipla/p2y12 ord_ rs nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9611","description":"No antipla/p2y12 ord_ rs nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vad different session","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33992","description":"Remove vad different session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision (eg_ augmentation_ division of tether)_ replacement_ or removal of thoracic vertebral body tethering_ including thoracoscopy_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22838","description":"Revision (eg_ augmentation_ division of tether)_ replacement_ or removal of thoracic vertebral body tethering_ including thoracoscopy_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29889","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Voice goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9172","description":"Voice goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appropos mthd offloading rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4269F","description":"Appropos mthd offloading rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exam feces for meat fibers","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89160","description":"Exam feces for meat fibers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam neck spine 4/5vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72050","description":"X-ray exam neck spine 4/5vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of jaw 4/> views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70110","description":"X-ray exam of jaw 4/> views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54699","description":"Laparoscope proc testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE20D","description":"HIPPS-HE20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carry goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8985","description":"Carry goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls rmvl perph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33965","description":"Ecmo/ecls rmvl perph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLW","description":"HIPPS-4BFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE116","description":"HIPPS-CE116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical home level ii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9149","description":"Medical home level ii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy biceps tenodesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29828","description":"Arthroscopy biceps tenodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp multidisipln evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2000","description":"Comp multidisipln evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55710","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55710","description":"CPT-55710","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise urine flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50830","description":"Revise urine flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0658U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0658U","description":"CPT-0658U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD14B","description":"HIPPS-PD14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Octreotide injection_ depot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2353","description":"Octreotide injection_ depot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidrm a-grft f/n/hf/g addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15116","description":"Epidrm a-grft f/n/hf/g addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Path rpt malig cancer docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3317F","description":"Path rpt malig cancer docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct upper extremity w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73200","description":"Ct upper extremity w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial prenatal care visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0500F","description":"Initial prenatal care visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2003","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2003","description":"CDT-D2003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE23D","description":"HIPPS-PE23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking garter belt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6544","description":"Gc stocking garter belt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afamelanotide implant_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7352","description":"Afamelanotide implant_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-brchial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35512","description":"Art byp grft subclav-brchial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA117","description":"HIPPS-PA117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic apheresis; with extracorporeal immunoadsorption_ selective adsorption or selective filtration and plasma reinfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36516","description":"Therapeutic apheresis; with extracorporeal immunoadsorption_ selective adsorption or selective filtration and plasma reinfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gamma globulin > 10 cc inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1560","description":"Gamma globulin > 10 cc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair uro sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53449","description":"Repair uro sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assessment Of Salivary Flow By Measurement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0419","description":"Assessment Of Salivary Flow By Measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthro w/femoroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29914","description":"Hip arthro w/femoroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc)_ anterior approach_ including discectomy to prepare interspace (other than for decompression); second interspace_ lumbar (List separa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22860","description":"Total disc arthroplasty (artificial disc)_ anterior approach_ including discectomy to prepare interspace (other than for decompression); second interspace_ lumbar (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palonosetron hcl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2469","description":"Palonosetron hcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv flex n/adj foam pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0120","description":"Cerv flex n/adj foam pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aripiprazole injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0400","description":"Aripiprazole injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 4 hd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0870","description":"Pwc gp 4 hd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aerosol compressor adjust pr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0572","description":"Aerosol compressor adjust pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0702","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0702","description":"HCPCS-C0702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rt heart cath congenital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93530","description":"Rt heart cath congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27485","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lanreotide_ (Cipla)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1932","description":"Injection_ lanreotide_ (Cipla)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ chloroprocaine hydrochloride (clorotekal)_ per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2402","description":"Injection_ chloroprocaine hydrochloride (clorotekal)_ per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prefab post/core + crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2954","description":"Prefab post/core + crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; qualitative_ single stationary and mobile phase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82541","description":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; qualitative_ single stationary and mobile phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGN1","description":"HIPPS-1BGN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak open end sach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5321","description":"Ak open end sach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00212","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00212","description":"CPT-00212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat metacarpal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26608","description":"Treat metacarpal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00529","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00529","description":"CPT-00529","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (ovarian)_ biochemical assays of 7 proteins (follicle stimulating hormone_ human epididymis protein 4_ apolipoprotein A-1_ transferrin_ beta-2 macroglobulin_ prealbum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0375U","description":"Oncology (ovarian)_ biochemical assays of 7 proteins (follicle stimulating hormone_ human epididymis protein 4_ apolipoprotein A-1_ transferrin_ beta-2 macroglobulin_ prealbum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ patisiran_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9036","description":"Injection_ patisiran_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health And Well-Being Coaching Face-To-Face; Group (2 Or More Individuals)_ At Least 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0593T","description":"Health And Well-Being Coaching Face-To-Face; Group (2 Or More Individuals)_ At Least 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amalgam three surfaces perma","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2160","description":"Amalgam three surfaces perma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leflunomide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80193","description":"Leflunomide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc car modulj vnt elt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0411T","description":"Insj/rplc car modulj vnt elt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1079T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1079T","description":"CPT-1079T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital call","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9420","description":"Hospital call","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM1","description":"HIPPS-3AFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko elastic with joints","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1810","description":"Ko elastic with joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are breastfeeding","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9779","description":"Patients who are breastfeeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22632","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place endorectal app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9725","description":"Place endorectal app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vaginal foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57415","description":"Remove vaginal foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8C","description":"HIPPS-RMX8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL40","description":"HIPPS-RVL40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA120","description":"HIPPS-PA120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep ak ischial plast molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5560","description":"Prep ak ischial plast molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of sialic acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84275","description":"Assay of sialic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-2 piece w/o graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21142","description":"Lefort i-2 piece w/o graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Idecabtagene Vicleucel_ Up To 460 Million Autologous B-Cell Maturation Antigen (Bcma) Directed Car-Positive T Cells_ Including Leukapheresis And Dose Preparation Procedures_ P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2055","description":"Idecabtagene Vicleucel_ Up To 460 Million Autologous B-Cell Maturation Antigen (Bcma) Directed Car-Positive T Cells_ Including Leukapheresis And Dose Preparation Procedures_ P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8F","description":"HIPPS-RHL8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sleep study attended","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95807","description":"Sleep study attended","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES217","description":"HIPPS-ES217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9726","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain/ceramic subs","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2740","description":"Crown porcelain/ceramic subs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocation pocket pacemaker","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33222","description":"Relocation pocket pacemaker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA217","description":"HIPPS-BA217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD11A","description":"HIPPS-LD11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onco (ovar) two proteins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81500","description":"Onco (ovar) two proteins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ midazolam hydrochloride (wg critical care) not therapeutically equivalent to j2250_ per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2251","description":"Injection_ midazolam hydrochloride (wg critical care) not therapeutically equivalent to j2250_ per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm system binaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5282","description":"Ald fm/dm system binaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKU","description":"HIPPS-4AHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tongue lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41112","description":"Excision of tongue lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1503","description":"HCPCS-B1503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ugt1a1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81350","description":"Ugt1a1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL16","description":"HIPPS-RUL16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMU","description":"HIPPS-4CGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB10D","description":"HIPPS-PB10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muramidase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85549","description":"Muramidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dispens fee immunosupressive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0510","description":"Dispens fee immunosupressive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lo sag ri an/pos pnl pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0627","description":"Lo sag ri an/pos pnl pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX0A","description":"HIPPS-RMX0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip disartic sach thermopls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5595","description":"Hip disartic sach thermopls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv musc neck dyston","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64616","description":"Chemodenerv musc neck dyston","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX16","description":"HIPPS-RMX16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Synvisc or synvisc-one","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7325","description":"Synvisc or synvisc-one","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of infusion pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36262","description":"Removal of infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ewho rigid w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3763","description":"Ewho rigid w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stationary o2 contents_ liq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0442","description":"Stationary o2 contents_ liq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA36","description":"HIPPS-RLA36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73060","description":"X-ray exam of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thiethylperazine maleate10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0174","description":"Thiethylperazine maleate10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-76014","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76014","description":"CPT-76014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB13D","description":"HIPPS-CB13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA22B","description":"HIPPS-CA22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL1C","description":"HIPPS-RVL1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22855","description":"Remove spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"P2y inhib not presc doc reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9439","description":"P2y inhib not presc doc reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2130","description":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis nonauto w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81000","description":"Urinalysis nonauto w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0801T","description":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim-jmdb_ biosimilar_ (Fulphila)_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5108","description":"Injection_ pegfilgrastim-jmdb_ biosimilar_ (Fulphila)_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPU","description":"HIPPS-3BFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow imaging ltd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78102","description":"Bone marrow imaging ltd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual diff wbc count b-coat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85009","description":"Manual diff wbc count b-coat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nelarabine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9261","description":"Nelarabine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFMW","description":"HIPPS-1BFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]}]}